Influência da estimulação sensório motor-oral no aleitamento materno de recém-nascidos pré-termo

Abstract

The aim of present study was to determine the influence of oral-motor sensory stimulation in preterm infants (PTI) in the establishment of breastfeeding through the implementation of a protocol for observation of suckling proposed by UNICEF. The sample consisted of 22 double mother/preterm infant, which were randomized in the stimulated group (GE) and control group (CG). The stimulated group received oral- motor sensory stimulation as proposed by Fucile, Gisel and Lau (2002), twice daily which was started when the preterm reached 80 cal / kg / day of enteral nutrition and maintained until it was receiving all feeds orally, by at least 24 hours. At the time of medical prescription of the transition from orogastric tube to oral feeding, the breastfeeding was evaluated for implementation of the protocol proposed by UNICEF. The chi-square test was used to compare the differences between the groups and accepted a significance level of p<0.05. The results showsthat the program used for stimulation no improvement in the suction of the newborn preterm infants studied, according to the protocol for observation of UNICEF. With regard to unfavorable behavior, the stimulated babies showed a trend to present fewer behaviors indicative of problems related to responses of double suggesting a beneficial effect of stimulation in preterm babies. Due to methodological limitations of this research, it is suggested to conduct further studies of eliminating confusion biases found here and use the protocol, but modified for use in newborn pre-term.