TY - JOUR T1 - Effectiveness of 2 interventions for independent oral feeding in preterms JO - Anales de Pediatría (English Edition) T2 - AU - Hernández Gutiérrez,María Fernanda AU - Díaz-Gómez,N. Marta AU - Jiménez Sosa,Alejandro AU - Díaz Gómez,José Miguel AU - Domenech Martinez,Eduardo SN - 23412879 M3 - 10.1016/j.anpede.2020.12.020 DO - 10.1016/j.anpede.2020.12.020 UR - https://analesdepediatria.org/en-effectiveness-2-interventions-for-independent-articulo-S2341287922000060 AB - IntroductionOral feeding of preterm newborns (PTNB) is hampered by their immaturity and intercurrent diseases, which can prolong their hospital stay. The objective of this study was to assess the effectiveness of a program that combines tactile, kinesthetic and oral stimulation (T + K + OS) compared to another intervention based on exclusively oral stimulation (OS), in the time necessary to achieve independent feeding and hospital discharge. Patients and methodsA clinical study of 2 randomized groups (OS vs. T + K + OS) was carried out on 42 PTNB with gestational age between 27-32 weeks and birth weight > 900 g. The stimulation programs were carried out in sessions of 15 min, for 10 days. ResultsThe PTNBs in the T + K + OS group achieved independent oral feeding earlier, compared to the OS group (24.9 ± 10.1 vs. 34.1 ± 15.6 days, P = .02). An analysis of covariance was performed, which confirmed that the birth weight and gestational age covariates had significant effects on time to reach suction feeding (birth weight: F[1, 38] = 5.79; P = .021; gestational age: F[1, 38] = 14.12; P = .001) and that once its effect was controlled, the intervention continued to have a significant effect (F[1, 38] = 6.07; P = .018). The T + K + OS group, compared to the OS group, achieved an earlier hospital discharge (39 ± 15 vs. 45 ± 18 days), although the differences were not significant (P = .21). ConclusionsCombined therapies that include T + K + OS are more effective than OS alone, in order to achieve independent oral feeding in PTNBs. ER -