13 results match your criteria Journal of Neonatal Nursing[Journal]

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Preterm Neurodevelopmental Outcomes Following Orosensory Entrainment Intervention.

J Neonatal Nurs 2018 Aug 1;24(4):203-207. Epub 2017 Dec 1.

University of Nebraska-Lincoln, Lincoln, Nebraska.

Previous research indicates that the NTrainer, a pressurized pacifier programmed to produce pulsed pneumotactile stimulation during gavage feeds, has been found to facilitate non-nutritive suck development and shorten the length of hospital stay when used in the Neonatal Intensive Care Unit (NICU). Four groups of children, including infants of diabetic mothers (IDM), healthy controls (HI), and those with respiratory distress syndrome (RDS), or chronic lung disease (CLD), were randomly assigned to an NTrainer therapy or sham 'control' condition when in the NICU. At 30 months of age, 113/223 study participants were assessed using standardized language, motor, and cognitive assessments. Read More

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http://dx.doi.org/10.1016/j.jnn.2017.11.001DOI Listing
August 2018
7 Reads

Feeding intolerance, inflammation, and neurobehaviors in preterm infants.

J Neonatal Nurs 2017 Jun 13;23(3):134-141. Epub 2016 Oct 13.

The FloAnn Sours Easton Professor of Child and Adolescent Health; Director, PhD & MS in Nursing Science Programs; The Ohio State University College of Nursing;

Purpose: Identifying relationships between feeding intolerance (FI), inflammation, and early measures of neurodevelopment may provide the basis for clinically relevant assessments for NICU clinicians and staff. The purpose of this secondary analysis was to examine the relationship of FI to inflammatory markers and/or neurobehaviors in the first week of life.

Methods: This was a retrospective, matched case-control design with data drawn from 114 infants born at ≤32 weeks gestation. Read More

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http://dx.doi.org/10.1016/j.jnn.2016.09.009DOI Listing
June 2017
35 Reads

Feed-Thickening Practices in NICUs in the Current Era: Variability in Prescription and Implementation Patterns.

J Neonatal Nurs 2015 Dec;21(6):255-262

The Neonatal and Infant Feeding Disorders Program, Center for Perinatal Research, Innovative Infant Feeding Disorders Research Program, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA ; Division of Neonatology, Pediatric Gastroenterology and Nutrition, Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA.

Background: Feed-thickening for infants in the Neonatal Intensive Care Unit (NICU) is performed due to concerns of dysphagia and gastroesophageal reflux disease (GERD). No standards currently exist regarding feed-thickening prescriptions and practices and this results in variable and potentially unsafe feeding approaches.

Methods: Electronic surveys were sent to neonatal feeding therapists and providers in order to determine the prescriptions and practices currently being used for feed-thickening in the NICU. Read More

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http://dx.doi.org/10.1016/j.jnn.2015.07.004DOI Listing
December 2015
9 Reads

A self-paced oral feeding system that enhances preterm infants' oral feeding skills.

J Neonatal Nurs 2015 Jun;21(3):121-126

Neonatal-Perinatal Medicine, Cohen Children's Medical Center of New York, New Hyde Park NY ; Hofstra North Shore Long Island Jewish School of Medicine, Hempstead NY.

Aim: Very low birth weight (VLBW) infants have difficulty transitioning to independent oral feeding, be they breast- or bottle-feeding. We developed a 'self-paced' feeding system that eliminates the natural presence of the positive hydrostatic pressure and internal vacuum build-up within a bottle during feeding. Such system enhanced these infants' oral feeding performance as monitored by overall transfer (OT; % ml taken/ml prescribed), rate of transfer (RT; ml/min over an entire feeding). Read More

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http://dx.doi.org/10.1016/j.jnn.2014.08.004DOI Listing
June 2015
2 Reads

Effects of Oral Stimulus Frequency Spectra on the Development of Non-nutritive Suck in Preterm Infants with Respiratory Distress Syndrome or Chronic Lung Disease, and Preterm Infants of Diabetic Mothers.

J Neonatal Nurs 2014 Aug;20(4):178-188

Overland Park Regional Medical Center, Overland Park, Kansas USA.

The precocial nature of orofacial sensorimotor control underscores the biological importance of establishing ororythmic activity in human infants. The purpose of this study was to assess the effects of comparable doses of three forms of orosensory experience, including a low-velocity spectrally reduced orocutaneous stimulus (NT1), a high-velocity broad spectrum orocutaneous stimulus (NT2), and a SHAM stimulus consisting of a blind pacifier. Each orosensory experience condition was paired with gavage feedings 3x/day for 10 days in the neonatal intensive care unit (NICU). Read More

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http://dx.doi.org/10.1016/j.jnn.2013.10.005DOI Listing
August 2014
15 Reads

Impact of NICU design on environmental noise.

J Neonatal Nurs 2014 Apr;20(2):77-81

Department of Pediatrics & Communicable Diseases, University of Michigan, Ann Arbor, MI.

For neonates requiring intensive care, the optimal sound environment is uncertain. Minimal disruptions from medical staff create quieter environments for sleep, but limit language exposure necessary for proper language development. There are two models of neonatal intensive care units (NICUs): open-bay, in which 6-to-10 infants are cared for in a single large room; and single-room, in which neonates are housed in private, individual hospital rooms. Read More

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http://dx.doi.org/10.1016/j.jnn.2013.07.003DOI Listing
April 2014
22 Reads

Developing a Co-Regulated, Cue-Based Feeding Practice: The Critical Role of Assessment and Reflection.

