Non-Nutritive Suck Assessment Tool Development to Characterize Sucking Patterns in Infant with Various Hunger Levels
DOI:
https://doi.org/10.26418/positron.v13i2.69270Keywords:
Sucking abilities, non-nutritive suck patterns, hunger level, NNS assessment toolAbstract
Sucking abilities are critical in early infant development, and the patterns of non-nutritive suck (NNS) have been found to potentially predict neurodevelopmental issues in the future. Proper NNS assessments are essential to ensure valid conclusions. Previous studies have shown that the level of infant arousal significantly affects NNS patterns. However, the author did not find any studies that observed the influence of infant hunger levels on NNS patterns. Therefore, this study aimed to develop an NNS assessment tool to characterize NNS patterns in infants with various hunger levels. The NNS assessment was conducted using a pressure transducer connected to a pacifier. The results showed that the level of hunger significantly affected the intra-burst frequency and the sucking pressure. The more hungry the infant, the more frequent the intra-burst frequency became, while the sucking pressure tended to decrease. The intra-burst frequency of infant sucking was 2.3, 2.46, and 2.5 Hz on average for a relative hunger index of 0.67, 0.83, and 1.0, respectively. The NNS pressure of infant sucking was 6.31, 4.51, and 2.62 kPa on average for a relative hunger index of 0.67, 0.83, and 1.0, respectively. This study's results suggest that during NNS assessments, the measurement time should consider the next feeding schedule for the infant.References
Wolff, P. H., The serial organization of sucking
in the young infant., Pediatrics, 42(6), pp.943–956, 1968.
Bedroni, M., Breastfeeding preterm infants as the initial oral feeding: An integrative review, Journal of Neonatal Nursing, 29(2), pp.267–272, 2023.
Zimmerman, E., Forlano, J., and Gouldstone, A., Not All Pacifiers Are Created Equal: A Mechanical Examination of Pacifiers and Their Influence on Suck Patterning., American journal of speech-language
pathology, 26(4), pp.1202–1212, 2017.
Pineda, R., Dewey, K., Jacobsen, A., and Smith, J., Non-Nutritive Sucking in the Preterm Infant, American journal of perinatology, 36(3), pp.268–276, 2019.
Wahyuni, L. K., Mangunatmadja, I., Kaban, R. K., Rachmawati, E. Z. K., Harini, M., Laksmitasari, B., Geraldyne, A., Sangwidjojo, I. A., Utami, D. P., Poernomo, V. P., and Sudjono, A. P., Non-nutritive sucking milestones of preterm infants in Indonesia: a descriptive study, Paediatrica Indonesiana, 62(5), pp.311–317, 2022.
Hill, R. R., Hines, M., Martens, A., Pados, B. F., and Zimmerman, E. , A pilot study of non-nutritive suck measures immediately pre- and post-frenotomy in full term infants with problematic feeding, Journal of Neonatal Nursing, 28(6), pp.413–419, 2022.
Barlow, S. M., Liao, C. , Lee, J., Kim, S. , Maron, J. L., Song, D., Jegatheesan, P., Govindaswami, B., Wilson, B. J., Bhakta, K., and Cleary, J. P., Spectral features of non-nutritive suck dynamics in extremely preterm infants, Pediatric Medicine, 0(0), pp.0, 2023.
Truong, P., Walsh, E., Scott, V. P., Coleman, T., Tilvawala, G., and Friend, J., Non-Nutritive Suckling System for Real-Time Characterization of Intraoral Vacuum Profile in Full Term Neonates, IEEE Journal of Translational Engineering in Health and Medicine, 11pp.107–115, 2022.
Kim, C., Zimmerman, E., Huerta-Montañez, G., Rosario-Pabón, Z. Y., Vélez-Vega, C. M., Alshawabkeh, A. N. , Cordero, J. F., Meeker, J. D., and Watkins, D. J., Associations between biomarkers of prenatal metals exposure and non-nutritive suck among infants from the
PROTECT birth cohort in Puerto Rico, Frontiers in Epidemiology, 2pp.1057515, 2022.
Capilouto, G. J., Cunningham, T., Frederick, E., Dupont-Versteegden, E., Desai, N., and Butterfield, T. A., Comparison of tongue muscle characteristics of preterm and full term infants
during nutritive and nonnutritive sucking, Infant Behavior and Development, 37(3), pp.435–445, 2014.
