Effects of Oral Stimulation Intervention in Newborn Babies with Cri du Chat Syndrome: Single-Subject Research Design.
Mi Kyung Kim, Deok Ju Kim
PMID 29853814WHAT IT FOUND
Bottle intake and oxygen saturation during feeds were higher when oral stimulation was added to nonnutritive sucking and tube feeding in a newborn with cri du chat syndrome.
This is a single case, not evidence the method works.
Key findings
01During intervention, when oral stimulation was added to nonnutritive sucking training, daily oral feeding amount was 43.8 ± 22.5 mL, compared with 11.6 ± 2.0 mL during baseline nonnutritive sucking only.
02Intake per oral feeding was 7.0 ± 2.5 mL at baseline and 27.1 ± 13.1 mL during intervention.
03Oxygen saturation during feeding was 72.4 ± 3.0% at baseline and 90.7 ± 10.9% during intervention.
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How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study involved a baby with a rare syndrome, so it cannot show what will happen in other babies. The baby received nonnutritive sucking training during both phases, so the separate effect of oral stimulation cannot be identified. There was no follow-up after the intervention phase. Instrumental swallowing assessment was not done because the hospital avoided it for premature infants in the NICU. The analysis was descriptive and did not use a control group or statistical hypothesis testing. The baby had an NG tube and oxygen support during parts of care, so other supports may have influenced feeding and oxygen values.
The easy way to misread this
Do not conclude that oral stimulation alone improved feeding or oxygen saturation. The baby also received nonnutritive sucking training and tube support, and this is a single case without follow-up.