J Neonatal Nurs 2013 Aug;19(4):139-148

Division of Neonatal-Perinatal Medicine, University of North Carolina Healthcare.

Assessment of early feeding skills of vulnerable infants is common practice in neonatal care centers. However, assessment is often merely an identification of feeding outcomes, rather than a description of the infant's capacities and methods of adapting to the feeding challenge. Descriptive assessment of the feeding process takes into account the dynamic nature of feeding and notes changes that occur as the infant matures and gains feeding experience. Read More

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http://dx.doi.org/10.1016/j.jnn.2013.01.002DOI Listing
August 2013
6 Reads

Is there an advantage for preterm infants to feed orally in an upright or sidelying position?

Chantal Lau

J Neonatal Nurs 2013 Feb;19(1):28-32

Baylor College of Medicine, BCM 320, Department of Pediatrics/Neonatology, One Baylor Plaza, Houston, TX 77030, USA.

Over the last decade, nursing staff and feeding therapists have promoted the upright and sidelying bottle feeding positions as 'optimal' for preterm infants. To verify such benefits, very low birth weight infants were randomized to being fed in the customary semi-reclined (control), upright, or side-lying position. The primary outcome was days from start to independent oral feeding. Read More

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http://dx.doi.org/10.1016/j.jnn.2012.03.013DOI Listing
February 2013
27 Reads

Relationship of Neonatal Oral Motor Assessment Scale to Feeding Performance of Premature Infants.

J Neonatal Nurs 2012 Feb 8;18(1):30-36. Epub 2010 Oct 8.

Department of Bioinformatics, University of Vermont, Burlington, VT 05401, United States.

OBJECTIVE: Some premature infants require prolonged tube-feeding, beyond term equivalent gestational age. Tools that could prospectively identify such infants from among otherwise healthy patients are needed. We examined how well the Neonatal Oral Motor Assessment Scale (NOMAS) predicts premature infants' transition from tube to oral feeding. Read More

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http://dx.doi.org/10.1016/j.jnn.2010.09.004DOI Listing
February 2012
16 Reads

Respiratory treatment history predicts suck pattern stability in preterm infants.

J Neonatal Nurs 2008 Dec;14(6):185-192

Department of Speech-Language-Hearing: Sciences and Disorders, University of Kansas, USA.

Sensory deprivation and motor restriction associated with extensive oxygen therapy may lead to poor oromotor control in preterm infants. Non-nutritive suck is one of the first complex oromotor behaviors infants perform. This study determined the spatiotemporal variability of non-nutritive suck (NNS) pressure trajectories in three preterm groups with differing oxygen histories-one control group with minimal or no O(2) therapy, and two Respiratory Distress Syndrome (RDS) groups with either a mild/moderate (RDS1) or moderate/severe (RDS2) O(2) history. Read More

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http://dx.doi.org/10.1016/j.jnn.2008.07.006DOI Listing
December 2008
5 Reads

Pacifier Stiffness Alters the Dynamics of the Suck Central Pattern Generator.

J Neonatal Nurs 2008 Jun;14(3):79-86

Graduate Research Associate, Communication Neuroscience Laboratories, Program in Speech, Language Hearing and Neuroscience, University of Kansas, Lawrence, Kansas USA.

Variation in pacifier stiffness on non-nutritive suck (NNS) dynamics was examined among infants born prematurely with a history of respiratory distress syndrome. Three types of silicone pacifiers used in the NICU were tested for stiffness, revealing the Super Soothie™ nipple is 7 times stiffer than the Wee™ or Soothie™ pacifiers even though shape and displaced volume are identical. Suck dynamics among 20 preterm infants were subsequently sampled using the Soothie™ and Super Soothie™ pacifiers during follow-up at approximately 3 months of age. Read More

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http://dx.doi.org/10.1016/j.jnn.2007.12.013DOI Listing
June 2008
3 Reads

Non-Nutritive Suck Parameter in Preterm Infants with RDS.

J Neonatal Nurs 2008 Feb;14(1):28-34

Graduate Research Associate, Communication Neuroscience Laboratories, Program in Neuroscience, University of Kansas, Lawrence, Kansas USA.

OBJECTIVE: To characterize the integrity of non-nutritive suck (NNS) parameters among three groups of preterm infants ranging from normal to those with progressive degrees of respiratory distress syndrome (RDS). STUDY DESIGN: NNS compression waveforms were sampled from 55 infants in the neonatal intensive care unit using a silicone pacifier electronically instrumented for intraluminal pressure. Seven select NNS parameters were measured at two different sessions, and statistically analyzed using a General Linear Model Analysis of Covariance. Read More

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http://dx.doi.org/10.1016/j.jnn.2007.12.005DOI Listing
February 2008
15 Reads

Respiratory Distress Syndrome Degrades the Fine Structure of the Non-Nutritive Suck In Preterm Infants.

J Neonatal Nurs 2008 ;14(1):9-16

Graduate Research Associate, Communication Neuroscience Laboratories, University of Kansas, Lawrence, Kansas USA.

AIMS AND OBJECTIVES: Suck development is a challenging hurdle for preterm infants who endure an extensive oxygen history due to respiratory distress syndrome (RDS). The fine structure of the non-nutritive suck (NNS) was studied in preterm infants according to RDS severity. DESIGN AND METHODS: Recordings of NNS were completed cribside in the neonatal intensive care unit (NICU) in 55 preterm infants distributed among one healthy control group and two RDS infant groups. Read More

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http://dx.doi.org/10.1016/j.jnn.2007.11.001DOI Listing
January 2008
9 Reads
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