Development of sucking patterns in pre-term infants with bronchopulmonary dysplasia

Saakje da Costa, Cees van der Schans, Mar J Zweens, Sarai R Boelema, Eva van der Meij, Mieke A Boerman, Arend F Bos

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Pre-term infants with bronchopulmonary dysplasia (BPD) are at risk of acquiring brain abnormalities. Combined with ongoing breathing difficulties, this may influence the development of their sucking patterns.

OBJECTIVE: To determine the longitudinal development of sucking patterns from birth until 10 weeks' post-term age in pre-term infants with and without BPD.

METHODS: The sucking patterns of 16 pre-term infants with BPD and 15 pre-term infants without BPD were prospectively assessed with the Neonatal Oral-Motor Assessment Scale. The infants were matched for gestational age (<30 weeks). We recorded approximately 12 feeding episodes per infant, from 34 until 50 weeks' post-menstrual age. We diagnosed the infants' sucking patterns as normal, dysfunctional, or disorganized. Then, we examined the development of the sucking patterns in relation to relevant clinical characteristics.

RESULTS: Thirty (21%) of 142 feeding episodes of the pre-term infants with BPD and 36 (23%) of 156 of those without BPD were diagnosed as normal (non-significant). Of the abnormal patterns, 3 were diagnosed as dysfunctional and 229 as disorganized. Before term-equivalent age, definitely abnormal sucking patterns were more prevalent in the pre-term infants with BPD than in those without BPD: 69 (49%) and 47 (30%) episodes, respectively (χ(2) = 10.7, p < 0.01). In particular, the abnormal patterns including the item 'incoordination', defined as the inability to coordinate sucking and swallowing with breathing, were more prevalent: 36 and 15%, respectively (χ(2) = 6.37, p < 0.05). There was no difference between the two groups regarding the age at which they acquired normal sucking patterns. Relevant clinical characteristics did not influence the development of the sucking patterns.

CONCLUSIONS: The developmental characteristic of sucking patterns in infants with BPD was that these infants were unable to coordinate swallowing with breathing. This was the case especially prior to term-equivalent age; after term-equivalent age, the development of sucking closely resembled that of pre-term infants without BPD.

Original languageEnglish
Pages (from-to)268-77
JournalNeonatology
Volume98
Issue number3
DOIs
Publication statusPublished - 2010

Keywords

  • Age Factors
  • Bronchopulmonary Dysplasia
  • Case-Control Studies
  • Child Development
  • Efficiency
  • Female
  • Gestational Age
  • Humans
  • Infant Nutritional Physiological Phenomena
  • Infant, Newborn
  • Infant, Premature
  • Infant, Premature, Diseases
  • Longitudinal Studies
  • Male
  • Sucking Behavior
  • Journal Article

