Cot-side Suckometry and Oral Stimulation in Very Preterm Infants: A Pilot Study
NCT07632066 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 17
Last updated 2026-06-10
Summary
Very preterm infants - born before 32 weeks' gestational age - commonly experience delayed transition to oral feeding due to immature suck-swallow-breathe coordination. This prospective pilot study have two aims: (1) to assess the feasibility of cot-side non-nutritive sucking assessment (suckometry) from the first postnatal days in very preterm infants; and (2) to characterise early sucking performances before and after routine implementation of a structured oral stimulation protocol.
Very preterm infants - born before 33 weeks gestational age - enrolled in a single-centre level III neonatal unit. Sucking performance measured weekly using a novel bedside suckometer from the first postnatal week until full oral feeding autonomy. Clinical outcomes and sucking parameters compared between non-stimulated (NOSTIM) and stimulated (STIM) groups.
Conditions
- Prematurity; Extreme
- Feeding Difficulties
Interventions
- OTHER
-
Bedside Suckometer
Bedside non-nutritive suckometer comprising a silicone teat connected to dual micro-pressure sensors. Quantifies suction (negative) and compression (positive) pressures in real time. Measurements performed weekly from the first postnatal week until full oral feeding autonomy in all participants.
- OTHER
-
Structured Oral Stimulation Protocol
The structured oral stimulation protocol was developed with reference to the Fucile protocol (Fucile et al., 2002) and the Premature Infant Oral Motor Intervention (PIOMI; Lessen et al., 2015). It involved gentle perioral stimulation using a gloved finger, progressing from the ear to the labial commissure. Responsive infants received escalating stimulation of the lips and intraoral structures (gums, palate, tongue). Sessions delivered 2-4 times daily by trained nurses during routine care, initiated within the first three postnatal days and continued until the introduction of oral feeding.
Sponsors & Collaborators
-
Centre National de la Recherche Scientifique, France
collaborator OTHER -
Hôpital de la Croix-Rousse
lead OTHER
Principal Investigators
-
jean-charles picaud, md, phd · Hopital croix rousse
Eligibility
- Max Age
- 6 Months
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-05-30
- Primary Completion
- 2013-05-01
- Completion
- 2013-05-01
Countries
- France
Study Locations
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