Dewi, D. J., Rachmawati, E. Z. K., Wahuni, L. K., Hsu, W.-C. , Tamin, S. , Yunizaf, R. , Prihartono, J., and Iskandar, R. A. T. P. , Risk of dysphagia in a population of infants born pre-term: characteristic risk factors in a tertiary NICU, Jornal de Pediatria, 2023.
Martens, A., Hines, M., and Zimmerman, E., Changes in non-nutritive suck between 3 and 12 months, Early Human Development,
pp.105141, 2020.
Shandley, S., Capilouto, G., Tamilia, E., Riley, D.M., Johnson, Y.R., and Papadelis, C. Abnormal Nutritive Sucking as an Indicator of Neonatal Brain Injury. Frontiers in Pediatrics. , 8. 2021.
Akbarzadeh, S., Lyu, T., Farhoodi, R., Awais, M., Abbasi, S. F., Zhao, X., Chen, C. , Amara, A., Akay, Y., Akay, M., and Chen, W., Predicting Feeding Conditions of Premature Infants Through Non-Nutritive Sucking Skills Using a Sensitized Pacifier, IEEE Trans Biomed Eng, 69(7), pp.2370–2378, 2022.
Li, L., Liu, L., Chen, F., and Huang, L., Clinical effects of oral motor intervention combined with non-nutritive sucking on oral feeding in preterm infants with dysphagia, Jornal de Pediatria, 98(6), pp.635–640, 2022.
Zimmerman, E., Carpenito, T., and Martens, A., Changes in infant non-nutritive sucking throughout a suck sample at 3-months of age,
PLOS ONE, 15(7), pp.e0235741, 2020.
Estep, M., Barlow, S. M., Vantipalli, R., Finan, D., and Lee, J., Non-Nutritive Suck Parameter in Preterm Infants with RDS, Journal of neonatal nursing : JNN, 14(1), pp.28–34, 2008.
Liao, C., Rosner, A. O., Maron, J. L., Song, D. , and Barlow, S. M., Automatic Nonnutritive Suck Waveform Discrimination and Feature
Extraction in Preterm Infants, Computational and Mathematical Methods in Medicine, 2019pp.7496591, 2019.
Heller Murray, E., Lewis, J., and Zimmerman, E., Non-nutritive suck and voice onset time: Examining infant oromotor coordination,
PLOS ONE, 16(4), pp.e0250529-, 2021.
Herskin, M. S., Skjøth, F., and Jensen, M. B., Effects of hunger level and tube diameter on the feeding behavior of teat-fed dairy calves, Journal of Dairy Science, 93(5), pp.2053–2059,
Ali, H. M., Hashim, Y., and Al-Sakkal, G. A., Design and implementation of Arduino based robotic arm, International Journal of Electrical and Computer Engineering, 12(2), pp.1411–1418, 2022.
Bhagchandani, K. and Peter Augustine, D., IoT based heart monitoring and alerting system with cloud computing and managing the traffic for an ambulance in India, International Journal of Electrical and Computer Engineering, 9(6), pp.5068–5074, 2019.
Golondrino, G. E. C., Alarcón, M. A. O., and Muñoz, W. Y. C., Proposal for a fuzzy logic-based system to determine cardiovascular
risk, International Journal of Electrical and Computer Engineering, 12(6), pp.6058–6067, 2022.
Ali, N. S., Alyasseri, Z. A. A., and Abdulmohson, A., Real-Time Heart Pulse Monitoring Technique Using Wireless Sensor Network
and Mobile Application, International Journal of Electrical and Computer Engineering (IJECE), 8(6), pp.5118, 2018.
Neiva, F. C. B., Leone, C. R., Leone, C., Siqueira, L. L., Uema, K. A., Evangelista, D., Delgado, S., Rocha, A., and Buhler, K. B., Non-nutritive sucking evaluation in preterm newborns and the start of oral feeding: a multicenter study., Clinics (Sao Paulo, Brazil), 69(6), p.393–397, 2014.
Mizuno, K., Nishida, Y., Taki, M., Hibino, S., Murase, M., Sakurai, M., and Itabashi, K., Infants with bronchopulmonary dysplasia suckle with weak pressures to maintain breathing during feeding., Pediatrics, 120(4), pp.e1035-42, 2007
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