Barbara Medoff-Cooper1, Warren Bilker, Joel M Kaplan. 1. The Children's Hospital of Philadelphia, Biobehavioral Research Center, University of Pennsylvania, School of Nursing, Philadelphia, PA 19104, USA. medoff@nursing.upenn.edu
Abstract
OBJECTIVE: To provide a comprehensive analysis of the temporal structure of sucking in full-term neonates. DESIGN: Descriptive study. SETTING: Newborn nursery in a city teaching institution. PATIENTS/PARTICIPANTS: Fifty-six full-term infants with a mean birth weight of 3,128±370 g completed sucking assessments on the first and second day of life. METHODS: A 5-minute sucking assessment was completed on the first and second day of life. Instruments included an Infant Nutritive Sucking Apparatus and the Anderson Behavioral Assessment Scale. RESULTS: The number of sucks (p<.001), intersuck width (p=.008) and interburst width (p<.05) were significantly different between the first and second day of life. On the second day of life the infants generated significantly more sucks, a decrease in interburst width and a decrease in intersuck width. There was a significant increase in the presence of an alert behavioral state from the first to second sucking assessment (p<.01). In addition, with a more alert infant state there was an increased time spent bursting (p<.001). CONCLUSION: Our results show that sucking analysis is sensitive to infant status and suggest that the development of sucking methodology can be considered as a useful clinical tool to assess the normal developmental course of sucking patterns.
OBJECTIVE: To provide a comprehensive analysis of the temporal structure of sucking in full-term neonates. DESIGN: Descriptive study. SETTING: Newborn nursery in a city teaching institution. PATIENTS/PARTICIPANTS: Fifty-six full-term infants with a mean birth weight of 3,128±370 g completed sucking assessments on the first and second day of life. METHODS: A 5-minute sucking assessment was completed on the first and second day of life. Instruments included an Infant Nutritive Sucking Apparatus and the Anderson Behavioral Assessment Scale. RESULTS: The number of sucks (p<.001), intersuck width (p=.008) and interburst width (p<.05) were significantly different between the first and second day of life. On the second day of life the infants generated significantly more sucks, a decrease in interburst width and a decrease in intersuck width. There was a significant increase in the presence of an alert behavioral state from the first to second sucking assessment (p<.01). In addition, with a more alert infant state there was an increased time spent bursting (p<.001). CONCLUSION: Our results show that sucking analysis is sensitive to infant status and suggest that the development of sucking methodology can be considered as a useful clinical tool to assess the normal developmental course of sucking patterns.
Authors: Saakje P da Costa; Cees P van der Schans; Sarai R Boelema; Eva van der Meij; Mieke A Boerman; Arend F Bos Journal: Infant Behav Dev Date: 2010-01-13
Authors: Rosemary White-Traut; Li Liu; Kathleen Norr; Krisitin Rankin; Suzann K Campbell; Thao Griffith; Rohitkumar Vasa; Victoria Geraldo; Barbara Medoff-Cooper Journal: Early Hum Dev Date: 2017-04-18 Impact factor: 2.079