Selver Güler, Zerrin Çiğdem, Melike Yavaş Çelik, Brenda S Lessen Knoll
{"title":"The Prehabilitative Effect of the Premature Infant Oral Motor Intervention (PIOMI) on Breastfeeding Duration up to 12 Months Post Discharge.","authors":"Selver Güler, Zerrin Çiğdem, Melike Yavaş Çelik, Brenda S Lessen Knoll","doi":"10.1097/JPN.0000000000000964","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To examine the effect of the Premature Infant Oral Motor Intervention (PIOMI) on breastfeeding duration after discharge, as well as weight gain, up to 12 months of noncorrected age.</p><p><strong>Background: </strong>Preterm infants face difficulties breastfeeding due to immature oral motor skills. Prehabilitative oral motor therapy during early preterm hospitalization may enhance breastfeeding initiation and duration post discharge.</p><p><strong>Methods: </strong>The randomized controlled trial was carried out with 64 preterm infants, with intervention 1× day for 14 days while hospitalized, and follow-up measures made at 6, 9, and 12 months. The control group (n = 32) received standard routine care. The experimental group (n = 32) received PIOMI treatment.</p><p><strong>Results: </strong>Breastfeeding duration in the experimental group was a mean of approximately 4 months longer when compared to the control group (P < .05). Additionally, the mean body weights of the preterm infants in the experimental group were significantly higher at 12 months than in the control group (P < .05).</p><p><strong>Conclusions: </strong>Early prehabilitative therapy using PIOMI in the preterm period has long-term sustained positive effects on breastfeeding and weight gain post discharge.</p><p><strong>Implications for practice and research: </strong>Evidence-based practices are required to support the breastfeeding of the premature infant. Future studies should continue to assess oral motor interventions on initiation and duration of breastfeeding, and the impact on early childhood development. Parent involvement in therapy should also be examined.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Perinatal & Neonatal Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JPN.0000000000000964","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To examine the effect of the Premature Infant Oral Motor Intervention (PIOMI) on breastfeeding duration after discharge, as well as weight gain, up to 12 months of noncorrected age.
Background: Preterm infants face difficulties breastfeeding due to immature oral motor skills. Prehabilitative oral motor therapy during early preterm hospitalization may enhance breastfeeding initiation and duration post discharge.
Methods: The randomized controlled trial was carried out with 64 preterm infants, with intervention 1× day for 14 days while hospitalized, and follow-up measures made at 6, 9, and 12 months. The control group (n = 32) received standard routine care. The experimental group (n = 32) received PIOMI treatment.
Results: Breastfeeding duration in the experimental group was a mean of approximately 4 months longer when compared to the control group (P < .05). Additionally, the mean body weights of the preterm infants in the experimental group were significantly higher at 12 months than in the control group (P < .05).
Conclusions: Early prehabilitative therapy using PIOMI in the preterm period has long-term sustained positive effects on breastfeeding and weight gain post discharge.
Implications for practice and research: Evidence-based practices are required to support the breastfeeding of the premature infant. Future studies should continue to assess oral motor interventions on initiation and duration of breastfeeding, and the impact on early childhood development. Parent involvement in therapy should also be examined.
期刊介绍：
The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses.
The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
