Widström A M, Thingström-Paulsson J
Department of Pediatrics, Karolinska Hospital, Karolinska Institute, Stockholm, Sweden.
Acta Paediatr. 1993 Mar;82(3):281-3. doi: 10.1111/j.1651-2227.1993.tb12660.x.
A common breast-feeding problem is when the infant "places its tongue in its palate" and has difficulties in attaching to its mother's nipple. The aim of this study was to document the position of the tongue in the mouth cavity during rooting reflexes elicited in newborn infants before the first suckle. Eleven healthy, full-term infants were videotaped 101 +/- 31 min after birth during an evoked distinct rooting reflex before the first suckle. The videotaped rooting reflex was analyzed in detail concerning the degree of turning of the head, mouth opening and position of the tongue, in pictures that were "frozen" at specific intervals. "Licking movements" preceded and followed the rooting reflex in the alert infants. In 10 of the 11 infants the tongue was placed in the bottom of the mouth cavity during a distinct rooting reflex (p = < 0.05). It is suggested that forcing the infant to the breast might abolish the rooting reflex and disturb placement of the tongue. A healthy infant should have the opportunity of showing hunger and optimal reflexes, and attach to its mother's nipple by itself.
一个常见的母乳喂养问题是婴儿“将舌头放在上颚”，难以含住母亲的乳头。本研究的目的是记录新生儿首次吸吮前诱发觅食反射时口腔内舌头的位置。11名健康足月儿在出生后101±31分钟首次吸吮前诱发明显觅食反射时被录像。在特定间隔“定格”的画面中，对录像的觅食反射进行详细分析，涉及头部转动程度、张口情况和舌头位置。在清醒的婴儿中，“舔舐动作”在觅食反射前后出现。11名婴儿中有10名在明显觅食反射时舌头位于口腔底部（p =<0.05）。有人认为，强迫婴儿靠近乳房可能会消除觅食反射并干扰舌头的位置。健康的婴儿应有机会表现出饥饿和最佳反射，并自行含住母亲的乳头。
