Arquivo da tag: recém-nascido

Oral and general motor behavior of newborns from crack and/or cocaine using mothers

Marisa Gasparin; Josiele Larger Silveira; Letícia Wolff Garcez; Beatriz Salle Levy

Rev. soc. bras. fonoaudiol. vol.17 no.4 São Paulo dez. 2012

ABSTRACT

PURPOSE: To analyze the oral and general motor behavior of newborns from women that used crack and/or cocaine when pregnant and verify if there is any relationship between the development of the oral and the general sensorimotor systems.
METHODS: Cross-sectional study assessing 25 premature and full-term newborns from women who were crack and/or cocaine users and comparing them to another group composed of 25 newborns without the studied factor. The oral and general sensorimotor systems were evaluated by using the Preterm Infant Oral Feeding Readiness Assessment Instrument and the Test of Infant Motor Performance (TIMP). The results compared scores found in both scales and their relationship to the use of crack and/or cocaine during pregnancy.
RESULTS: No deviation was found by the TIMP when comparing the newborns from crack and/or cocaine-using mothers to the ones from non-using mothers. The results from the Preterm Infant Oral Feeding Readiness Assessment Instrument showed deviations. A relationship between the results from babies who presented a delayed TIMP and a lower score in the Preterm Infant Oral Feeding Readiness Assessment Instrument was observed.
CONCLUSION: The low performance observed in the Preterm Infant Oral Feeding Readiness Assessment Instrument suggests that oral motor responses change with the use of drugs during pregnancy. The correlation between both instruments shows that the development of the oral sensorimotor system can be related to general motor development.

Keywords: Infant, newborn; Infant, premature; Crack cocaine; Psychomotor performance; Stomatognathic system; Child development

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Anúncios

Comportamento motor oral e global de recém-nascidos de mães usuárias de crack e/ou cocaína

Marisa Gasparin; Josiele Larger Silveira; Letícia Wolff Garcez; Beatriz Salle Levy

Rev. soc. bras. fonoaudiol. vol.17 no.4 São Paulo dez. 2012

RESUMO

OBJETIVO: Analisar o comportamento motor oral e global de recém-nascidos de mães que fizeram uso de crack e/ou cocaína durante a gestação e verificar se há relação entre o desenvolvimento dos sistemas sensório motor oral (SSMO) e motor global.
MÉTODOS: Estudo transversal, em que foram avaliados 25 recém-nascidos prematuros e a termo de mães usuárias de crack e/ou cocaína, pareados com outro grupo de 25 recém-nascidos sem o fator em estudo. As avaliações do SSMO e motor global foram realizadas por meio do Instrumento de Avaliação da Prontidão do Prematuro para Início da Alimentação Oral e do Test of Infant Motor Performance (TIMP), respectivamente. Os resultados compararam os escores encontrados nas duas escalas e a relação destes com o uso materno do crack e/ou cocaína durante a gestação.
RESULTADOS: No TIMP não foi constatada diferença na comparação entre os escores de recém-nascidos de mães usuárias de crack e/ou cocaína e os de mães não usuárias. No Instrumento de Avaliação da Prontidão do Prematuro para Início da Alimentação Oral, os resultados apresentaram diferença. Foi observada associação entre os resultados de bebês que apresentaram atraso no TIMP com menor escore no Instrumento de Avaliação da Prontidão do Prematuro para Início da Alimentação Oral.
CONCLUSÃO: O baixo desempenho observado no Instrumento de Avaliação da Prontidão do Prematuro para Início da Alimentação Oral sugere que as respostas motoras orais estão alteradas pelo uso materno das drogas. A correlação entre os dois instrumentos mostra que o desenvolvimento do SSMO pode estar relacionado ao desenvolvimento motor global.

Descritores: Recém-nascido; Prematuro; Cocaína crack; Desempenho psicomotor; Sistema estomatognático; Desenvolvimento infantil

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Impact of feeding strategies on the frequency and clearance of acid and nonacid gastroesophageal reflux events in dysphagic neonates

Jadcherla SR; Chan CY; Moore R; Malkar M; Timan CJ; Valentine CJ

JPEN J Parenter Enteral Nutr;36(4):449-55, 2012 Jul.

BACKGROUND: Feeding difficulties and gastroesophageal reflux (GER) are common problems in neonates. The authors hypothesize that GER could be influenced by feeding mechanics by evaluating the effects of feeding volumes, feeding durations, feeding flow rates, and caloric density on the chemical composition and clearance of GER in dysphagic neonates. METHODS: Symptomatic dysphagic neonates (n = 35) underwent evaluation for suspected GER using pH-impedance methods. RESULTS: The proportions of acid and nonacid GER were different during the first, second, and third postprandial hours (P < .0001). Prolonged feeding duration was significantly associated with decreased total, nonacid GER and BCT (P < .03). Significant positive correlations (P < .05) were detected between feeding flow rate vs frequency of total, nonacid GER and BCT. Significant positive correlation (P = .002) was noted between feeding volume and BCT. BCT decreased with each hourly interval (analysis of variance [ANOVA] P < .05); however, ACT increased with each hourly interval (ANOVA P = .05). Comparison between BCT and ACT at each postprandial hour is remarkable for longer ACT during the second and third hours after the initiation of feed (P ≤ .001). No significant correlation was noted between the milk types (breast milk or formula) or caloric density with regard to the GER characteristics. Oral-fed infants had more GER events than gavage-fed infants. CONCLUSIONS: Prolonged feeding durations and slower flow rates are associated with decreased frequency of GER. Modification of feeding duration and flow rate can be a useful adjunct to ameliorate GER in dysphagic neonates.

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