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This study aimed to investigate the effect of oral stimulation and a supplemental nursing system on the time to full maternal breastfeeding and sucking success in preterm infants.
This study aimed to investigate the effect of oral stimulation and a supplemental nursing system on the time to full maternal breastfeeding and sucking success in preterm infants. The sample consisted of 70 preterm babies. Oral motor stimulation and a supplemental nursing system were applied to the preterm infants in the experimental group, while no intervention was applied to those in the control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Oral Stimulation and Supplemental Nursing System group | Experimental | Oral motor Stimulation (OMS) and an Supplemental Nursing System (SNS) were applied to preterm infants in the experimental group. |
|
| control group | No Intervention | The clinic's routine feeding protocol was applied to the babies in the control group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oral motor stimulation (OMS) and The supplemental nursing system (SNS) | Device | OMS and an SNS were applied to preterm infants in the experimental group. Oral stimulation intervention provides assisted movement to activate muscle contraction and provides movement against resistance to build strength. The cheeks (internal and external), lips, gums, tongue, and palate were stimulated by finger-stroking following the protocol. OMS consisted of intra (oral region) and peri-oral stimulation (around the oral region). The OMS was administered three times a day by a nurse, from the day of initiation of oral feeding to the day of independent oral feeding 15 minutes before the feeding schedule. A bottle/container was filled with breast milk before the process and given to the baby via SNS while the baby was holding the mother's breast. The SNS consists of a syringe/container and a feeding catheter. One end of the feeding probe is inside the syringe/container, while the other end of it is fixed to the mother's nipple using plaster. |
| Measure | Description | Time Frame |
|---|---|---|
| transition times to oral feeding | Transition time to oral feeding is the time that the preterm baby outgrew gavage feeding and fed with complementary nutritional support, and it was evaluated as days in the study. | up to three weeks |
| transition times to full breast | The transition time to full breastfeeding is the duration from the day that the preterm baby started oral nutrition until the day they started breastfeeding | up to 15 days |
| the weight of the babies when they started oral nutrition | . The oral nutrition body weight is the weight of preterm babies when they started oral nutrition after gavage. | up to three weeks |
| the weight of the babies when they started full breastfeeding | The full breastfeeding body weight is the weight in grams of preterm babies when they started feeding from the breast alone | up to 15 days |
| the duration of the baby's discharge | The duration of discharge is the number of days between the admission of preterm babies to intensive care and their discharge | up to 2 months |
| The oral nutrition body weight | The oral nutrition body weight is the weight of preterm babies when they started oral nutrition after gavage. | up to three weeks |
| The full breastfeeding body weight |
| Measure | Description | Time Frame |
|---|---|---|
| Heart rate of the babies | Heart rate | 15 minutes |
| respiratory rate of the babies | respiratory rate | 15 minutes |
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Inclusion Criteria:
exclusion criteria.
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| Name | Affiliation | Role |
|---|---|---|
| gonca muslu | Muğla Sıtkı Koçman University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gonca Muslu | Fethiye | Muğla | 48300 | Turkey (Türkiye) |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | May 2, 2018 | Oct 8, 2021 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D001942 | Breast Feeding |
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| D001519 | Behavior |
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
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The full breastfeeding body weight is the weight in grams of preterm babies when they started feeding from the breast alone.
| up to 15 days |
| The discharge body weight | The discharge body weight is the weight in grams of preterm babies at discharge | up to 2 months |
| The sucking success | The sucking score of preterm babies was determined using LATCH breastfeeding scores at discharge. | In the first month after discharge |
| oxygen saturation of the babies | oxygen saturation | 15 minutes |
| D011248 |
| Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |