Development of Sucking Patterns in Pre-Term Infants with Bronchopulmonary Dysplasia
Background: Pre-term infants with bronchopulmonary dysplasia (BPD) are at risk of acquiring brain abnormalities. Combined with ongoing breathing difficulties, this may influence the development of their sucking patterns. Objective: To determine the longitudinal development of sucking patterns from b...
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| Veröffentlicht in: | Neonatology (Basel, Switzerland) Switzerland), 2010-01, Vol.98 (3), p.268-277 |
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| creator | da Costa, Saakje P. van der Schans, Cees P. Zweens, Mar J. Boelema, Sarai R. van der Meij, Eva Boerman, Mieke A. Bos, Arend F. |
| description | Background: Pre-term infants with bronchopulmonary dysplasia (BPD) are at risk of acquiring brain abnormalities. Combined with ongoing breathing difficulties, this may influence the development of their sucking patterns. Objective: To determine the longitudinal development of sucking patterns from birth until 10 weeks’ post-term age in pre-term infants with and without BPD. Methods: The sucking patterns of 16 pre-term infants with BPD and 15 pre-term infants without BPD were prospectively assessed with the Neonatal Oral-Motor Assessment Scale. The infants were matched for gestational age ( |
| doi_str_mv | 10.1159/000281106 |
| format | Article |
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Combined with ongoing breathing difficulties, this may influence the development of their sucking patterns. Objective: To determine the longitudinal development of sucking patterns from birth until 10 weeks’ post-term age in pre-term infants with and without BPD. Methods: The sucking patterns of 16 pre-term infants with BPD and 15 pre-term infants without BPD were prospectively assessed with the Neonatal Oral-Motor Assessment Scale. The infants were matched for gestational age (<30 weeks). We recorded approximately 12 feeding episodes per infant, from 34 until 50 weeks’ post-menstrual age. We diagnosed the infants’ sucking patterns as normal, dysfunctional, or disorganized. Then, we examined the development of the sucking patterns in relation to relevant clinical characteristics. Results: Thirty (21%) of 142 feeding episodes of the pre-term infants with BPD and 36 (23%) of 156 of those without BPD were diagnosed as normal (non-significant). Of the abnormal patterns, 3 were diagnosed as dysfunctional and 229 as disorganized. Before term-equivalent age, definitely abnormal sucking patterns were more prevalent in the pre-term infants with BPD than in those without BPD: 69 (49%) and 47 (30%) episodes, respectively (χ 2 = 10.7, p < 0.01). In particular, the abnormal patterns including the item ‘incoordination’, defined as the inability to coordinate sucking and swallowing with breathing, were more prevalent: 36 and 15%, respectively (χ 2 = 6.37, p < 0.05). There was no difference between the two groups regarding the age at which they acquired normal sucking patterns. Relevant clinical characteristics did not influence the development of the sucking patterns. Conclusions: The developmental characteristicof sucking patterns in infants with BPD was that these infants were unable to coordinate swallowing with breathing. This was the case especially prior to term-equivalent age; after term-equivalent age, the development of sucking closely resembled that of pre-term infants without BPD.</description><identifier>ISSN: 1661-7800</identifier><identifier>EISSN: 1661-7819</identifier><identifier>DOI: 10.1159/000281106</identifier><identifier>PMID: 20453521</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Age Factors ; Bronchopulmonary Dysplasia - physiopathology ; Case-Control Studies ; Child Development - physiology ; Efficiency ; Female ; Gestational Age ; Humans ; Infant Nutritional Physiological Phenomena ; Infant, Newborn ; Infant, Premature - physiology ; Infant, Premature, Diseases - physiopathology ; Longitudinal Studies ; Male ; Original Paper ; Sucking Behavior - physiology</subject><ispartof>Neonatology (Basel, Switzerland), 2010-01, Vol.98 (3), p.268-277</ispartof><rights>2010 S. Karger AG, Basel</rights><rights>Copyright © 2010 S. Karger AG, Basel.</rights><rights>Copyright (c) 2010 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c332t-9327e59c07f6d89abe4ad528782fdff88f8ebad08e551e07626c83d9748aa70a3</citedby><cites>FETCH-LOGICAL-c332t-9327e59c07f6d89abe4ad528782fdff88f8ebad08e551e07626c83d9748aa70a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20453521$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>da Costa, Saakje P.