The efficacy of oral motor interventions on feeding outcomes in newborns with hypoxic-ischemic encephalopathy who received therapeutic hypothermia

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dc.contributor.authorBozkaya, Aydın
dc.contributor.authorGüneş, Aslı Okbay
dc.contributor.authorÇiftçi, Hilal Berber
dc.contributor.authorDavutoğlu, Salih
dc.date.accessioned2025-03-17T12:22:54Z
dc.date.available2025-03-17T12:22:54Z
dc.date.issued2023
dc.departmentTarsus Üniversitesi
dc.description.abstractBackground. Feeding difficulties continue to be a serious problem in newborns with hypoxic-ischemic encephalopathy (HIE) undergoing therapeutic hypothermia (TH). The aim of this study was to investigate the efficacy of oral motor interventions (OMI) on feeding outcomes in neonates with HIE/TH. Methods. This was a prospective randomised control study conducted between January 2022 and September 2022. Premature Infant Oral Motor Intervention (PIOMI) was used as OMI. Newborns with HIE/TH, who underwent PIOMI, constituted the study group, and newborns, who did not receive any feeding exercise, constituted the control group. Transition time to full oral feeding (FOF) was determined as the time between initiation of tube feeding and full oral breastfeeding or bottle feeding. The day per oral (PO) feeding was started was specified as PO first, the day the infants could take half of the volume of the feedings by mouth was PO half, and the day the infants could take all the feedings by mouth was PO full. Results. There were 50 neonates in each group. Time to FOF was significantly shorter in the study group than in the control group in all stages of HIE/TH (P= 0.008 for stage 1, and <0.001 for stage 2 and 3 HIE). However, times to PO first, PO half, PO full and discharge were shorter in the study group than in the control group only in the neonates with stage 3 HIE (P= 0.003, 0.014, 0.013, 0.042, respectively). Conclusions. The PIOMI, which could be named as “HIE-OMI” in our study, is an effective intervention in shortening the transition time to FOF in neonates with all stages of HIE undergoing TH. In addition, “HIE-OMI” shortens the length of hospital stay, and improves feeding outcomes in neonates with severe HIE/TH. © 2023, Turkish National Pediatric Society. All rights reserved.
dc.identifier.doi10.24953/turkjped.2023.349
dc.identifier.endpage958
dc.identifier.issn0041-4301
dc.identifier.issue6
dc.identifier.pmid38204309
dc.identifier.scopus2-s2.0-85182178867
dc.identifier.scopusqualityQ3
dc.identifier.startpage949
dc.identifier.trdizinid1221606
dc.identifier.urihttps://doi.org/10.24953/turkjped.2023.349
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1221606
dc.identifier.urihttps://hdl.handle.net/20.500.13099/1457
dc.identifier.volume65
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish National Pediatric Society
dc.relation.ispartofTurkish Journal of Pediatrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_Scopus_20250316
dc.subjectfeeding outcomes
dc.subjecthypoxic ischemic encephalopathy
dc.subjectoral motor interventions
dc.subjecttherapeutic hypothermia
dc.titleThe efficacy of oral motor interventions on feeding outcomes in newborns with hypoxic-ischemic encephalopathy who received therapeutic hypothermia
dc.typeArticle

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