Preterm newborn readiness for oral feeding: systematic review and meta-analysis

Lima, Ana Henriques; Côrtes, Marcela Guimarães; Bouzada, Maria Cândida Ferrarez; Friche, Amélia Augusta de Lima

doi:10.1590/2317-1782/20152014104

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Sumário

Systematic Review • CoDAS 27 (1) • Jan-Feb 2015 • https://doi.org/10.1590/2317-1782/20152014104 copy

Preterm newborn readiness for oral feeding: systematic review and meta-analysis

Authorship SCIMAGO INSTITUTIONS RANKINGS

PURPOSE:

To identify and systematize the main studies on the transition from enteral to oral feeding in preterm infants.

RESEARCH STRATEGY:

Articles that describe the transition from oral to enteral feeding in preterm infants were located in MEDLINE, LILACS, and SciELO databases.

SELECTION CRITERIA:

Original studies, with available abstract, published in the last 10 years were included.

DATA ANALYSIS:

Analysis of the methodology and the main results of the studies, and meta-analysis of the effects of sensory-motor-oral stimulation at the time of transition to full oral feeding and duration of hospitalization were conducted.

RESULTS:

Twenty-nine national and international publications were considered. Most studies were clinical trials (44.8%) and did not use rating scales to start the transition process (82.7%). In the meta-analysis, positive effect of stimulation of the sensory-motor-oral system was observed with respect to the transition time to oral diet (p=0.0000), but not in relation to the length of hospital stay (p=0.09). However, heterogeneity between studies was found both in the analysis of the transition time to full oral feeding (I²=93.98) and in the length of hospital stay (I²=82.30).

CONCLUSION:

The transition to oral feeding is an important moment, and various physical and clinical characteristics of preterm infants have been used to describe this process. Despite the impossibility of generalizing the results due to the heterogeneity of the studies, we have noted the importance of strategies for stimulation of sensory-motor-oral system to decrease the period of transition to full oral feeding system.

Infant, Newborn; Infant, Premature; Feeding Behavior; Review; Meta-analysis

Database	Search strategy
MEDLINE	(“Sucking Behavior”[Mesh] OR “Feeding Behavior”[Mesh:noexp] OR “Deglutition”[Mesh] OR “Bottle Feeding”[Mesh] OR “Breast Feeding”[Mesh] OR “Infant Nutritional Physiological Phenomena”[Mesh:noexp] OR “Sucking Behaviors” OR “Feeding Patterns” OR “Eating Behavior” OR “Feeding Behaviors” OR Deglutitions OR Swallowing OR Bottle feeding OR Breast feeding) AND (“Infant, Premature”[Mesh] OR Premature OR Prematurity OR preterm) AND (english[Language] OR portuguese[Language] OR spanish[Language]) NOT (review[Publication Type] OR systematic review[Publication Type] OR meta analysis[Publication Type] OR meta‑analysis[Publication Type]) NOT (infection[Title/Abstract] OR surger[Title/Abstract] OR virus[Title/Abstract] OR bacteria*[Title/Abstract]) AND (“2003”[Date ‑ Publication]: “3000”[Date ‑ Publication])
LILACS	(“Comportamento de Sucção” OR “Comportamento Alimentar” OR Deglutição OR “Alimentação Artificial” OR “Aleitamento Materno” OR Mamadeira OR “Fenômenos Fisiológicos da Nutrição do Lactente” OR “Conducta en la Lactancia” OR “Conducta Alimentaria” OR “Conduta an Alimentação” OR “Padrões Alimentares” OR “Eating Behavior” OR “Feeding Patterns” OR Deglución OR “Alimentación Artificial” OR “Lactancia Materna” OR Amamentação OR Biberones OR “Sucking Behavior” OR “Feeding Behavior” OR “Deglutition” OR “Bottle Feeding” OR “Breast Feeding” OR “Infant Nutritional Physiological Phenomena” OR “Sucking Behaviors” OR “Feeding Patterns” OR “Eating Behavior” OR “Feeding Behaviors” OR Deglutition OR Swallowing OR “Bottle feeding” OR “Breast feeding”) AND (“Prematuro” OR Prematur$ OR preterm) AND (da:2003$ or da:2004$ or da:2005$ or da:2006$ or da:2007$ or da:2008$ or da:2009$ or da:2010$ or da:2011$ or da:2012$) AND LA:(ES OR PT OR EN)
SciELO	(“Comportamento de Sucção” OR “Comportamento Alimentar” OR “Deglu$” OR “Alimentação Artificial” OR “Aleitamento Materno” OR “Mamadeira” OR “Fenômenos Fisiológicos da Nutrição do Lactente” OR “Conducta en la Lactancia” OR “Conducta Alimentaria” OR “Conduta na Alimentação” OR “Padrões Alimentares” OR “Eating Behavior$” OR “Feeding Pattern$” OR “Alimentación Artificial” OR “Lactancia Materna” OR “Amamentação” OR “Biberones” OR “Sucking Behavior” OR “Breast Feeding” OR “Infant Nutritional Physiological Phenomena” OR “Sucking Behaviors” OR “Feeding Behavior$” OR “Swallowing” OR “Bottle feeding”) [Assunto] and (Prematur$ OR preterm) [Assunto] and 2003 or 2004 or 2005 or 2006 or 2007 or 2008 or 2009 or 2010 or 2011 or 2012 [Ano de publicação]

Sociedade Brasileira de Fonoaudiologia Al. Jaú, 684, 7º andar, 01420-002 São Paulo - SP Brasil, Tel./Fax 55 11 - 3873-4211 - São Paulo - SP - Brazil
E-mail: revista@codas.org.br

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[1] Correspondence address: Ana Henriques Lima Rua Castelo Elvas, 311, apartamento 301, Castelo, Belo Horizonte (MG), Brasil, CEP: 31330-300. E-mail: aninhahenriques@gmail.com