EFFECTIVENESS OF PREMATURE INFANT ORAL MOTOR INTERVENTION (PIOMI) FOR PRETERM INFFANT WTH SWALLOWING DIFFICULTIES AT NATIONAL CHILDREN’S HOSPITAL
##plugins.themes.vojs.article.main##
Abstract
Preterm infants are at a 40 - 70% risk of swallowing difficulties due to the immaturity of nervous system and the oral structure are aftected by frenquent non-physiological oral facial stimuli such as endotracheal intubation, continuous positive airway pressure, gavage feeding tube, and adhesive tapes limitingfacial movements. These factors may lead to prolonged hospitalization, aspiration risk, and pneumonia. The Premature Infant Oral Motor Intervention (PIOMI) is a specialized intervention designed to enhance feeding performance and swallowing skills in preterm infants.
Subject and Methods: A prospective study was conducted on 60 preterm infants with feeding and swallowing difficulties. Each infant was evaluated before and after the intervention; there was no control group. Objective: To assess the effectiveness of the PIOMI in improving oral feeding and swallowing abilities in preterm infants.
Results: The mean corrected gestational age at the time of intervention was 34.1 ± 2.1 weeks. On average, full oral feeding was achieved after approximately 5 days of PIOMI, with a statistically significant weight gain observed.
Conclusion: PIOMI is an effective intervention for managing dysphagia in preterm infants.
##plugins.themes.vojs.article.details##
Keywords
Preterm infants, swallowing difficulties, PIOMI
References
2. Zimmerman E, Rosner A. Feeding swallowing difficulties in the first three years of life: A preterm and full-term infant comparison. Journal of Neonatal Nursing 2018;24(6):331-335. https://doi.org/10.1016/j.jnn.2018.07.003
3. Osman A, Ahmed E, Mohamed H et al. Oral motor intervention accelerates time to full oral feeding and discharge. International Journal of Advanced Nursing Studies. 2016;5(2):228-233. http://dx.doi.org/10.14419/ijans.v5i2.6797
4. Thakkar PA, Rohit HR, Das RR et al. Effect of oral stimulation on feeding performance and weight gain in preterm neonates: a randomised controlled trial. Paediatrics and International Child Health 2018;38(3):181-186. https://doi.org/10.1080/20469047.2018.1435172
5. Lessen BS. Effect of the Premature Infant Oral Motor Intervention on Feeding Progression and Length of Stay in Preterm Infants. Advances in Neonatal Care 2011;11(2):129-139. https://doi.org/10.1097/anc.0b013e3182115a2a
6. Bandyopadhyay T, Maria A, Vallamkonda N. Pre-feeding premature infant oral motor intervention (PIOMI) for transition from gavage to oral feeding: A randomised controlled trial. Journal of Pediatric Rehabilitation Medicine 2023;16(2):361-367. https://doi.org/10.3233/prm-210132
7. Knoll BSL, Daramas T, Drake V. Randomized Controlled Trial of a Prefeeding Oral Motor Therapy and Its Effect on Feeding Improvement in a Thai NICU. Journal of Obstetric, Gynecologic & Neonatal Nursing 2019;48(2):176-188. https://doi.org/10.1016/j.jogn.2019.01.003
8. Lau C. Development of infant oral feeding skills: what do we know?1, 2, 3. The American Journal of Clinical Nutrition 2016;103(2):616S-621S. https://doi.org/10.3945/ajcn.115.109603
9. Ghomi H, Yadegari F, Soleimani F et al. The effects of premature infant oral motor intervention (PIOMI) on oral feeding of preterm infants: A randomized clinical trial. Int J Pediatr Otorhinolaryngol 2019;120:202-209. https://doi.org/10.1016/j.ijporl.2019.02.005
10. Arora K, Goel S, Manerkar S et al. Prefeeding Oromotor Stimulation Program for Improving Oromotor Function in Preterm Infants — A Randomized Controlled Trial. Indian Pediatr 2018;55(8):675-678.
11. Sasmal S, Shetty AP, Saha B et al. Effect of Prefeeding Oromotor Stimulation on Oral Feeding Performance of Preterm Neonates during Hospitalization and at Corrected One Month of Age at a Tertiary Neonatal Care Unit of India: A Randomized Controlled Trial. Journal of Neonatology 2023;37(2):149-158. https://doi.org/10.1177/09732179221143185
12. Fujinaga CI, Moraes SA de, Zamberlan-Amorim NE, Castral TC, Silva A de A e, Scochi CGS. Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale. Rev Latino-Am Enfermagem 2013;21:140-145. https://doi.org/10.1590/S0104-11692013000700018