A new tool for measuring the suckling stimulus during breastfeeding in humans: the orokinetogram and the Fourier series.

The Fourier series was used to analyse the oral movements recorded by the orokinetogram during breastfeeding in human babies. This is a new method that allows recording of oral movements without introducing any extrinsic element between the nipple and the mouth of the baby. The advantage of displaying suckling activity after fast Fourier transform (FFT) is that this algorithm allows storage, quantification and frequency analysis of the oral movements throughout a suckling bout, which enables the total oral activity to be measured. Two types of oral movements are found: slow high amplitude (SHA) and fast low amplitude (FLA). FLA movements may be derived from peristaltic movements of the tongue that result in tickling stimuli to the mechanoreceptors of the nipple and milk expression. The frequency bandwidth of oral movements is wider (0-8 Hz) than has been described previously (0-3 Hz) and this is due to the presence of the FLA oral movements. An indirect measurement of the energy of oral movements during suckling is obtained by the pattern of energy distribution used in each individual frequency band by oral movements. This pattern changes in relation to the periods of continuous and intermittent suckling activity. SHA and FLA oral movements are more intense during continuous suckling. Statistical analysis showed a correlation between the energy of SHA and FLA waves throughout the suckling bout, and also that the highest level of energy during suckling activity is displayed during the first 2 min. The novel tools described in this paper allow investigation of the role of suckling stimulus in reflex hormone release and other mother-infant interactions.