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J Perinatol ; 40(4): 646-654, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32066844

RESUMO

OBJECTIVE: To identify differences in feeding skill performance among preterm infants at term equivalent age compared with full-term infants. STUDY DESIGN: Ninety-two infants (44 preterm infants born ≤32 weeks gestation at term equivalent age and 48 full-term infants within 4 days of birth) had a standardized oral feeding assessment. RESULT: Preterm infants at term equivalent age had lower Neonatal Eating Outcome Assessment scores (67.8 ± 13.6 compared with 82.2 ± 8.1; p < 0.001) and were more likely to have poor arousal (p = 0.04), poor tongue positioning (p = 0.04), suck-swallow-breathe discoordination (p < 0.001), inadequate sucking bursts (p = 0.01), tonal abnormalities (p < 0.001), discoordination of the jaw and tongue during sucking (p < 0.001), lack of positive engagement with the feeder and/or discomfort (p < 0.001), signs of aspiration (p < 0.001), difficulty regulating breathing (p < 0.001), and have an inability to maintain an appropriate state (p < 0.001), and complete the feeding (<0.001). CONCLUSION: A broad range of feeding-related difficulties appear to remain evident in preterm infants at term equivalent age.


Assuntos
Comportamento Alimentar/fisiologia , Transtornos da Alimentação e da Ingestão de Alimentos , Recém-Nascido Prematuro/fisiologia , Comportamento de Sucção , Alimentação com Mamadeira , Aleitamento Materno , Feminino , Humanos , Recém-Nascido , Masculino , Nascimento a Termo
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