Quantifying neonatal sucking performance: promise of new methods

Capilouto, Gilson J. and Cunningham, Tommy J. and Mullineaux, David R. and Tamilia, Eleonora and Papadelis, Christos and Giannone, Peter J. (2017) Quantifying neonatal sucking performance: promise of new methods. Seminars in Speech and Language, 38 (02). pp. 147-158. ISSN 0734-0478

Documents
36855 Capilouto et al FORMATTED.pdf
[img]
[Download]
26855 Capilouto et al SSL 2017 pub.pdf
[img]
[Download]
[img]
Preview
PDF
36855 Capilouto et al FORMATTED.pdf - Whole Document

441kB
[img]
Preview
PDF
26855 Capilouto et al SSL 2017 pub.pdf - Whole Document

190kB
Item Type:Article
Item Status:Live Archive

Abstract

Neonatal feeding has been traditionally understudied so guidelines and evidence-based support for common feeding practices are limited. A major contributing factor to the paucity of evidence-based practice in this area has been the lack of simple-to-use, low-cost tools for monitoring sucking performance. We describe new methods for quantifying neonatal sucking performance that hold significant clinical and research promise. We present early results from an ongoing study investigating neonatal sucking as a marker of risk for adverse neurodevelopmental outcomes. We include quantitative measures of sucking performance to better understand how movement variability evolves during skill acquisition. Results showed the coefficient of variation of suck duration was significantly different between preterm neonates at high risk for developmental concerns (HRPT) and preterm neonates at low risk for developmental concerns (LRPT). For HRPT, results indicated the coefficient of variation of suck smoothness increased from initial feeding to discharge and remained significantly greater than healthy full-term newborns (FT) at discharge. There was no significant difference in our measures between FT and LRPT at discharge. Our findings highlight the need to include neonatal sucking assessment as part of routine clinical care in order to capture the relative risk of adverse neurodevelopmental outcomes at discharge.

Keywords:Premature neonate, Suck behavior, Nutritive sucking patterns, Oral feeding, Feeding skills
Subjects:B Subjects allied to Medicine > B100 Anatomy, Physiology and Pathology
Divisions:College of Social Science > School of Sport and Exercise Science
Related URLs:
ID Code:26855
Deposited On:28 Mar 2017 10:48

Repository Staff Only: item control page