Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
권호 표지
DOI QR코드

DOI QR Code

Developing the Mansoura Early Feeding Skills Assessment Scale for Preterm Infants

  • Omnia El-Kassas (Department of Otorhinolaryngology, Faculty of Medicine, Mansoura University) ;
  • Ayman Amer (Department of Otorhinolaryngology, Faculty of Medicine, Mansoura University) ;
  • Hesham Abdel-Hady (Department of Pediatric, Faculty of Medicine, Mansoura University) ;
  • Tamer Abou-Elsaad (Department of Otorhinolaryngology, Faculty of Medicine, Mansoura University)
  • Received : 2022.11.20
  • Accepted : 2023.08.21
  • Published : 2023.11.15
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to develop a new bedside scoring system scale that assesses preterm infants' oral feeding skills (OFS) in the neonatal intensive care unit (NICU). Methods: A literature review and critical appraisal of available oral feeding assessment tools/scores were performed. Subsequently, we developed the "Mansoura Early Feeding Skills Assessment" (MEFSA) scale, an 85-item observational measure of oral feeding skills with three main sections. Forty-one preterm infants who did not receive oral feeding but were clinically stable enough to initiate oral feeding were included in the study. Next, we applied and interpreted the MEFSA to describe and score their feeding skills. Results: Applying the MEFSA resulted in a smooth feeding transition, early start of oral feeding, full oral feeding, and discharge with a shorter period of tube feeding in preterm infants. Conclusion: The MEFSA is a successful bedside scoring system that assesses the OFS of preterm infants in the NICU.

