Evaluation of reliability and validity of oral motor assessment scale in premature infant
- Conditions
- Certain conditions originating in the perinatal period
- Registration Number
- KCT0009232
- Lead Sponsor
- Asan Medical Center
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 171
The subjects of this study were among the guardians of premature infants admitted to Neonatal Intensive Care Units 1 and 2 at Asan Medical Center in Seoul, who understood the purpose and purpose of this study and expressed their willingness to voluntarily consent to data collection, and were born at less than 37 weeks of gestational age; We plan to sample 171 premature infants who started oral feeding at 33 weeks or more PMA. The basis for selecting research subjects in this study is as follows. Marilyn J. et al. (2021) stated that a baby's coordination of sucking, swallowing, and breathing develops around 32 to 34 weeks of gestational age, and if a premature baby wants to eat by mouth in the neonatal intensive care unit, oral feeding is recommended from 33 weeks or more of gestational age. I suggested that we could try it. Therefore, based on this, in this study, premature infants born at less than 37 weeks of gestational age and who began oral feeding at 33 weeks or more of PMA were selected as research subjects.
A. Premature infants born at less than 37 weeks of gestational age
B. Premature infants started oral feeding at 33 weeks PMA
C. Premature infants who started oral feeding within 72 hours of data collection
The reason for the selection criteria is that in the case of ‘A’, it targets premature infants, and in the case of ‘B’, it is because the sucking reflex can be displayed and oral feeding can begin at 33 weeks of PMA. In the case of ‘C’, this is because the third shift nurse had to personally film the three oral feeding scenes of the research subject and the situation of the ward where the study was to be conducted was taken into consideration.
A. Cases where oral feeding is impossible due to gastrointestinal malformation (e.g. esophageal obstruction and esophagotracheal fistula)
B. In case of physical disability that makes oral feeding impossible, such as oral deformity (e.g. cleft palate)
C. When oral feeding is not possible due to medical treatment (e.g., fasting is maintained, artificial airway is intubated)
D. If the child refuses to be bottle fed and is given oral feeding using a spoon or baby food as prescribed by a doctor
The reason for the exclusion criterion is that in case ‘A’, fasting and artificial airway intubation are maintained for a long period of time for long-term treatment reasons, and the timing and direction of treatment differs depending on the severity of the diagnosis. In the case of ‘B’, this is because there is no distinction between structural and functional problems, and in the case of ‘C’, this is because oral feeding is impossible if the patient is fasting and has an artificial airway intubated. However, if they meet the selection criteria and start oral feeding during the study period, they will be selected as research subjects. This is because the case of ‘D’ does not match the oral movements of premature infants as defined in this study.
Study & Design
- Study Type
- Observational Study
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The score of Early Feeding Skills assessment tool;The score of Functional Oral Intake Scale Pediatrics;The score of Neonatal Oral-Motor Assessment Scale
- Secondary Outcome Measures
Name Time Method efficiency;growth;proficiency;Days to Full Oral Feeding;Length of Stay);Vital Sign (Heart Rate, Respiratory Rate, Saturation)