Cite this

da Costa, S., van der Schans, C., Zweens, M. J., Boelema, S. R., van der Meij, E., Boerman, M. A., & Bos, A. F. (2010). Development of sucking patterns in pre-term infants with bronchopulmonary dysplasia. Neonatology, 98(3), 268-77. https://doi.org/10.1159/000281106
da Costa, Saakje ; van der Schans, Cees ; Zweens, Mar J ; Boelema, Sarai R ; van der Meij, Eva ; Boerman, Mieke A ; Bos, Arend F. / Development of sucking patterns in pre-term infants with bronchopulmonary dysplasia. In: Neonatology. 2010 ; Vol. 98, No. 3. pp. 268-77.
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abstract = "BACKGROUND: Pre-term infants with bronchopulmonary dysplasia (BPD) are at risk of acquiring brain abnormalities. Combined with ongoing breathing difficulties, this may influence the development of their sucking patterns.OBJECTIVE: To determine the longitudinal development of sucking patterns from birth until 10 weeks' post-term age in pre-term infants with and without BPD.METHODS: The sucking patterns of 16 pre-term infants with BPD and 15 pre-term infants without BPD were prospectively assessed with the Neonatal Oral-Motor Assessment Scale. The infants were matched for gestational age (<30 weeks). We recorded approximately 12 feeding episodes per infant, from 34 until 50 weeks' post-menstrual age. We diagnosed the infants' sucking patterns as normal, dysfunctional, or disorganized. Then, we examined the development of the sucking patterns in relation to relevant clinical characteristics.RESULTS: Thirty (21{\%}) of 142 feeding episodes of the pre-term infants with BPD and 36 (23{\%}) of 156 of those without BPD were diagnosed as normal (non-significant). Of the abnormal patterns, 3 were diagnosed as dysfunctional and 229 as disorganized. Before term-equivalent age, definitely abnormal sucking patterns were more prevalent in the pre-term infants with BPD than in those without BPD: 69 (49{\%}) and 47 (30{\%}) episodes, respectively (χ(2) = 10.7, p < 0.01). In particular, the abnormal patterns including the item 'incoordination', defined as the inability to coordinate sucking and swallowing with breathing, were more prevalent: 36 and 15{\%}, respectively (χ(2) = 6.37, p < 0.05). There was no difference between the two groups regarding the age at which they acquired normal sucking patterns. Relevant clinical characteristics did not influence the development of the sucking patterns.CONCLUSIONS: The developmental characteristic of sucking patterns in infants with BPD was that these infants were unable to coordinate swallowing with breathing. This was the case especially prior to term-equivalent age; after term-equivalent age, the development of sucking closely resembled that of pre-term infants without BPD.",
keywords = "Age Factors, Bronchopulmonary Dysplasia, Case-Control Studies, Child Development, Efficiency, Female, Gestational Age, Humans, Infant Nutritional Physiological Phenomena, Infant, Newborn, Infant, Premature, Infant, Premature, Diseases, Longitudinal Studies, Male, Sucking Behavior, Journal Article, leeftijdsfactoren, Bronchopulmonary Dysplasia, Case-Control Studies, kindontwikkeling, Efficiency, vrouwelijk, zwangerschapsduur, mensen, kind, Nutritional Physiological Phenomena, kind, pasgeboren, kind, prematuur, kind, prematuur, ziekten, Longitudinal Studies, mannelijk, zuiggedrag, tijdschrifartikel",
author = "{da Costa}, Saakje and {van der Schans}, Cees and Zweens, {Mar J} and Boelema, {Sarai R} and {van der Meij}, Eva and Boerman, {Mieke A} and Bos, {Arend F}",
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da Costa, S, van der Schans, C, Zweens, MJ, Boelema, SR, van der Meij, E, Boerman, MA & Bos, AF 2010, 'Development of sucking patterns in pre-term infants with bronchopulmonary dysplasia' Neonatology, vol. 98, no. 3, pp. 268-77. https://doi.org/10.1159/000281106

Development of sucking patterns in pre-term infants with bronchopulmonary dysplasia. / da Costa, Saakje; van der Schans, Cees; Zweens, Mar J; Boelema, Sarai R; van der Meij, Eva; Boerman, Mieke A; Bos, Arend F.

In: Neonatology, Vol. 98, No. 3, 2010, p. 268-77.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Development of sucking patterns in pre-term infants with bronchopulmonary dysplasia

AU - da Costa, Saakje

AU - van der Schans, Cees

AU - Zweens, Mar J

AU - Boelema, Sarai R

AU - van der Meij, Eva

AU - Boerman, Mieke A

AU - Bos, Arend F

N1 - Copyright © 2010 S. Karger AG, Basel.

