Non‐nutritive sucking for promoting physiologic stability and nutrition in preterm infants

摘要: Background Non-nutritive sucking is used during gavage feeding and in the transition from to breast/bottle preterm infants. The rationale for this intervention that non-nutritive facilitates development of behaviour improves digestion enteral feedings. has been considered be a benign intervention, although it potential have negative effect on breastfeeding or incidence later oral aversion. Objectives To determine whether (NNS) infants influences: a) weight gain, b) energy intake, c) heart rate, d) oxygen saturation, e) length hospital stay, f) intestinal transit time, g) age at full feeds, h) any other clinically relevant outcomes. Search strategy MEDLINE CINAHL databases back 1976 Cochrane Central Register Controlled Trials (CENTRAL, Library, Issue 1, 2005) were searched. EMBASE database was added search 2005. Reference lists/bibliographies articles reviews also A comprehensive list sent two major authors area. They asked if they knew published unpublished studies area had not included original list. Selection criteria All trials utilizing experimental quasi-experimental designs which compared no provision sucking. Measured Reports English language translator available.Computerized searches conducted by both reviewers. potentially titles abstracts identified either reviewer extracted. retrieved assessed relevance independently each reviewer, based pre-determined set criteria. reference article reviewed additional relevance. Articles met all then methodologic quality predetermined Those judged appropriate reviewers analysis. Data collection analysis extracted authors. No subgroup analyses performed because small number related Main results This review consisted 21 studies, 15 randomized controlled trials. NNS found decrease significantly stay did reveal consistent benefit with respect clinical variables (weight feeds behavioral state). positive outcomes NNS: tube bottle better performance. reported studies. Authors' conclusions significant receiving intervention. There limitations presently available evidence design outcome variability, lack long-term data. Based evidence, would appear some benefit. It does short-term effects. In view fact there are data, further investigations recommended. order facilitate meta-analysis these future research should involve measures those previous addition, reports include