Keywords

References

  1. Park J, Knafl G, Thoyre S, Brandon D. Factors associated with feeding progression in extremely preterm infants. Nurs Res 2015;64:159-67. https://doi.org/10.1097/NNR.0000000000000093
  2. Cooper L, Gooding J, Gallagher J, Sternesky L, Ledsky R, Berns S. Impact of a family-centered care initiative on NICU care, staff and families. J Perinatol 2007;27 Suppl 2:S32-7. https://doi.org/10.1038/sj.jp.7211840
  3. Whetten CH. Cue-based feeding in the NICU. Nurs Womens Health 2016;20:507-10. https://doi.org/10.1016/j.nwh.2016.08.006
  4. Arvedson JC. Swallowing and feeding in infants and young children. GI Motility Online 2006. doi: 10.1038/gimo17
  5. Velayutham P, Irace AL, Kawai K, Dodrill P, Perez J, Londahl M, et al. Silent aspiration: who is at risk? Laryngoscope 2018;128:1952-7. https://doi.org/10.1002/lary.27070
  6. Duncan DR, Mitchell PD, Larson K, Rosen RL. Presenting signs and symptoms do not predict aspiration risk in children. J Pediatr 2018;201:141-6. https://doi.org/10.1016/j.jpeds.2018.05.030
  7. Viviers M, Kritzinger A, Vinck B. Development of a clinical feeding assessment scale for very young infants in South Africa. S Afr J Commun Disord 2016;63:e1-11. https://doi.org/10.4102/sajcd.v63i1.148
  8. de Paula Bolzan G, Berwig LC, Prade LS, Cuti LK, de Carvalho Yamamoto R, da Silva AMT, et al. [Assessment for oral feeding in preterm infants]. Codas 2016:0:0. Portuguese.
  9. Abouseif HA, Mansour AF, Hassan SF, Sabbour SM. Prevalence and outcome of Preterm Premature Rupture of Membranes (PPROM) among pregnant women attending Ain Shams maternity hospital. Egypt J Community Med 2018;36:99-107. https://doi.org/10.21608/ejcm.2018.11055
  10. Rogers B, Arvedson J. Assessment of infant oral sensorimotor and swallowing function. Ment Retard Dev Disabil Res Rev 2005;11:74-82. https://doi.org/10.1002/mrdd.20055
  11. Medeiros A, Ferreira J, Felicio C. Correlation between feeding methods, non-nutritive sucking and orofacial behaviors. Pro Fono 2009;21:315-9. https://doi.org/10.1590/S0104-56872009000400009
  12. da Costa SP, van Der Schans CP. The reliability of the Neonatal Oral-Motor Assessment Scale. Acta Paediatr 2008;97:21-6.
  13. Neiva FC, Leone CR, Leone C, Siqueira LL, Uema KA, Evangelista D, et al. Non-nutritive sucking evaluation in preterm newborns and the start of oral feeding: a multicenter study. Clinics (Sao Paulo) 2014;69:393-7. https://doi.org/10.6061/clinics/2014(06)05
  14. da Costa SP, Hubl N, Kaufman N, Bos AF. New scoring system improves inter-rater reliability of the Neonatal Oral-Motor Assessment Scale. Acta Paediatr 2016;105:e339-44. https://doi.org/10.1111/apa.13461
  15. Fujinaga CI. Preterm readiness to start oral feeding: reliability and clinical validation of an evaluation instrument.: University of Sao Paulo; 2005.
  16. Neiva FCB, Leone C, Leone CR. Non-nutritive sucking scoring system for preterm newborns. Acta Paediatr 2008;97:1370-5. https://doi.org/10.1111/j.1651-2227.2008.00943.x
  17. Lau C, Smith EO. A novel approach to assess oral feeding skills of preterm infants. Neonatology 2011;100:64-70. https://doi.org/10.1159/000321987
  18. Palmer MM, Crawley K, Blanco IA. Neonatal Oral-Motor Assessment scale: a reliability study. J Perinatol 1993;13:28-35.
  19. Braun MA, Palmer MM. A pilot study of oral-motor dysfunction in "at-risk" infants. Phys Occup Ther Pediatr 1985;5:13-26. https://doi.org/10.1080/J006v05n04_02
  20. Thoyre S, Shaker C, Pridham K. The early feeding skills assessment for preterm infants. Neonatal Netw 2005;24:7-16. https://doi.org/10.1891/0730-0832.24.3.7
  21. Fujinaga CI, Zamberlan NE, Rodarte M, Scochi C. [Reliability of an instrument to assess the readiness of preterm infants for oral feeding]. Pro Fono 2007;19:143-50. Portuguese. https://doi.org/10.1590/S0104-56872007000200002
  22. McGrath JM, Braescu AVB. State of the science: feeding readiness in the preterm infant. J Perinat Neonatal Nurs 2004;18:353-68; quiz 369-70. https://doi.org/10.1097/00005237-200410000-00006
  23. Gennattasio A, Perri EA, Baranek D, Rohan A. Oral feeding readiness assessment in premature infants. MCN Am J Matern Child Nurs 2015;40:96-104; E9-E10.
  24. Gianni ML, Sannino P, Bezze E, Plevani L, Esposito C, Muscolo S, et al. Usefulness of the Infant Driven Scale in the early identification of preterm infants at risk for delayed oral feeding independency. Early Hum Dev 2017;115:18-22. https://doi.org/10.1016/j.earlhumdev.2017.08.008