</creatorcontrib><creatorcontrib>van der Schans, Cees P.</creatorcontrib><creatorcontrib>Zweens, Mar J.</creatorcontrib><creatorcontrib>Boelema, Sarai R.</creatorcontrib><creatorcontrib>van der Meij, Eva</creatorcontrib><creatorcontrib>Boerman, Mieke A.</creatorcontrib><creatorcontrib>Bos, Arend F.</creatorcontrib><title>Development of Sucking Patterns in Pre-Term Infants with Bronchopulmonary Dysplasia</title><title>Neonatology (Basel, Switzerland)</title><addtitle>Neonatology</addtitle><description>Background: Pre-term infants with bronchopulmonary dysplasia (BPD) are at risk of acquiring brain abnormalities. Combined with ongoing breathing difficulties, this may influence the development of their sucking patterns. Objective: To determine the longitudinal development of sucking patterns from birth until 10 weeks’ post-term age in pre-term infants with and without BPD. Methods: The sucking patterns of 16 pre-term infants with BPD and 15 pre-term infants without BPD were prospectively assessed with the Neonatal Oral-Motor Assessment Scale. The infants were matched for gestational age (<30 weeks). We recorded approximately 12 feeding episodes per infant, from 34 until 50 weeks’ post-menstrual age. We diagnosed the infants’ sucking patterns as normal, dysfunctional, or disorganized. Then, we examined the development of the sucking patterns in relation to relevant clinical characteristics. Results: Thirty (21%) of 142 feeding episodes of the pre-term infants with BPD and 36 (23%) of 156 of those without BPD were diagnosed as normal (non-significant). Of the abnormal patterns, 3 were diagnosed as dysfunctional and 229 as disorganized. Before term-equivalent age, definitely abnormal sucking patterns were more prevalent in the pre-term infants with BPD than in those without BPD: 69 (49%) and 47 (30%) episodes, respectively (χ 2 = 10.7, p < 0.01). In particular, the abnormal patterns including the item ‘incoordination’, defined as the inability to coordinate sucking and swallowing with breathing, were more prevalent: 36 and 15%, respectively (χ 2 = 6.37, p < 0.05). There was no difference between the two groups regarding the age at which they acquired normal sucking patterns. Relevant clinical characteristics did not influence the development of the sucking patterns. Conclusions: The developmental characteristicof sucking patterns in infants with BPD was that these infants were unable to coordinate swallowing with breathing. This was the case especially prior to term-equivalent age; after term-equivalent age, the development of sucking closely resembled that of pre-term infants without BPD.</description><subject>Age Factors</subject><subject>Bronchopulmonary Dysplasia - physiopathology</subject><subject>Case-Control Studies</subject><subject>Child Development - physiology</subject><subject>Efficiency</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant Nutritional Physiological Phenomena</subject><subject>Infant, Newborn</subject><subject>Infant, Premature - physiology</subject><subject>Infant, Premature, Diseases - physiopathology</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Original Paper</subject><subject>Sucking Behavior - physiology</subject><issn>1661-7800</issn><issn>1661-7819</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpd0D1PwzAQBmALgWgpDOwIWSyIIWA7ceKM0PJRqRKVWubITc5t2sQOdgLqvydVSpGY7obnTncvQpeU3FPK4wdCCBOUkvAI9WkYUi8SND4-9IT00Jlza0I45yE7RT1GAu5zRvtoNoIvKExVgq6xUXjWpJtcL_FU1jVY7XCu8dSCNwdb4rFWUtcOf-f1Cj9Zo9OVqZqiNFraLR5tXVVIl8tzdKJk4eBiXwfo4-V5PnzzJu-v4-HjxEt9n9Ve7LMIeJySSIWZiOUCAplxJiLBVKaUEErAQmZEAOcUSBSyMBV-FkeBkDIi0h-g225vZc1nA65OytylUBRSg2lcErVzcfs0beXNP7k2jdXtcTvEAxEy3qK7DqXWOGdBJZXNy_azhJJkl3NyyLm11_uFzaKE7CB_g23BVQc20i7B_oFu_gcFCIA6</recordid><startdate>20100101</startdate><enddate>20100101</enddate><creator>da Costa, Saakje P.</creator><creator>van der Schans, Cees P.</creator><creator>Zweens, Mar J.</creator><creator>Boelema, Sarai R.</creator><creator>van der Meij, Eva</creator><creator>Boerman, Mieke A.</creator><creator>Bos, Arend F.</creator><general>S. 