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PubMed1989

[Physiologic sucking performance and the shape of the oral cavity in infants and young children with respect to the design of nipples for nursing bottles and pacifiers].

Empirical data for functional measurements of the infant oral cavity under stimulated sucking conditions are presented. The data may serve as a basis for the design of nourishing and nipple-shaped pacifiers. Casts of the oral cavity during sucking show a sagittal flattening. The length of the nipple-head influences sucking capacity.

Bottle Feeding↗
PubMedDate not supplied

Assessment of sensorial oral stimulation in infants with suck feeding disabilities.

A non-randomized single blind study was undertaken to determine the clinical and physiological changes in suck feeding after sensorial oral stimulation, in fourteen patients age 9 to 210 days old with sucking alterations. Patients lacked at least one of the five oral reflexes, plus two or more abnormal sucking sings or at least one abnormal sucking sign, plus two or more abnormal oral reflexes. Oral sensorial therapy was performed thrice daily for five days. The number of absent oral reflexes, number of abnormal sucking signs, volume of milk for nursing and sucking rate, were registered. Differences of medians were tested using Freidman's test and differential of proportions using Cochran's Q test. After therapy, oral reflexes were recovered (2, 0-4 vs. 5,5-5, p = 0.0000, median rank of absence oral reflexes) and the number of abnormal sucking signs decreased (6,1-9 vs. 1, 0-4; p = 0.0000). There were statistically significant improvements in patients who had lost launch up nipple ability (p = 0.005), delay at the beginning of sucking (p = 0.0022), drawing of milk from the mouth (p = 0.0001), cyanosis (p = 0.0084), weaning (p = 0.0004) and prolonged sucking (p = 0.0038). Even in patients with moderate improvement, no statistical differences were observed in nipple rooting (p = 0.09) and coughing (p = 0.09). No changes were observed in patients who had cried (p = 0.31) and spitted (p = 0.51) during feeding. At the end of therapy, volumes of consumed milk were increased at each feeding (10 ml, 0-40 vs. 50 ml, 25-60; p = 0.0001). Sucking rates also increased (22 sucks/minute, 10-35 vs. 40.5, 35-48; p = 0.0044). Oral sensorial and motor stimulation normalise oral motor reflexes, diminish the clinical abnormal sucking signs and increase milk volumes ingested for nursing.

Bottle Feeding↗
PubMed1984

Regulation of prolactin secretion during suckling: involvement of the hypothalamo-pituitary GABAergic system.

Previous results demonstrated that GABA exerts a dual control on PRL secretion, one excitatory mediated in part by the impairment of the tubero-infundibular dopaminergic (TIDA) system function, the other inhibitory occurring at the level of the anterior pituitary (AP), where 3H-GABA and 3H-Muscimol (3H-M) recognition sites have been described. This report provides evidence for a physiological role of the tubero-infundibular GABAergic system (TI-GA-BA) on PRL secretion in the rat. In lactating rats separated for 4 h from their pups reinstitution of suckling for different periods resulted in an increase either in glutamic acid decarboxylase (GAD) activity in the mediobasal hypothalamus (MBH) or in AP-GABA content. Dynamic changes of the GABAergic function in the MBH-AP system seemed to have a certain degree of specificity because suckling did not affect GAD activity in the caudate nucleus. In lactating rats 2, 4, 8 and 24 h after removal of the offsprings AP-GABA concentrations and plasma PRL titers significantly decreased with respect to values present in rats never separated from their pups. Since it has been demonstrated that the PRL lowering effect of GABA is a receptor-mediated event, we have investigated the plasticity of AP-GABA receptors during suckling. The inhibitory action of GABA seems to be mediated mainly by the activation of the high affinity binding sites. This proposition is supported by the fact that in lactating rats, where only the high affinity receptor population is present, M was still able to decrease significantly plasma PRL concentrations.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed2000

The effects of body positioning on sucking behaviour in sick neonates.

