“Empty Breast" and digital oral stimulation: a comparison between techniques in oral dietary transition in preterm
DOI:
https://doi.org/10.33448/rsd-v11i14.36461Keywords:
Premature; Breast Feeding; Feeding Methods; Sucking Behavior; Newborn.Abstract
Purpose: This study intent to investigate the effectiveness of the "Empty Breast" technique, in relation to the standard digital oral stimulation technique, and examine the amount of time of use of orogastric tube, length of hospitalization, and breastfeeding prevalence at hospital discharge. Methods: It is an intervention study with prospective, longitudinal, clinical-type data collection, comparing two techniques used to transition enteral nutrition to oral nutrition in preterm. The participants were divided into two groups, 17 being the control group stimulated with the non-nutritive sucking technique in gloved finger , 15 experimental group stimulated by the “empty breast” suction technique. Data were analyzed using descriptive and inferential statistics. The level of significance adopted for the inferential statistical analyzes was 5% (p<0.05). Results: “Empty-breast” technique presented similar results to digital oral stimulation technique regarding the variables length of probe use, hospital stay and weight gain. However, in the experimental group, which was stimulated in “empty-breast”, the type of breastfeeding at hospital discharge was significantly higher in exclusive breast-feeding (SM) or breast-feeding plus complement for human milk. Conclusion: The “empty-breast” technique has shown to have a similar effect when compared to digital oral stimulation technique in terms of probe use time, hospital stay and weight gain, but it is capable of promoting higher rates of exclusive breastfeeding at the time of hospital discharge.
References
Bache M, Pizon E, Jacobs J, Vaillant M & Lecomte A. Effects of pre-feeding oral stimulation on oral feeding in preterm infants: A randomized clinical trial. Early Human Development [Internet]. 2014;90(3):125–9.
Berrani, H., Alaoui, A. M., Kasouati, J., Alaoui, K., & Izgua, A. T. (2015). Allaitement maternel chez le nouveau-né prématuré à l’âge de six mois au Maroc: prévalence et facteurs associés. Archives de Pédiatrie, 22(2), 141-145.
Buckley, K. M., & Charles, G. E. (2006). Benefits and challenges of transitioning preterm infants to at-breast feedings. International breastfeeding journal, 1(1), 1-7.
Ferecini G. M, Fonseca L. M. M., Leite A. M., Daré M. F, Assis C. S., & Scochi C. G. S. (2009) Percepções de mães de prematuros acerca da vivência em um programa educativo. ACTA Paulista Enfermagem.22(3):250–6.
Lemes, E. F., Silva, T. H. M. M., Correr, A. D. M. A., Almeida, E. O. C. D., & Luchesi, K. F. (2015). Oral and non-oral sensorimotor stimulation in preterm infants: Bibliographic review. Revista CEFAC, 17, 945-955.
Fucile, S., Gisel, E., & Lau, C. (2002). Oral stimulation accelerates the transition from tube to oral feeding in preterm infants. The Journal of pediatrics, 141(2), 230-236.
Fucile, S., Gisel, E. G., McFarland, D. H., & Lau, C. (2011). Oral and non‐oral sensorimotor interventions enhance oral feeding performance in preterm infants. Developmental Medicine & Child Neurology, 53(9), 829-835.
Fujinaga, C. I., Moraes, S. A. D., Zamberlan-Amorim, N. E., Castral, T. C., Silva, A. D. A., & Scochi, C. G. S. (2013). Clinical validation of the preterm oral feeding readiness assessment scale. Revista latino-americana de enfermagem, 21, 140-145.
Klossoswski, D. G., Godói, V. C. D., Xavier, C. R., & Fujinaga, C. I. (2016). Assistência integral ao recém-nascido prematuro: implicações das práticas e da política pública. Revista Cefac, 18, 137-150.
Lodi J.C. Autoeficácia e aleitamento materno exclusivo até o sexto mês de vida. Tese de Doutorado. Faculdade de Odontologia de Piracicaba da UNICAMP, 2020.
Mathias, C. T., Mianda, S., & Ginindza, T. G. (2018). Evidence of the factors that influence the utilisation of Kangaroo Mother Care by parents with low-birth-weight infants in low-and middle-income countries (LMICs): a scoping review protocol. Systematic reviews, 7(1), 1-7.
Medeiros, A. M. C., Ramos, B. K. B., Bomfim, D. L. S. S., Alvelos, C. L., Silva, T. C. D., Barreto, I. D. D. C., ... & Gurgel, R. Q. (2018, May). Tempo de transição alimentar na técnica sonda-peito em recém-nascidos baixo peso do Método Canguru. In CoDAS (Vol. 30). Sociedade Brasileira de Fonoaudiologia.
Medeiros, A. M. C., Sá, T. P. L. D., Alvelos, C. L., & Novais, D. S. F. (2014). Intervenção fonoaudiológica na transição alimentar de sonda para peito em recém-nascidos do Método Canguru. Audiology-Communication Research, 19, 95-103.
Moreira, C., Cavalcante-Silva, R. P., Miyaki, M., & Fujinaga, C. I. (2014). Efeitos da estimulação da sucção não nutritiva com dedo enluvado na transição alimentar em recém-nascido prematuro de muito baixo peso. Revista CEFAC, 16, 1187-1193.
Narayanan, I., Mehta, R., Choudhury, D. K., & Jain, B. K. (1991). Sucking on the'emptied'breast: non-nutritive sucking with a difference. Archives of disease in childhood, 66(2), 241-244.
Neiva, F. C., Leone, C. R., Leone, C., Siqueira, L. L., Uema, K. A., Evangelista, D., ... & Buhler, K. B. (2014). Non-nutritive sucking evaluation in preterm newborns and the start of oral feeding: a multicenter study. Clinics, 69, 393-397.
Nyqvist, K. H., Sjödén, P. O., & Ewald, U. (1999). The development of preterm infants’ breastfeeding behavior. Early human development, 55(3), 247-264.
Nyqvist, K. H. (2005). Breastfeeding support in neonatal care: An example of the integration of international evidence and experience. Newborn and infant nursing reviews, 5(1), 34-48.
Otto, D. M., & Almeida, S. T. D. (2017). Desempenho da alimentação oral em recém-nascidos prematuros estimulados pela técnica treino de deglutição. Audiology-Communication Research, 22.
Pinelli, J., & Symington, A. J. (2005). Non‐nutritive sucking for promoting physiologic stability and nutrition in preterm infants. Cochrane Database of Systematic Reviews, (4).
da Pieve Antunes, V., Berwig, L. C., dos Santos Steidl, E. M., & Weinmann, A. R. M. (2014). Efeitos do tubo orotraqueal sobre a performance alimentar e sinais de estresse em recém-nascidos pré-termo. Distúrbios da Comunicação, 26(3).
Souza, N. L. D., Araujo, A. C. P. F., Costa, Í. D. C. C., Medeiros Junior, A., & Accioly Junior, H. (2010). Vivência materna com o filho prematuro: refletindo sobre as dificuldades desse cuidado. Revista Mineira de Enfermagem, v. 14, p. 159-165.
Venson, C., Fujinaga, C. I., & Czluniak, G. R. (2010). Estimulação da sucção não nutritiva na" mama vazia" em bebês prematuros: relato de casos. Revista da Sociedade Brasileira de Fonoaudiologia, 15, 452-457.
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Copyright (c) 2022 Francine Marson Costa; Marizilda Martins; Cristina Ide Fujinaga; Paulyne Venzon; Janaina Alencar Nunes; Cristina Terumy Okamoto
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