Breathing pattern of neonates during nonnutritive sucking.

Alteration of the breathing pattern seen during oral feeding has been attributed to the behavioral activity of sucking, repeated swallowing, and laryngeal chemoreceptor stimulation. Because it preserves the behavioral activity of sucking but eliminates the laryngeal chemoreceptor stimulation and repeated swallowing that occurs during nutritive sucking, the effects of nonnutritive sucking was evaluated in 19 term infants. The suck-pause pattern seen during nonnutritive sucking is similar to that of nutritive sucking. None of the variables measured (inspiratory duration, expiratory duration, breathing frequency, and tidal volume) were significantly altered during the overall period of nonnutritive sucking when compared with previously obtained control values. These results suggest that the alteration of breathing pattern observed during oral feeding cannot be accounted for by the behavioral activity of sucking per se. However, when the sucking phases of the nonnutritive period were compared with the intervening pauses, a reduction in the expiratory duration (P less than 0.05) and a reduction in tidal volume (P less than 0.05) were observed. Thus, the breathing pattern of human neonates is indeed altered during the sucking phase of the nonnutritive period; pressure changes associated with sucking may account for this alteration.