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Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale

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Author(s):
Fujinaga, Cristina Ide ; de Moraes, Suzana Alves ; Zamberlan-Amorim, Nelma Ellen ; Castral, Thala Correa ; de Almeida e Silva, Andreara ; Silvan Scochi, Carmen Gracinda
Total Authors: 6
Document type: Journal article
Source: REVISTA LATINO-AMERICANA DE ENFERMAGEM; v. 21, p. 6-pg., 2013-01-01.
Abstract

Introduction: Health professionals have great difficulties to establish the adequate and safe time to start breast feeding in preterm infants. There is a need to develop a standardized tool to help health professionals to comprehensively evaluate preterm infant readiness to transition preterm infants 'feeding from gastric to oral, and encourage breast feeding practice in neonatal units. Aims: To clinical validate the accuracy of a Preterm Oral Feeding Readiness Assessment Scale with 60 clinically stable preterm infants. Methods: Global accuracy, sensitivity and specificity of Preterm Oral Feeding Readiness Assessment Scale cut-offs, compared to milk intake through translactation, were estimated through ROC curves (Receiver Operating Characteristic Curves). Results: The global accuracy of Preterm Oral Feeding Readiness Assessment Scale was 74.38%. The highest sensitivity and specificity were obtained for three cut-offs: 28, 29 and 30. Since higher specificity (75.68%) for the Preterm Oral Feeding Readiness Assessment Scale was found at a score cut-off=of 30 showed higher specificity (75.68%), it should be used as a cut-off score to select initiate breastfeeding the preterm newborns' oral feeding readiness. Conclusion: The Preterm Oral Feeding Readiness Assessment Scale is considered valid to assist health professionals to initiate preterm feeding in view of promoting safe and objective breastfeeding. (AU)

FAPESP's process: 11/04236-3 - Asses the readiness of preterm infants for the start breastfeeding: correlation between the score and performance in relactation
Grantee:Andreara de Almeida e Silva
Support Opportunities: Scholarships in Brazil - Master