SUCKING REFLEX AND THE EFFECTIVENESS OF ENTERAL NUTRITION IN NEONATES DURING THE FIRST MONTHS OF LIFE


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Abstract

Aim. To investigate the effectiveness of sucking in preterm newborns during the transition from tube to oral feeding (breast or bottle) and to substantiate the principles of creating computer software for an objective assessment of the sucking reflex. Materials and methods. The development of sucking activity was examined in 105 infants born at 25-31 weeks, divided into three groups categorized by the severity of respiratory disorders. The study included the development of computer software for non-invasive visual analysis of sucking effectiveness in newborns. Results. The analysis involved examining the association between timing of the onset of sucking, discontinuation of tube feeding, and severity of respiratory disorders. The presence of moderate and severe bronchopulmonary dysplasia significantly prolonged the transition from tube to oral feeding. An objective method using sucking pattern recognition software was developed to assess sucking effectiveness. Conclusion. The developed software allows for a quantitative objectified assessment of the movements of various parts of the newborn’s face during sucking. Once verified and validated, the method can objectively assess sucking in neonates of different gestational ages.

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About the authors

Irina I. Ryumina

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: i_ryumina@oparina4.ru; i.ryumina@mail.ru
Dr. Med. Sci., Head of the Department of Pathology of Newborns and Preterm Infants 117997, Russia, Moscow, Ac. Oparina str., 4

Pavel I. Borovikov

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: p_borovikov@oparina4.ru
PhD (Math. Sci.), Head of the Bioinformatics Laboratory 117997, Russia, Moscow, Ac. Oparina str., 4

Marina V. Narogan

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: m_narogan@oparina4.ru
Dr. Med. Sci., Leading Researcher at the Department of Pathology of Newborns and Preterm Infants; Professor at the Department of Neonatology 117997, Russia, Moscow, Ac. Oparina str., 4; 119991, Russia, Moscow, Trubetskaya str., 8-2

Marina V. Kukhartseva

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: m_kukhartseva@oparina4.ru; kolibry90@list.ru
Neonatologist, Researcher at the Department of Pathology of Newborns and Preterm Infants of the Institute of Neonatology and Pediatrics 117997, Russia, Moscow, Ac. Oparina str., 4

Vadim V. Lagutin

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: laggi@mail.ru
Researcher of Laboratory of Bioinformatics 117997, Russia, Moscow, Ac. Oparina str., 4

Irina V. Orlovskaya

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: i_orlovskaya@oparina4.ru
Ph.D., Senior Researcher, Clinical Care Supervisor at the Department of Pathology of Newborns and Preterm Infants of the Institute of Neonatology and Pediatrics 117997, Russia, Moscow, Ac. Oparina str., 4

Viktor V. Zubkov

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: v_zubkov@oparina4.ru; victor.zubkov@mail.ru
MD, Director of the Institute of Neonatology and Pediatrics; Professor of the Department of Neonatology 117997, Russia, Moscow, Ac. Oparina str., 4; 119991, Russia, Moscow, Trubetskaya str., 8-2

Dmitriy N. Degtyarev

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: d_degtiarev@oparina4.ru
Dr. Med. Sci., Professor, Deputy Director for Research; Chairman of the Ethics Committee of the Russian Society of Neonatologists 117997, Russia, Moscow, Ac. Oparina str., 4; 119991, Russia, Moscow, Trubetskaya str., 8-2

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