الفهرس 
Aim of The WorkOnly 14 pages are availabe for public view
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Abstract
Preterm infants have immature anatomy as well as physiology predisposing them to many risky conditions and difficulty to adapt to the postnatal life. One of the major disabilities is the oral feeding which is vital to correct before discharging the baby home.
Oral feeding disorders of preterm infants have been attributed to the immature physiology, anatomy and nervous system as well, hyper-reactivity to surrounding stimuli, hypotonic muscles unstable body temperature, cardiorespiratory disorders, and the short alertness periods.
Therefore, enteral feeding (gavage) is the choice for preterm newborns. More than 30% of preterm infants are unable to smoothly transition from enteral to oral feeding occurs in more than 30% of preterms .
The study in hands evaluated the effect of pre-feeding oral stimulation program on feeding performance and weight gain of preterm infants in NICU and the effect of early oral stimulation on the duration of hospitalization.
This prospective clinical study was conducted in in NICU in Menoufia university hospital. The ethical committee at the faculty of medicine, Menoufia University approved the study protocol before commencing it. For every patient included in the study, an informed consent was obtained from parents before data collection.
The study included 50 pre-term neonates delivered with gestational age ≤37 weeks, healthy preterm and both males and females
Summary
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All newborn will be divided into2 groups; Interventional group (25 preterm infants) (were received pre-feeding oral stimulation program which consists of stimulating of the oral and perioral structures for 5 minutes for 10 days. It will start immediately after delivery); Control group (25 preterm infants): not received stimulation.
All neonates were subjected to full detailed history required about mother and newborn, thorough clinical examination, and gestational age assessment. Statistical package SPSS (Statistical Package for the Social Sciences) version 23 was adapted for tabulating and analyzing the gathered data.
The intervention group spend a significantly shorter duration in the hospital and significantly shorter enteral feeding duration than the control group (p<0.001, p=0.004 respectively); the mean oral feeding duration was reduced in the study group than the control group (p=0.04); the transition time was reduced significantly in the study group (p<0.001).
The weight of the studied groups was comparable at admission (p=0.07) and on discharge, while the percentage of weight change was higher among the study group than the control group (p=0.03)
We concluded that early sensory oral motor stimulation with non-nutritive sucking in preterm infants may be effective to expedite oral feeding and hospital discharge.
We recommend stimulation of the oral motor and sensory systems of the in preterm in order to anticipate the transition period to full oral feeding. It is also recommended to study the same interventions of this study in relation to stimulus type and the duration of stimulation.