Efeitos da sucˋˋo nˋo-nutritiva e da estimulaˋˋo oral nas taxas de amamentaˋˋo em rec谷m-nascidos pr谷-termo de muito baixo peso ao nascer: um ensaio cl赤nico randomizado

作者：Pimenta; Hellen P; Moreira; Maria E L; Rocha; Adriana Duarte; Gomes Junior; Saint Clair; Pinto; Liana W; Lucena; Sabrina Lopes

来源：Jornal de Pediatria, 2008.

DOI：10.2223/JPED.1839

• preterm infant
• breastfeeding
• sucking behavior.

objective: to determine the influence of non-nutritive sucking and oral stimulation programs on breastfeeding rates at discharge, at 3 and at 6 months of corrected age in preterm infants with very low birth weight. methods: preterm infants were randomized into experimental and control groups. ninety-eight preterm infants were randomized and 96 remained in the study until reaching the corrected age of 6 months. the experimental group received sensory-motor-oral stimulation and non-nutritive sucking, while infants in the control group received a sham stimulation program. both were administered from reaching enteral feeding (100 kcal/kg/day) until the beginning of oral feeding. results: fifty-nine infants (61.5%) were breastfeeding at the time of hospital discharge, 31 (36.9%) at 3 months, and only 18 (20.5%) at 6 months of corrected age. at discharge, 46.9% of the control group and 76.5% of the experimental group were breastfeeding. there were statistically significant differences between rates of breastfeeding at discharge (47 vs. 76%), 3 months (18 vs. 47%) and 6 months after discharge (10 vs. 27%). the experimental group showed significantly higher rates of breastfeeding (p %26lt; 0.05). conclusion: non-nutritive sucking, associated with oral stimulation programs, can contribute to the improvement of breastfeeding rates among preterm infants with very low birth weight.