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van der Schans, Cees P. ; Zweens, Mar J. ; Boelema, Sarai R. ; van der Meij, Eva ; Boerman, Mieke A. ; Bos, Arend F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-9327e59c07f6d89abe4ad528782fdff88f8ebad08e551e07626c83d9748aa70a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Age Factors</topic><topic>Bronchopulmonary Dysplasia - physiopathology</topic><topic>Case-Control Studies</topic><topic>Child Development - physiology</topic><topic>Efficiency</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant Nutritional Physiological Phenomena</topic><topic>Infant, Newborn</topic><topic>Infant, Premature - physiology</topic><topic>Infant, Premature, Diseases - physiopathology</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Original Paper</topic><topic>Sucking Behavior - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>da Costa, Saakje P.</creatorcontrib><creatorcontrib>van der Schans, Cees P.</creatorcontrib><creatorcontrib>Zweens, Mar J.</creatorcontrib><creatorcontrib>Boelema, Sarai R.</creatorcontrib><creatorcontrib>van der Meij, Eva</creatorcontrib><creatorcontrib>Boerman, Mieke A.</creatorcontrib><creatorcontrib>Bos, Arend F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Neonatology (Basel, Switzerland)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>da Costa, Saakje P.</au><au>van der Schans, Cees P.</au><au>Zweens, Mar J.</au><au>Boelema, Sarai R.</au><au>van der Meij, Eva</au><au>Boerman, Mieke A.</au><au>Bos, Arend F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development of Sucking Patterns in Pre-Term Infants with Bronchopulmonary Dysplasia</atitle><jtitle>Neonatology (Basel, Switzerland)</jtitle><addtitle>Neonatology</addtitle><date>2010-01-01</date><risdate>2010</risdate><volume>98</volume><issue>3</issue><spage>268</spage><epage>277</epage><pages>268-277</pages><issn>1661-7800</issn><eissn>1661-7819</eissn><abstract>Background: Pre-term infants with bronchopulmonary dysplasia (BPD) are at risk of acquiring brain abnormalities. Combined with ongoing breathing difficulties, this may influence the development of their sucking patterns. Objective: To determine the longitudinal development of sucking patterns from birth until 10 weeks’ post-term age in pre-term infants with and without BPD. Methods: The sucking patterns of 16 pre-term infants with BPD and 15 pre-term infants without BPD were prospectively assessed with the Neonatal Oral-Motor Assessment Scale. The infants were matched for gestational age (<30 weeks). We recorded approximately 12 feeding episodes per infant, from 34 until 50 weeks’ post-menstrual age. We diagnosed the infants’ sucking patterns as normal, dysfunctional, or disorganized. Then, we examined the development of the sucking patterns in relation to relevant clinical characteristics. Results: Thirty (21%) of 142 feeding episodes of the pre-term infants with BPD and 36 (23%) of 156 of those without BPD were diagnosed as normal (non-significant). Of the abnormal patterns, 3 were diagnosed as dysfunctional and 229 as disorganized. Before term-equivalent age, definitely abnormal sucking patterns were more prevalent in the pre-term infants with BPD than in those without BPD: 69 (49%) and 47 (30%) episodes, respectively (χ 2 = 10.7, p < 0.01). In particular, the abnormal patterns including the item ‘incoordination’, defined as the inability to coordinate sucking and swallowing with breathing, were more prevalent: 36 and 15%, respectively (χ 2 = 6.37, p < 0.05). There was no difference between the two groups regarding the age at which they acquired normal sucking patterns. Relevant clinical characteristics did not influence the development of the sucking patterns. Conclusions: The developmental characteristicof sucking patterns in infants with BPD was that these infants were unable to coordinate swallowing with breathing. This was the case especially prior to term-equivalent age; after term-equivalent age, the development of sucking closely resembled that of pre-term infants without BPD.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>20453521</pmid><doi>10.1159/000281106</doi><tpages>10</tpages></addata></record> |
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| ispartof | Neonatology (Basel, Switzerland), 2010-01, Vol.98 (3), p.268-277 |
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| subjects | Age Factors Bronchopulmonary Dysplasia - physiopathology Case-Control Studies Child Development - physiology Efficiency Female Gestational Age Humans Infant Nutritional Physiological Phenomena Infant, Newborn Infant, Premature - physiology Infant, Premature, Diseases - physiopathology Longitudinal Studies Male Original Paper Sucking Behavior - physiology |
| title | Development of Sucking Patterns in Pre-Term Infants with Bronchopulmonary Dysplasia |
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