PY - 2010

Y1 - 2010

N2 - BACKGROUND: Pre-term infants with bronchopulmonary dysplasia (BPD) are at risk of acquiring brain abnormalities. Combined with ongoing breathing difficulties, this may influence the development of their sucking patterns.OBJECTIVE: To determine the longitudinal development of sucking patterns from birth until 10 weeks' post-term age in pre-term infants with and without BPD.METHODS: The sucking patterns of 16 pre-term infants with BPD and 15 pre-term infants without BPD were prospectively assessed with the Neonatal Oral-Motor Assessment Scale. The infants were matched for gestational age (<30 weeks). We recorded approximately 12 feeding episodes per infant, from 34 until 50 weeks' post-menstrual age. We diagnosed the infants' sucking patterns as normal, dysfunctional, or disorganized. Then, we examined the development of the sucking patterns in relation to relevant clinical characteristics.RESULTS: Thirty (21%) of 142 feeding episodes of the pre-term infants with BPD and 36 (23%) of 156 of those without BPD were diagnosed as normal (non-significant). Of the abnormal patterns, 3 were diagnosed as dysfunctional and 229 as disorganized. Before term-equivalent age, definitely abnormal sucking patterns were more prevalent in the pre-term infants with BPD than in those without BPD: 69 (49%) and 47 (30%) episodes, respectively (χ(2) = 10.7, p < 0.01). In particular, the abnormal patterns including the item 'incoordination', defined as the inability to coordinate sucking and swallowing with breathing, were more prevalent: 36 and 15%, respectively (χ(2) = 6.37, p < 0.05). There was no difference between the two groups regarding the age at which they acquired normal sucking patterns. Relevant clinical characteristics did not influence the development of the sucking patterns.CONCLUSIONS: The developmental characteristic of sucking patterns in infants with BPD was that these infants were unable to coordinate swallowing with breathing. This was the case especially prior to term-equivalent age; after term-equivalent age, the development of sucking closely resembled that of pre-term infants without BPD.

AB - BACKGROUND: Pre-term infants with bronchopulmonary dysplasia (BPD) are at risk of acquiring brain abnormalities. Combined with ongoing breathing difficulties, this may influence the development of their sucking patterns.OBJECTIVE: To determine the longitudinal development of sucking patterns from birth until 10 weeks' post-term age in pre-term infants with and without BPD.METHODS: The sucking patterns of 16 pre-term infants with BPD and 15 pre-term infants without BPD were prospectively assessed with the Neonatal Oral-Motor Assessment Scale. The infants were matched for gestational age (<30 weeks). We recorded approximately 12 feeding episodes per infant, from 34 until 50 weeks' post-menstrual age. We diagnosed the infants' sucking patterns as normal, dysfunctional, or disorganized. Then, we examined the development of the sucking patterns in relation to relevant clinical characteristics.RESULTS: Thirty (21%) of 142 feeding episodes of the pre-term infants with BPD and 36 (23%) of 156 of those without BPD were diagnosed as normal (non-significant). Of the abnormal patterns, 3 were diagnosed as dysfunctional and 229 as disorganized. Before term-equivalent age, definitely abnormal sucking patterns were more prevalent in the pre-term infants with BPD than in those without BPD: 69 (49%) and 47 (30%) episodes, respectively (χ(2) = 10.7, p < 0.01). In particular, the abnormal patterns including the item 'incoordination', defined as the inability to coordinate sucking and swallowing with breathing, were more prevalent: 36 and 15%, respectively (χ(2) = 6.37, p < 0.05). There was no difference between the two groups regarding the age at which they acquired normal sucking patterns. Relevant clinical characteristics did not influence the development of the sucking patterns.CONCLUSIONS: The developmental characteristic of sucking patterns in infants with BPD was that these infants were unable to coordinate swallowing with breathing. This was the case especially prior to term-equivalent age; after term-equivalent age, the development of sucking closely resembled that of pre-term infants without BPD.

KW - Age Factors

KW - Bronchopulmonary Dysplasia

KW - Case-Control Studies

KW - Child Development

KW - Efficiency

KW - Female

KW - Gestational Age

KW - Humans

KW - Infant Nutritional Physiological Phenomena

KW - Infant, Newborn

KW - Infant, Premature

KW - Infant, Premature, Diseases

KW - Longitudinal Studies

KW - Male

KW - Sucking Behavior

KW - Journal Article

KW - leeftijdsfactoren

KW - Bronchopulmonary Dysplasia

KW - Case-Control Studies

KW - kindontwikkeling

KW - Efficiency

KW - vrouwelijk

KW - zwangerschapsduur

KW - mensen

KW - kind, Nutritional Physiological Phenomena

KW - kind, pasgeboren

KW - kind, prematuur

KW - kind, prematuur, ziekten

KW - Longitudinal Studies

KW - mannelijk

KW - zuiggedrag

KW - tijdschrifartikel

U2 - 10.1159/000281106

DO - 10.1159/000281106

M3 - Article

VL - 98

SP - 268

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JO - Neonatology

JF - Neonatology

SN - 1661-7800

IS - 3

ER -