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

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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.

Originele taal-2English
Pagina's (van-tot)603-609
TijdschriftJournal of pediatrics
Volume157
Nummer van het tijdschrift4
DOI's
StatusPublished - 2010

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Keywords

  • kindontwikkeling
  • vervolgstudies
  • zwangerschapsduur
  • mensen
  • kind, pasgeboren
  • kind, prematuur
  • kind, klein voor zwangerschapsduur
  • voorspellende waarde van testen
  • zuiggedrag
  • enquetes en vragenlijsten
  • tijdschriftartikel

Citeer dit

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