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The goal of this observational study is to assess the link between reactions to orofacial stimuli observed at 29 weeks of amenorrhoea, and feeding difficulties at 36 weeks of amenorrhoea, in babies born prematurely between 26 and 27 + 6 weeks of gestation, admitted to the CHSF between 1 May 2025 and 31 March 2026. The main questions it aims to answer are : Can reactions to orofacial stimulation in babies born very prematurely be used as a tool for early detection of feeding difficulties before discharge from hospital? Is it possible to establish a predictive score for potential feeding difficulties as early as 29 weeks of gestation corrected, based on reactions to orofacial stimuli ? Participants will have their reactions to orofacial stimulations recorded in the 'Suivi oralité' grid completed by the nurses in the neonatal medicine and intensive care unit, which will then collect.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Preterm infants | Preterm infants born between 26 and 27+6 weeks of gestation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oro-facial stimulation | Other | massages and sensory stimulation aimed at stimulating the oral-facial reflexes of newborns (hand-to-mouth connection, cardinal points, milk smell, digging, crushing (finger or teat), sucking (crushing + suction)) |
| Measure | Description | Time Frame |
|---|---|---|
| Enteral nutrition | Necessity for newborns to be fed exclusively by enteral nutrition at 36 weeks' gestation for at least 24 hours, percentage of milk volume taken orally at 36 weeks' gestation compared to prescription, average duration of bottle feeding at 36 weeks' gestation | at 36 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Premature babies hospitalised at the CHSF in neonatal resuscitation or intensive care units
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hasinirina Hasinirina RAZAFIMAHEFA, MD | Contact | +33 | 1 61 69 78 23 | hasinirina.razafimahefa@chsf.fr |
| Caroline TOURTE | Contact | 1 61 69 31 50 | +33 | caroline.tourte@chsf.fr |
| Name | Affiliation | Role |
|---|---|---|
| Hasinirina RAZAFIMAHEFA, MD | Centre Hospitalier Sud Francilien | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier Sud Francilien | Corbeil-Essonnes | France | 91100 | France |
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| D000091642 | Urogenital Diseases |