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Using non-nutritive sucking to support feeding development for premature infants: A commentary on approaches and current practice

Harding, C. ORCID: 0000-0002-5192-2027, Cockerill, H., Cane, C. and Law, J. (2018). Using non-nutritive sucking to support feeding development for premature infants: A commentary on approaches and current practice. Journal of Pediatric Rehabilitation Medicine, 11(3), pp. 147-152. doi: 10.3233/prm-170442

Abstract

Non-nutritive sucking is often used with premature infants by either using a pacifier or an expressed breast nipple to support the introduction and development of early oral feeding. The pattern of non-nutritive sucking is distinct in that it involves two sucks per second in contrast to nutritive sucking which is one suck per second. Although some literature has identified that non-nutritive sucking has some benefit for the premature infant’s feeding development, it is not entirely clear why such an approach is helpful as neurologically, activation of non-nutritive and nutritive skills are different. A summary is presented of the main approaches that use non-nutritive sucking with reference to the literature. This paper also considers other factors and beneficial approaches to managing the introduction of infant feeding. These are: the infant’s toleration of enteral feeds pre oral trials, overall development and gestational age when introducing oral experiences, developing swallowing skills before sucking, physiological stability, health status, as well as the development and interpretation of infant oral readiness signs and early communication.

Publication Type: Article
Additional Information: The final publication is available at IOS Press through http://dx.doi.org/10.3233/prm-170442,
Publisher Keywords: Infant, premature, non-nutritive sucking, feeding, nutrition, communication
Subjects: R Medicine > RJ Pediatrics
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Departments: School of Health Sciences > Language & Communication Science
Date Deposited: 12 May 2020 14:48
URI: https://openaccess.city.ac.uk/id/eprint/24165
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