  25. Khanna P, Maron JL, Walt DR. Development of a rapid salivary proteomic platform for oral feeding readiness in the preterm newborn. Front Pediatr 2017;5:268.
  26. Macias MER, Meneses GJS. Physiology of nutritive sucking in newborns and infantsPEDIATRIC THEME. Bol Med Hosp Infant Mex 2011;68:296-303.
  27. Ingram J, Johnson D, Copeland M, Churchill C, Taylor H. The development of a new breast feeding assessment tool and the relationship with breast feeding self-efficacy. Midwifery 2015;31:132-7. https://doi.org/10.1016/j.midw.2014.07.001
  28. Tobin DL. A breastfeeding evaluation and education tool. J Hum Lact 1996;12:47-9. https://doi.org/10.1177/089033449601200111
  29. Shrago L, Bocar D. The infant's contribution to breastfeeding. J Obstet Gynecol Neonatal Nurs 1990;19:209-15. https://doi.org/10.1111/j.1552-6909.1990.tb01638.x
  30. Matthews MK. Developing an instrument to assess infant breastfeeding behaviour in the early neonatal period. Midwifery 1988;4:154-65. https://doi.org/10.1016/S0266-6138(88)80071-8
  31. Schlomer JA, Kemmerer J, Twiss JJ. Evaluating the association of two breastfeeding assessment tools with breastfeeding problems and breastfeeding satisfaction. J Hum Lact 1999;15:35-9. https://doi.org/10.1177/089033449901500110
  32. Jensen D, Wallace S, Kelsay P. LATCH: a breastfeeding charting system and documentation tool. J Obstet Gynecol Neonatal Nurs 1994;23:27-32. https://doi.org/10.1111/j.1552-6909.1994.tb01847.x
  33. Lau Y, Htun TP, Im Lim P, Ho-Lim S, Klainin-Yobas P. Maternal, infant characteristics, breastfeeding techniques, and initiation: Structural equation modeling approaches. PLoS One 2015;10:e0142861.
  34. Mulford C. The mother-baby assessment (MBA): An" Apgar Score" for breastfeeding. J Hum Lact 1992;8:79-82. https://doi.org/10.1177/089033449200800216
  35. Johnson TS, Mulder PJ, Strube K. Mother-infant breastfeeding progress tool: a guide for education and support of the breastfeeding dyad. J Obstet Gynecol Neonatal Nurs 2007;36:319-27. https://doi.org/10.1111/j.1552-6909.2007.00165.x
  36. Kearney MH, Cronenwett LR, Barrett JA. Breast-feeding problems in the first week postpartum. Nurs Res 1990;39:90-5. https://doi.org/10.1097/00006199-199003000-00005
  37. Nyqvist KH, Rubertsson C, Ewald U, Sjoden PO. Development of the Preterm Infant Breastfeeding Behavior Scale (PIBBS): a study of nurse-mother agreement. J Hum Lact 1996;12:207-19. https://doi.org/10.1177/089033449601200318
  38. Skuse D, Stevenson J, Reilly S, Mathisen B. Schedule for oral-motor assessment (SOMA): methods of validation. Dysphagia 1995;10:192-202. https://doi.org/10.1007/BF00260976
  39. Cavallini A, Provenzi L, Sacchi D, Longoni L, Borgatti R. The functional evaluation of eating difficulties scale: study Protocol and Validation in Infants with Neurodevelopmental Impairments and disabilities. Front Pediatr 2017;5:273.
  40. Yi YG, Oh BM, Shin SH, Shin JY, Kim EK, Shin HI. Stress signals during sucking activity are associated with longer transition time to full oral feeding in premature infants. Front Pediatr 2018;6:54.
  41. Pados BF, Park J, Estrem H, Awotwi A. Assessment tools for evaluation of oral feeding in infants less than six months old. Adv Neonatal Care 2016;16:143-50. https://doi.org/10.1097/ANC.0000000000000255
  42. Furman L, Minich NM. Evaluation of breastfeeding of very low birth weight infants: can we use the infant breastfeeding assessment tool? J Hum Lact 2006;22:175-81. https://doi.org/10.1177/0890334406287153
  43. Riordan J, Gill-Hopple K, Angeron J. Indicators of effective breastfeeding and estimates of breast milk intake. J Hum Lact 2005;21:406-12. https://doi.org/10.1177/0890334405281032
  44. Phalen A. Human milk intake in preterm infants: correlation of the preterm infant breastfeeding behavior scale (PIBBS) and test weighing. College of Nursing Faculty Papers & Presentations 2011:41.
  45. Yamamoto RCdC, Prade LS, Bolzan GdP, Weinmann ARM, Keske-Soares M. Readiness for oral feeding and oral motor function in preterm infants. Rev CEFAC 2017;19:503-9. https://doi.org/10.1590/1982-0216201719411616
  46. Prade LS, Bolzan GdP, Berwig LC, Yamamoto RCdC, Vargas CL, Silva AMTd, et al.. Association between readiness for oral feeding and feeding performance in preterm neonates. Audiol Commun Res 2016;21.