Gualdrón Lucy Marcela Vesga, Villalobos María Mercedes Durán de, Camargo Nancy Milena Bernal
Universidad Nacional de Colombia, Colombia,
Fundación Universitaria de Ciencias de la Salud, Colombia.
Invest Educ Enferm. 2022 Mar;40(1). doi: 10.17533/udea.iee.v40n1e05.
The study aimed to measure the effect of auditory, tactile, visual, and vestibular (ATVV) stimulation therapy on sucking effectiveness (SE), infant-feeding mode, weight, height, and head circumference (HC) of full-term infants.
A single-blinded randomized trial with a sample of 107 mother-child dyads. Inclusion criteria were healthy first-time mothers and full-term infants with no known pathological conditions, weighing between 2500 and 4000 grams, and recommendation of exclusive or predominant breastfeeding. The mothers in the experimental group (EG) received training in ATVV stimulation therapy and provided it from birth (first 24 hours of life) until the end of the follow-ups at week 5. The control group (CG) received only standard care that included education on warning signs and basic guidance on breastfeeding. SE, infant-feeding mode, and neonatal growth were measured at weeks 2 and 5.
In contrast to CG infants, the EG infants drank 2.02 cc more human milk in one minute of effective breastfeeding (p=0.002) at week 2 and 5.51 cc more at week 5 (p<0.0001). They showed greater adherence to breastfeeding at week 5 (p=0.025) and gained more weight: 8.35 grams/day (p=0.009) and 4.19 grams/day (p=0.008). HC did not differ between groups, and height difference was statistically significant at week 5 (p=0.025).
ATVV stimulation therapy has a positive effect on neonatal health as it promotes effective sucking and exclusive breastfeeding, reduces weight loss, and improves neonatal growth.
本研究旨在测量听觉、触觉、视觉和前庭（ATVV）刺激疗法对足月儿吸吮效率（SE）、婴儿喂养方式、体重、身高和头围（HC）的影响。
一项单盲随机试验，样本为107对母婴。纳入标准为健康的初产妇和足月儿，无已知病理状况，体重在2500至4000克之间，且建议纯母乳喂养或主要母乳喂养。实验组（EG）的母亲接受了ATVV刺激疗法培训，并从出生（出生后前24小时）开始提供该疗法，直至第5周随访结束。对照组（CG）仅接受标准护理，包括关于警示信号的教育和母乳喂养的基本指导。在第2周和第5周测量SE、婴儿喂养方式和新生儿生长情况。
与CG组婴儿相比，EG组婴儿在第2周有效母乳喂养1分钟时多喝2.02毫升母乳（p = 0.002），在第5周多喝5.51毫升（p < 0.0001）。他们在第5周对母乳喂养的依从性更高（p = 0.025），体重增加更多：每天增加8.35克（p = 0.009）和每天增加4.19克（p = 0.008）。两组之间HC无差异，第5周时身高差异有统计学意义（p = 0.025）。
ATVV刺激疗法对新生儿健康有积极影响，因为它能促进有效吸吮和纯母乳喂养，减少体重减轻，并改善新生儿生长。
