The Effect of PIOMI and Chronobiological Nutrition on Readiness for Feeding, Full Transition to Oral Feeding and Body Weight
The Effect of Oral Motor Intervention and Chronobiological Approach to Feeding Models Applied to Preterm Infants on Infants' Readiness to Feed, Transition to Total Oral Feeding, and Body Weight
Aydin Adnan Menderes University
54 participants
Mar 1, 2025
INTERVENTIONAL
Conditions
Summary
This is a randomized controlled experimental study evaluating the effects of oral motor intervention and chronobiological approach to feeding model applied to preterm infants on feeding readiness, transition to total oral feeding and body weight.
Eligibility
Inclusion Criteria3
- Preterm infants with a postnatal age of 29-33 weeks,
- Whose vital signs and clinical condition have been stable for at least 24 hours,
- Whose APGAR score at 1 and 5 minutes (Activity-Pulse-Grimace-Appearance-Respiration) is 4 or higher.
Exclusion Criteria12
- Infants with major congenital anomalies (such as congenital heart disease, cleft palate, cleft lip) or birth trauma,
- Infants with RDS,
- Infants diagnosed with asphyxia,
- Infants with intraventricular hemorrhage,
- Infants with Neonatal Withdrawal Syndrome,
- Infants with Fetal Alcohol Syndrome,
- Infants included in the study group who develop any complications or whose stable condition deteriorates during the follow-up period,
- Infants with feeding intolerance or who are interrupted from feeding for more than 48 hours,
- Infants who develop sepsis,
- Infants who develop necrotizing enterocolitis,
- Infants receiving mechanical ventilation support,
- Infants who receive narcotic analgesia or sedation,
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Interventions
Infants will be weighed at 8:30 AM wearing only a clean diaper, and the scale will be disinfected before and after each use. Preterm infants in this group will receive PIOMI treatment at their bedside for 5 minutes, once a day, 15 minutes before feeding times at 9:00 AM or 12:00 PM, for 14 days. Before starting the PIOMI treatment, the researcher will remove any jewelry and wash their hands hygienically. Following the PIOMI treatments, infants will be fed using the feeding method applied in the clinic, and this will be recorded. Infants will be monitored throughout their stay in the NICU.
Newborns will be weighed at 8:30 a.m. wearing only a clean diaper, and the scale will be disinfected before and after each use. The researcher will provide training to the baby's mother on breast milk expression and storage. Breast milk storage bags and adhesive labels labeled "NIGHT MILK" and "DAY MILK" will be provided by the researcher. Mothers will be asked to express milk between 06:00 and 17:59, place it in a breast milk storage bag, attach the "DAY MILK" label, and write their name, surname, date, and time on it. For milk expressed between 18:00 and 05:59, they will place it in a breast milk storage bag, attach the "NIGHT MILK" label, and write their name, surname, date, and time on it, and bring their milk to the unit in this manner. Newborns in this group will be fed using breast milk that is chronobiologically matched.
Newborns will be weighed at 8:30 AM wearing only a clean diaper, and the scale will be disinfected before and after each use. No procedures will be performed on these infants outside of the clinical routine. Infants will be fed using the same feeding method as in the clinic. Infants will be monitored throughout their stay in the NICU.
Locations(1)
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NCT07306793