UNLABELLED: Some infants show better oxygenation in the prone position compared to the supine position while they are bottle-fed; however, the reason for this phenomenon is not clear. The purpose of this study was to obtain a better understanding of the effects of body position on the oral feeding performance, i.e. the sucking pressure, frequency, efficiency, and ventilation. A total of 14 infants (12 full-term, 2 preterm), who often showed O2 desaturation (SpO2 < 90) during oral feeding, were enrolled in the study. The infants were fed either in the supine position or in the prone position throughout feeding. Oxygen saturation was recorded with a pulse oxymeter. The sucking pressure was measured with a 1 mm I.D. silicone tube inserted into the artificial nipple. The ventilation volume during bottle feeding was measured with a pneumotachograph. The prone position resulted in better oxygenation (97.2 +/- 0.6% prone, 92.5 +/- 0.9% supine, P < 0.05) and larger tidal volume (6.4 +/- 0.8 ml/kg prone and 4.9 +/- 0.6 ml/kg supine, P < 0.05), although the minute ventilation during bottle-feeding was not different from that in the supine position. In the prone position, the sucking pressure and frequency were higher and the duration of each suck was shorter. CONCLUSION: Sucking in the prone position may to some extent reduce disadvantages of oral feeding on ventilation.

Gestational Age↗
PubMed2000

Detecting motor abnormalities in preterm infants.

As a consequence of the fragility of various neural structures, preterm infants born at a low gestation and/or birthweight are at an increased risk of developing motor abnormalities. The lack of a reliable means of assessing motor integrity prevents early therapeutic intervention. In this paper, we propose a new method of assessing neonatal motor performance, namely the recording and subsequent analysis of intraoral sucking pressures generated when feeding nutritively. By measuring the infant's control of sucking in terms of a new development of tau theory, normal patterns of intraoral motor control were established for term infants. Using this same measure, the present study revealed irregularities in sucking control of preterm infants. When these findings were compared to a physiotherapist's assessment six months later, the preterm infants who sucked irregularly were found to be delayed in their motor development. Perhaps a goal-directed behaviour such as sucking control that can be measured objectively at a very young age, could be included as part of the neurological assessment of the preterm infant. More accurate classification of a preterm infant's movement abnormalities would allow for early therapeutic interventions to be realised when the infant is still acquiring the most basic of motor functions.

Bottle Feeding↗
PubMed2001

Effects of maternal chronic alcohol administration in the rat: lactation performance and pup's growth.

A fostering/crossfostering analysis of the effects of maternal ethanol exposure on lactation performance and offspring growth was performed. Wistar rats were kept under one of the three experimental nutritional treatments: alcohol-treated (EG), pair-fed-treated (PFG) (as a nutritional control of alcohol-associated malnutrition), and control or normal diet (CG). Rats from the EG group were accustomed to increased amounts of ethanol (5% during the first week to 20% in the fourth week). The 20% ethanol level was maintained throughout three additional weeks and during gestational and lactational period. Daily food intake, fluid consumption, body weight and gestational parameters were studied in control (CG), pair-fed (PFG) and ethanol dams (EG). At birth, half the litters were fostered to other dams of the same treatment (GLG) and half were cross-fostered to dams of the opposite treatment (GG, LG). No cross-fostering analyses were performed on the pair-fed group. Offspring body weight was controlled throughout lactation. Liver, kidney and spleen weights as well as milk consumption were also studied at the end of lactation period. In dams, a significant reduction of body weight was described throughout the suckling period. No ethanol detrimental effects were observed on body weight at birth, but in spite of a normal birth weight, alcohol during lactation was responsible for a growth deficit. Milk consumption was significantly reduced in offspring exposed to ethanol during gestation and/or lactation. Curiously, prenatal alcohol exposure affects adversely the suckling behaviour in pups at the time of weaning. In our study, alcohol treatment and malnutrition affects liver and spleen weights. However, malnutrition decreases spleen weights more than alcohol treatment. In the case of the kidney weights the alcohol decreases kidney weight more than malnutrition. Collectively, the data from the present study show similar effects following pre/postnatal and postnatal alcohol exposure. The findings suggest that chronic alcohol administration during gestation and/or lactation adversely affects pup growth at weaning as indicated by its effect on milk consumption, pup and organ weight.

Alcohol Drinking↗
PubMed2003

Gender, age, vessel size, cup vs. straw sipping, and sequence effects on sip volume.

