Association of uncoordinated sucking pattern with developmental outcome in premature infants: a retrospective analysis
Abstract Background Stress signals during sucking activity such as nasal flaring, head turning, and extraneous movements of the body have been attributed to incoordination of sucking, swallowing, and respiration (SSR) in premature infants. However, the association of uncoordinated sucking pattern wi...
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | BMC Pediatrics |
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| Online Access: | http://link.springer.com/article/10.1186/s12887-019-1811-1 |
| _version_ | 1818198414872018944 |
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| author | You Gyoung Yi Byung-Mo Oh Seung Han Shin Jin Yong Shin Ee-Kyung Kim Hyung-Ik Shin |
| author_facet | You Gyoung Yi Byung-Mo Oh Seung Han Shin Jin Yong Shin Ee-Kyung Kim Hyung-Ik Shin |
| author_sort | You Gyoung Yi |
| collection | DOAJ |
| description | Abstract Background Stress signals during sucking activity such as nasal flaring, head turning, and extraneous movements of the body have been attributed to incoordination of sucking, swallowing, and respiration (SSR) in premature infants. However, the association of uncoordinated sucking pattern with developmental outcomes has not yet been investigated. The aim of this study was to investigate whether uncoordinated sucking pattern during bottle-feeding in premature infants is associated with the developmental outcomes at 8–12 and 18–24 months of age (corrected for prematurity). Methods We retrospectively reviewed the medical records and video recordings for the Neonatal Oral-Motor Assessment Scale (NOMAS) of premature infants and divided them into two groups based on the presence or absence of incoordination. The Bayley-III cognition composite scores of the incoordination-positive and incoordination-negative group were compared at 8–12 and 18–24 months of age. Results Seventy premature infants exhibited a disorganized sucking pattern according to the NOMAS. The average Bayley-III cognition composite scores at 8–12 months of age were 92.5 ± 15.6 and 103.0 ± 11.3 for the incoordination-positive (n = 22) and incoordination-negative groups (n = 48), respectively (p = 0.002). The average Bayley-III cognition composite scores at 18–24 months were 90.0 ± 17.9 and 100.7 ± 11.5 for the incoordination-positive (n = 21) and incoordination-negative groups (n = 46), respectively (p = 0.005). A multiple linear regression analysis indicated that the presence of uncoordinated sucking pattern, grade 3 or 4 germinal matrix hemorrhage–intraventricular hemorrhage, and moderate to severe bronchopulmonary dysplasia were independently associated with cognitive development at 18–24 months of age. Conclusions Uncoordinated sucking pattern in premature infants was independently associated with a higher risk of abnormal developmental outcome in the cognitive domain of the Bayley-III at both 8–12 and 18–24 months. There may be a need for periodic follow-up and early intervention for developmental delay when incoordination of SSR that results in stress signals on the NOMAS is observed before 40 weeks postmenstrual age. |
| first_indexed | 2024-12-12T02:05:30Z |
| format | Article |
| id | doaj.art-df395e0af1ca4a76bb832510899afad1 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-12T02:05:30Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-df395e0af1ca4a76bb832510899afad12022-12-22T00:42:03ZengBMCBMC Pediatrics1471-24312019-11-011911710.1186/s12887-019-1811-1Association of uncoordinated sucking pattern with developmental outcome in premature infants: a retrospective analysisYou Gyoung Yi0Byung-Mo Oh1Seung Han Shin2Jin Yong Shin3Ee-Kyung Kim4Hyung-Ik Shin5Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of MedicineDepartment of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of MedicineDivision of Neonatology, Department of Pediatrics, Seoul National University Children’s HospitalDivision of Occupational Therapy, Department of Rehabilitation Medicine, Seoul National University Boramae Medical CenterDivision of Neonatology, Department of Pediatrics, Seoul National University Children’s HospitalDepartment of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of MedicineAbstract Background Stress signals during sucking activity such as nasal flaring, head turning, and extraneous movements of the body have been attributed to incoordination of sucking, swallowing, and respiration (SSR) in premature infants. However, the association of uncoordinated sucking pattern with developmental outcomes has not yet been investigated. The aim of this study was to investigate whether uncoordinated sucking pattern during bottle-feeding in premature infants is associated with the developmental outcomes at 8–12 and 18–24 months of age (corrected for prematurity). Methods We retrospectively reviewed the medical records and video recordings for the Neonatal Oral-Motor Assessment Scale (NOMAS) of premature infants and divided them into two groups based on the presence or absence of incoordination. The Bayley-III cognition composite scores of the incoordination-positive and incoordination-negative group were compared at 8–12 and 18–24 months of age. Results Seventy premature infants exhibited a disorganized sucking pattern according to the NOMAS. The average Bayley-III cognition composite scores at 8–12 months of age were 92.5 ± 15.6 and 103.0 ± 11.3 for the incoordination-positive (n = 22) and incoordination-negative groups (n = 48), respectively (p = 0.002). The average Bayley-III cognition composite scores at 18–24 months were 90.0 ± 17.9 and 100.7 ± 11.5 for the incoordination-positive (n = 21) and incoordination-negative groups (n = 46), respectively (p = 0.005). A multiple linear regression analysis indicated that the presence of uncoordinated sucking pattern, grade 3 or 4 germinal matrix hemorrhage–intraventricular hemorrhage, and moderate to severe bronchopulmonary dysplasia were independently associated with cognitive development at 18–24 months of age. Conclusions Uncoordinated sucking pattern in premature infants was independently associated with a higher risk of abnormal developmental outcome in the cognitive domain of the Bayley-III at both 8–12 and 18–24 months. There may be a need for periodic follow-up and early intervention for developmental delay when incoordination of SSR that results in stress signals on the NOMAS is observed before 40 weeks postmenstrual age.http://link.springer.com/article/10.1186/s12887-019-1811-1Premature infantFeeding behaviorNeonatal Oral-motor assessment scaleNeurodevelopment |
| spellingShingle | You Gyoung Yi Byung-Mo Oh Seung Han Shin Jin Yong Shin Ee-Kyung Kim Hyung-Ik Shin Association of uncoordinated sucking pattern with developmental outcome in premature infants: a retrospective analysis BMC Pediatrics Premature infant Feeding behavior Neonatal Oral-motor assessment scale Neurodevelopment |
| title | Association of uncoordinated sucking pattern with developmental outcome in premature infants: a retrospective analysis |
| title_full | Association of uncoordinated sucking pattern with developmental outcome in premature infants: a retrospective analysis |
| title_fullStr | Association of uncoordinated sucking pattern with developmental outcome in premature infants: a retrospective analysis |
| title_full_unstemmed | Association of uncoordinated sucking pattern with developmental outcome in premature infants: a retrospective analysis |
| title_short | Association of uncoordinated sucking pattern with developmental outcome in premature infants: a retrospective analysis |
| title_sort | association of uncoordinated sucking pattern with developmental outcome in premature infants a retrospective analysis |
| topic | Premature infant Feeding behavior Neonatal Oral-motor assessment scale Neurodevelopment |
| url | http://link.springer.com/article/10.1186/s12887-019-1811-1 |
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