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This study, it was aimed to compare the effects of oral stimulation and non-nutritive sucking practices on the transition to full oral feeding in babies with a gestational age of 26-32 weeks. Non-oral feeding methods are frequently used in babies born prematurely since sucking and sucking-swallowing coordination have not yet developed. While some premature babies gain the sucking and swallowing reflexes faster, some of them cannot develop this reflex for a long time, so the length of hospital stay is prolonged. All infants who can be fed completely enterally (PMA >29 weeks) will be randomized into 4 groups as oral stimulation (group 1), pacifier (group 2), oral stimulation + pacifier (group 3), and control group by using a stratified blocked randomization method with a block size of 4. Stratification on GA (26-27, 28-29, 30-32 weeks GA) was used to ensure that the groups had similar gestational age distribution. The time of the patients to start breastfeeding and the length of hospital stay (days) will be compared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 (Oral stimulation) | Experimental | The group that will receive oral stimulation with the Backman method once a day from the 29th week |
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| Group 2 (Pacifier) | Experimental | The group that will be given a pacifier three times a day from the 29th week |
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| Group 3 (oral stimulation + pacifier) | Experimental | Starting from the 29th week, the group will be given a pacifier three times a day and a Backman oral stimulation will be applied once a day. |
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| Group 4 (Enteral feeding by tube) | No Intervention | The group fed enterally by tube in routine practice, in which no intervention will be made. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pacifier | Other | Preterm infants in Groups 2 and 3 will suck a pacifier 3 times a day (09:00, 12:00, 15:00) for 3 minutes before feeding and then they will be fed with the O/G feeding tube. |
| Measure | Description | Time Frame |
|---|---|---|
| Full oral feeding time (postmenstruel week) | The effect of oral stimulation and/or pacifier use on full oral feeding time in premature infants. | 2 years |
| Hospital stay (days) | The effect of oral stimulation and/or pacifier use on hospital stay in premature infants | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mustafa S Akin, Specialist | Contact | +90 555 876 05 85 | mustafasenolakin@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Nilgün Altuntas, Proff | Ankara Bilkent Central Hospital, Neonatal Unit | Study Director |
| Suna S Oguz, Proff | Ankara Bilkent Central Hospital, Neonatal Unit | Study Director |
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No agreement yet to share with other researchers
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| D009748 | Nutrition Disorders |
| D013391 | Sucking Behavior |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D041361 | Pacifiers |
| ID | Term |
|---|---|
| D015370 | Infant Equipment |
| D004864 | Equipment and Supplies |
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| Oral stimulation | Other | Infants in groups 1 and 3 will receive a prefeeding oral stimulation program once a day, 15 to 30 minutes before a tube feeding. Oral stimulation programs will be delivered by trained nurses or pediatric physical therapies. Nurses will be trained to deliver the stimulation program to the infants, by a member from the pediatric physical therapies medical staff, before the beginning of the study. Based on Backman's principles, the pre-feeding oral stimulation program consisted of a 12-minute stimulation program that included stroking the cheeks, lips, gums, and tongue. |
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| Mustafa S Akin, Specialist |
| Ankara Bilkent Central Hospital, Neonatal Unit |
| Study Director |
| D000091642 | Urogenital Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D001519 | Behavior |