Nonnutritive Sucking During Tube Feedings: Effects on Preterm Neonates in an Intensive Care Unit

Author:

Field Tiffany1,Ignatoff Edward1,Stringer Sharon1,Brennan Jayne1,Greenberg Reena1,Widmayer Susan1,Anderson Gene C.1

Affiliation:

1. Mailman Center for Child Development, University of Miami Medical School, Miami, and College of Nursing, University of Florida Medical School, Gainesville

Abstract

Preterm neonates (mean 32 weeks' gestation, 1,300 gm birth weight) were provided a pacifier for nonnutritive sucking during tube feedings in the intensive care nursery. Their clinical course, subsequent bottle feeding behavior, and performance on the Brazelton Neonatal Behavior Assessment Scale were compared with those of control group infants. The infants provided with pacifiers averaged 27 fewer tube feedings, started bottle feeding three days earlier, averaged a greater weight gain per day, and were discharged eight days earlier for an average hospital cost savings of approximately $3,500. Formula intake was similar for the two groups, although nurses appeared to provide more feeding stimulation for the control infants. On the Brazelton scale, the infants provided with pacifiers showed weak reflexes more frequently. Increased restfulness and diminished activity level in these infants may have contributed to the appearance of weak reflexes. The consistency between these fmdings and those of previous investigators suggests that the provision of a pacifier for nonnutritive sucking during tube feedings may be a cost-effective form of intervention.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

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