Effectiveness of physiological flexion swaddling and oromotor interventions in improving preterm infants' oral feeding ability in the NICU: a randomized controlled trial
Objective: This study aimed to prove the effectiveness of physiological flexion swaddling and oromotor interventions in terms of the duration needed to achieve the oral feeding ability of preterm infants in the NICU. Methods: A randomized clinical trial in five Neonatal intensive care units (NICU) w...
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| Format: | Article |
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Elsevier
2025-01-01
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| Series: | Jornal de Pediatria |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0021755724001086 |
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| author | Luh K. Wahyuni Irawan Mangunatmadja Risma K. Kaban Elvie Zulka K. Rachmawati Rizky K. Wardhani Budiati Laksmitasari Boya Nugraha |
| author_facet | Luh K. Wahyuni Irawan Mangunatmadja Risma K. Kaban Elvie Zulka K. Rachmawati Rizky K. Wardhani Budiati Laksmitasari Boya Nugraha |
| author_sort | Luh K. Wahyuni |
| collection | DOAJ |
| description | Objective: This study aimed to prove the effectiveness of physiological flexion swaddling and oromotor interventions in terms of the duration needed to achieve the oral feeding ability of preterm infants in the NICU. Methods: A randomized clinical trial in five Neonatal intensive care units (NICU) was performed involving 70 preterm infants born at 28–34 weeks gestational age. Participants were allocated to 1) the experimental group (n = 39) received physiological flexion swaddling and oromotor interventions, and 2) the control group (n = 31) received conventional swaddling and oromotor interventions. Mann-Whitney U analysis was used to determine the effectiveness of each group according to the duration needed to achieve oral feeding ability, while Kaplan-Meier survival analysis was applied to compare the duration of both groups. Results: The experimental group had a significantly shorter duration in achieving oral feeding ability [4 (1–15) vs. 7 (2–22) days; p = 0.02]. The Kaplan-Meier survival curve analysis showed that infants in the experimental group achieved full oral feeding ability earlier than those in the control group (15 vs. 22 days). Conclusions: Physiological flexion swaddling and oromotor interventions have been proven to be effective in shortening the number of days needed to achieve the oral feeding ability of preterm infants in the NICU. |
| format | Article |
| id | doaj-art-abee24015eb24d7cba308c0952718106 |
| institution | Kabale University |
| issn | 0021-7557 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Jornal de Pediatria |
| spelling | doaj-art-abee24015eb24d7cba308c09527181062025-01-04T04:55:48ZengElsevierJornal de Pediatria0021-75572025-01-0110114653Effectiveness of physiological flexion swaddling and oromotor interventions in improving preterm infants' oral feeding ability in the NICU: a randomized controlled trialLuh K. Wahyuni0Irawan Mangunatmadja1Risma K. Kaban2Elvie Zulka K. Rachmawati3Rizky K. Wardhani4Budiati Laksmitasari5Boya Nugraha6Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo Hospital, Physical Medicine and Rehabilitation Department, Jakarta, Indonesia; Corresponding author.Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo Hospital, Department of Child Health, Jakarta, IndonesiaFaculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo Hospital, Department of Child Health, Jakarta, IndonesiaFaculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo Hospital, Department of Otorhinolaryngology-Head Neck Surgery, Jakarta, IndonesiaFaculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo Hospital, Physical Medicine and Rehabilitation Department, Jakarta, IndonesiaFaculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo Hospital, Physical Medicine and Rehabilitation Department, Jakarta, IndonesiaHannover Medical School, Department of Rehabilitation Medicine, Hannover, GermanyObjective: This study aimed to prove the effectiveness of physiological flexion swaddling and oromotor interventions in terms of the duration needed to achieve the oral feeding ability of preterm infants in the NICU. Methods: A randomized clinical trial in five Neonatal intensive care units (NICU) was performed involving 70 preterm infants born at 28–34 weeks gestational age. Participants were allocated to 1) the experimental group (n = 39) received physiological flexion swaddling and oromotor interventions, and 2) the control group (n = 31) received conventional swaddling and oromotor interventions. Mann-Whitney U analysis was used to determine the effectiveness of each group according to the duration needed to achieve oral feeding ability, while Kaplan-Meier survival analysis was applied to compare the duration of both groups. Results: The experimental group had a significantly shorter duration in achieving oral feeding ability [4 (1–15) vs. 7 (2–22) days; p = 0.02]. The Kaplan-Meier survival curve analysis showed that infants in the experimental group achieved full oral feeding ability earlier than those in the control group (15 vs. 22 days). Conclusions: Physiological flexion swaddling and oromotor interventions have been proven to be effective in shortening the number of days needed to achieve the oral feeding ability of preterm infants in the NICU.http://www.sciencedirect.com/science/article/pii/S0021755724001086Oral feeding abilityOromotor interventionsPhysiological flexion swaddlingPreterm infantsNICU |
| spellingShingle | Luh K. Wahyuni Irawan Mangunatmadja Risma K. Kaban Elvie Zulka K. Rachmawati Rizky K. Wardhani Budiati Laksmitasari Boya Nugraha Effectiveness of physiological flexion swaddling and oromotor interventions in improving preterm infants' oral feeding ability in the NICU: a randomized controlled trial Jornal de Pediatria Oral feeding ability Oromotor interventions Physiological flexion swaddling Preterm infants NICU |
| title | Effectiveness of physiological flexion swaddling and oromotor interventions in improving preterm infants' oral feeding ability in the NICU: a randomized controlled trial |
| title_full | Effectiveness of physiological flexion swaddling and oromotor interventions in improving preterm infants' oral feeding ability in the NICU: a randomized controlled trial |
| title_fullStr | Effectiveness of physiological flexion swaddling and oromotor interventions in improving preterm infants' oral feeding ability in the NICU: a randomized controlled trial |
| title_full_unstemmed | Effectiveness of physiological flexion swaddling and oromotor interventions in improving preterm infants' oral feeding ability in the NICU: a randomized controlled trial |
| title_short | Effectiveness of physiological flexion swaddling and oromotor interventions in improving preterm infants' oral feeding ability in the NICU: a randomized controlled trial |
| title_sort | effectiveness of physiological flexion swaddling and oromotor interventions in improving preterm infants oral feeding ability in the nicu a randomized controlled trial |
| topic | Oral feeding ability Oromotor interventions Physiological flexion swaddling Preterm infants NICU |
| url | http://www.sciencedirect.com/science/article/pii/S0021755724001086 |
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