The development of sucking patterns in preterm, small-for-gestational age infants

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

OBJECTIVE: To determine whether the development of sucking patterns in small-for-gestational age (SGA) preterm infants differs from appropriate-for-gestational age (AGA) preterm infants.

STUDY DESIGN: We assessed sucking patterns in 15 SGA and 34 AGA preterms (gestational age<or=36 weeks) longitudinally from 34 to 50 weeks postmenstrual age (PMA) using the Neonatal Oral-Motor Assessment Scale (NOMAS). At each measurement, we scored sucking as normal, dysfunctional, or disorganized. We examined the development of their sucking patterns in relation to clinical characteristics.

RESULTS: SGA preterms developed a normal sucking pattern later than did AGA preterms (median, 50 versus 44 weeks PMA, P=.002). At term-equivalent age, none of the SGA and 38% of the AGA preterms showed normal sucking (P<.05); at 48 to 50 weeks PMA this was 54% and 81%, respectively (P=.064). Abnormal sucking including "incoordination" and dysfunctional sucking were more prevalent in SGA preterms than in AGA preterms (median, 11% versus 0% per infant, P<.05). A higher gestational age and z-score for birth weight were predictive of normal sucking at 50 weeks PMA.

CONCLUSIONS: SGA preterms developed a normal sucking pattern later than AGA preterms. Many AGA preterms also developed a normal mature sucking pattern only after they had reached term age.

Original languageEnglish
Pages (from-to)603-609
JournalJournal of pediatrics
Volume157
Issue number4
DOIs
Publication statusPublished - 2010

Keywords

  • infants, premature
  • sucking behavior

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). The development of sucking patterns in preterm, small-for-gestational age infants. Journal of pediatrics, 157(4), 603-609. https://doi.org/10.1016/j.jpeds.2010.04.037
da Costa, Saakje ; van der Schans, Cees ; Zweens, Mar J ; Boelema, Sarai R ; van der Meij, Eva ; Boerman, Mieke A ; Bos, Arend F. / The development of sucking patterns in preterm, small-for-gestational age infants. In: Journal of pediatrics. 2010 ; Vol. 157, No. 4. pp. 603-609.
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da Costa, S, van der Schans, C, Zweens, MJ, Boelema, SR, van der Meij, E, Boerman, MA & Bos, AF 2010, 'The development of sucking patterns in preterm, small-for-gestational age infants' Journal of pediatrics, vol. 157, no. 4, pp. 603-609. https://doi.org/10.1016/j.jpeds.2010.04.037

The development of sucking patterns in preterm, small-for-gestational age infants. / da Costa, Saakje; van der Schans, Cees; Zweens, Mar J; Boelema, Sarai R; van der Meij, Eva; Boerman, Mieke A; Bos, Arend F.

In: Journal of pediatrics, Vol. 157, No. 4, 2010, p. 603-609.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - The development of sucking patterns in preterm, small-for-gestational age infants

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 (c) 2010 Mosby, Inc. All rights reserved.

PY - 2010

Y1 - 2010

N2 - OBJECTIVE: To determine whether the development of sucking patterns in small-for-gestational age (SGA) preterm infants differs from appropriate-for-gestational age (AGA) preterm infants.STUDY DESIGN: We assessed sucking patterns in 15 SGA and 34 AGA preterms (gestational ageRESULTS: SGA preterms developed a normal sucking pattern later than did AGA preterms (median, 50 versus 44 weeks PMA, P=.002). At term-equivalent age, none of the SGA and 38% of the AGA preterms showed normal sucking (P<.05); at 48 to 50 weeks PMA this was 54% and 81%, respectively (P=.064). Abnormal sucking including "incoordination" and dysfunctional sucking were more prevalent in SGA preterms than in AGA preterms (median, 11% versus 0% per infant, P<.05). A higher gestational age and z-score for birth weight were predictive of normal sucking at 50 weeks PMA.CONCLUSIONS: SGA preterms developed a normal sucking pattern later than AGA preterms. Many AGA preterms also developed a normal mature sucking pattern only after they had reached term age.

AB - OBJECTIVE: To determine whether the development of sucking patterns in small-for-gestational age (SGA) preterm infants differs from appropriate-for-gestational age (AGA) preterm infants.STUDY DESIGN: We assessed sucking patterns in 15 SGA and 34 AGA preterms (gestational ageRESULTS: SGA preterms developed a normal sucking pattern later than did AGA preterms (median, 50 versus 44 weeks PMA, P=.002). At term-equivalent age, none of the SGA and 38% of the AGA preterms showed normal sucking (P<.05); at 48 to 50 weeks PMA this was 54% and 81%, respectively (P=.064). Abnormal sucking including "incoordination" and dysfunctional sucking were more prevalent in SGA preterms than in AGA preterms (median, 11% versus 0% per infant, P<.05). A higher gestational age and z-score for birth weight were predictive of normal sucking at 50 weeks PMA.CONCLUSIONS: SGA preterms developed a normal sucking pattern later than AGA preterms. Many AGA preterms also developed a normal mature sucking pattern only after they had reached term age.

KW - infants, premature

KW - sucking behavior

KW - kindontwikkeling

KW - vervolgstudies

KW - zwangerschapsduur

KW - mensen

KW - kind, pasgeboren

KW - kind, prematuur

KW - kind, klein voor zwangerschapsduur

KW - voorspellende waarde van testen

KW - zuiggedrag

KW - enquetes en vragenlijsten

KW - tijdschriftartikel

U2 - 10.1016/j.jpeds.2010.04.037

DO - 10.1016/j.jpeds.2010.04.037

M3 - Article

VL - 157

SP - 603

EP - 609

JO - Journal of pediatrics

JF - Journal of pediatrics

SN - 1097-6833

IS - 4

ER -