Two experiments were performed to examine the effects of cup size, gender, age, and parameters of sipping (cup vs. straw and sequence) on sip volume. Increasing the size of the vessel from 150 to 600 ml increased the volume of a sip by about 15%. Males took larger sips and had significantly larger maximum oral capacities than females. However, in a second group of taller females and shorter males, the difference in sip size between genders was minimized. A second experiment examined sip size from a cup and straw drinking, the effects of sequential sipping (one to five sips), personal characteristics (height, weight), age, and gender on sip volume. Height was a good predictor of individual differences in sip volume. Cup drinking produced larger sip volumes than straw drinking, but only in a group of adults and not in an elderly group. Volume per sip decreased across sips. A reasonable guide for cup sipping is about 25 ml per sip for males and 20 ml for females. However, this rule should be modified as a function of cup size, straw sipping, and sequential sipping.

Adult↗
PubMed2004

Volume and rate of milk delivery as determinants of swallowing in an infant model animal (Sus scrofia).

The volume transported into the valleculae by the rhythmic tongue movements of suckling is considered the prime factor for initiating pharyngeal swallowing (the movement of milk out of the valleculae and through the pharynx to the esophagus). This study addressed the impact of variation in two factors on sucking (oral phase) and on swallowing (pharyngeal phase) in infant pigs, as a model for mammalian function: (1) the delivery of different-volume aliquots of milk and (2) the delivery of equal-sized aliquots at different frequencies. The number of sucks per second remained constant with change in both aliquot volume and change in the frequency of milk delivery. However, while the number of swallows per second remained constant as delivery volume increased, it increased as delivery frequency increased. Conversely, swallow volume increased with both increase in aliquot volume and in the frequency of delivery. Piglets consequently initiated pharyngeal swallows with a highly variable amount of milk in the valleculae. We conclude that volume is only one factor initiating the pharyngeal swallow. The sensory stimulation of milk delivery to the anterior oral cavity is also a factor in determining the frequency of swallows and the volume of milk per swallow.

Age Factors↗
PubMed2005

Factors affecting fertility according to the postpartum period in crossbred dual-purpose suckling cows in the tropics.

To determine the relationship between first service conception rate (FSC) and the postpartum period (PP), 6160 calvings from 2250 crossbred dual-purpose cows were analysed. The effects of breed predominance (BT: Bos taurus and BI: Bos indicus), season of service (dry, intermediate and humid), parity (1 or 2 and more), agroecological region (Sub-humid and Dry Tropical Forest) and milk production were studied. The postpartum period was grouped according to the calving-first service interval as G1 < or = 60 days (n = 1889); G2 > 60 < or = 90 days (n = 1436); G3 > 90 < or = 120 days (n = 1030); and G4 > 120 days (n = 1805). Data were analysed by chi-squared test. The overall mean for FSC was 58.2% and was lower in G1 (p < 0.01). All PP showed a breed effect on FSC, with mean values of 61.6% and 53.3% for BI and BT, respectively. Season of service also affected FSC, which was significantly lower during the humid period: 51.2% versus 57.4% and 61.5% for the intermediate and dry periods (p < 0.01), respectively. Parity and environmental effects were not observed on FSC. Levels of milk yield did influence the FSC, which decreased from 66.7% and 61.0% for milk yields of < 1500 kg and between 1501 and 2000 kg to 46.0% in milk yields > 2000 kg (p < 0.01).

Animals↗
PubMed1985

The prevalence and the etiology of the initial dummy- and finger-sucking habit.

The prevalence of dummy- and finger-sucking habits, or malocclusions of the type that may be associated with sucking habits, was examined in three different groups: Group A--415 small children from Mnene, Zimbabwe; group B--20 skulls from the Schreiner Collections, Anatomical Institute, Oslo, exhibiting intact deciduous dentitions. The skulls are mainly from the period A.D. 1000 to 1500 and were found in Scandinavia. Group C consisted of 280 young Swedish children. The study indicates that dummy- and finger-sucking habits occur infrequently among the African children other than as a symptom of a disturbance in the normal feeding and/or care in other respects. The investigation of the medieval skull material supports a similar situation among these Scandinavian children. In Sweden most infants are dummy- or finger-suckers. The authors introduce an explanation for the development of the initial sucking habits.

Breast Feeding↗