Dept LCS, City University, Northampton Square, London, United Kingdom.
J Pediatr Nurs. 2012 Dec;27(6):700-6. doi: 10.1016/j.pedn.2012.01.006. Epub 2012 Feb 22.
This individual case study presents an evaluation of and reflection on the use of nonnutritive sucking as a technique to facilitate nutritive sucking with an infant with feeding difficulties. Nonnutritive sucking is used in a variable way with mainly premature or sick infants. However, the rationale underpinning use of such an approach is not clear. The infant participant in this study, Baby H, was born at 37 weeks. This case illustrates the use of nonnutritive sucking as an approach with supported rationales for promoting transition toward oral feeding with infants who have complex needs and who are term infants. The literature focuses on using nonnutritive sucking with premature infants who have no additional difficulties such as hypoxic neonatal encephalopathy, meconium aspiration, sepsis, or severe perinatal asphyxia. The intervention carried out with Baby H demonstrates that nonnutritive sucking can contribute toward the management of an infant's feeding development. Baby H took 23 days to develop a sequential nonnutritive sucking pattern, but her ability to transfer this to nutritive sucking and safe feeding took the first 17 months of this infant's life. This study is unique in that it explored the issues involved with a term infant who had complex needs that impacted on feeding development. It is important because many practitioners use nonnutritive sucking with infants who have complex needs.
本个案研究评估并反思了非营养性吸吮作为一种技术，用于促进有喂养困难的婴儿进行营养性吸吮。非营养性吸吮主要用于早产儿或患病婴儿，使用方式具有多变性。然而，使用这种方法的基本原理尚不清楚。本研究中的婴儿参与者，Baby H，出生于 37 周。本案例说明了非营养性吸吮作为一种方法的使用，为有复杂需求的足月婴儿向口腔喂养过渡提供了支持性的理由。文献主要集中在使用非营养性吸吮早产儿，这些早产儿没有额外的困难，如缺氧性新生儿脑病、胎粪吸入、败血症或严重围产期窒息。对 Baby H 进行的干预表明，非营养性吸吮有助于管理婴儿的喂养发育。Baby H 花了 23 天才形成连续的非营养性吸吮模式，但她将这种模式转移到营养性吸吮和安全喂养上，却花了这个婴儿生命的头 17 个月。这项研究是独特的，因为它探讨了涉及有复杂需求的足月婴儿的问题，这些需求对喂养发育有影响。这很重要，因为许多从业者在有复杂需求的婴儿中使用非营养性吸吮。
