The effects of premature infant oral motor intervention (PIOMI) on oral feeding of preterm infants: A randomized clinical trial
| Autor: | Hadiseh Ghomi, Mahdi Noroozi, Brenda Lessen Knoll, Ali Mazouri, Fariba Yadegari, Farin Soleimani |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Time Factors Gestational Age Weight Gain law.invention 03 medical and health sciences 0302 clinical medicine Double-Blind Method Tongue Randomized controlled trial law Early Medical Intervention Intensive Care Units Neonatal Physical Stimulation 030225 pediatrics Intensive care medicine Humans 030223 otorhinolaryngology Survival rate Psychomotor learning Mouth business.industry Infant Newborn Postmenstrual Age Infant Gestational age Repeated measures design Feeding Behavior General Medicine Length of Stay Clinical trial Otorhinolaryngology Face Pediatrics Perinatology and Child Health Female business Infant Premature |
| Zdroj: | International Journal of Pediatric Otorhinolaryngology. 120:202-209 |
| ISSN: | 0165-5876 |
| DOI: | 10.1016/j.ijporl.2019.02.005 |
| Popis: | Objective Given the increase in the birth and survival rate of the premature infants, a need for supportive health care services becomes more evident. The goal of the present study was to examine the effectiveness of the Premature Infant Oral Motor Intervention (PIOMI) in the feeding progression and early intervention. This study was a double-blind randomized clinical trial. Methods This clinical trial included premature infants in the neonatal intensive care units (NICUs) of two hospitals in Tehran, who were randomly assigned into intervention and control group, each containing 15 infants. The PIOMI was administered to the intervention group in the course of 10 days. The infants in the control group received routine nursing services. Repeated measures ANOVA (RMA) were analyzed. The postmenstrual age and weight of the participants were examined at the time points of accomplishing one, four, and eight oral feedings a day and at the time of hospital discharge. Results The intervention group reached the first oral feeding (with a mean of 7.2 days) and eight oral feeding (with a mean of 13.47 days) earlier than the control group. The length of hospital stay in intervention group was significantly shorter (P = 0.03). RMA wasn't statistically significant between groups for weight (F: 0.76, P: 0.39, ŋ: 0.03); but within-subjects test showed that change of the weight over time and for interaction of time and group was significant (F: 74.437, P Conclusion the results revealed that PIOMI is a fruitful method for premature infants. We suggest that PIOMI can be integrated in feeding rehabilitation programs of the premature infants born with gestational age of as young as 26-29 weeks, and applied at 29 weeks postmenstrual age (PMA). The clinical trial registration number IRCT20180410039260N1. |
| Databáze: | OpenAIRE |
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