Sucking Stimulation in Low Birth Weight Newborns for promoting sucking development before discharge in Phrae Hospital=การนวดกระตุ้นการดูดกลืนในทารกแรกเกิดน้ำหนักตัวน้อย เพื่อเพิ่มประสิทธิภาพการดูดนมก่อนจำหน่าย โรงพยาบาลแพร่

บทคัดย่อ

Background:  Low birth weight newborns usually come with sucking problem according toincomplete development of digestive system such as sucking reflex and nervous complex causing them slow sucking development so they have to stay in hospital longer than usual. Promoting on sucking development by massaging to stimulate sucking may help these newborns to accelerate their sucking development.

Objective: To compare sucking development in low birth weight newborns between twogroup that present and absent sucking simulation. This study is prospective interrupted time in newborns with birth weight lower than 2,500 gram and 35 weeks gestation or more  that admit in neonatal special care unit at Phrae hospital during March to November 2016. 22 newborns that absent sucking stimulation were collected data from March to May 2016 and 44 newborns that present sucking stimulation were collected data from June to November 2016.

Study design: Compare general information, efficiency on sucking duration, milk volume fromsucking and admitted duration in two groups with percentage, mean and standarddeviation. Analysis with t-test and exact probability test.

Results: There were 66 newborns with low birth weight that admitted in neonatal special care unit, Phrae hospital. Experiment group are twice in number with control group. These two groups were not different in sex, gestation age, deliver method, birth weight, APGAR score, mothers’ underlying disease and newborn complications. Experimental group were faster in sucking development than control group with statistical significant but not different in milk volume and  admitted duration.

Conclusions:  Nurse and health care team should apply sucking stimulation to newborns with birth weight lower than 2,500 gram for promoting sucking development.

Keywords:  Low birth weight newborns, sucking development, sucking stimulation