Base de dados : MEDLINE
Pesquisa : F01.145.916 [Categoria DeCS]
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  1 / 2320 MEDLINE  
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[PMID]:28449646
[Au] Autor:Lubbe W; Ten Ham-Baloyi W
[Ad] Endereço:North-West University, School of Nursing Science, Private Bag X6001, Potchefstroom, 2520, South Africa. welma.lubbe@nwu.ac.za.
[Ti] Título:When is the use of pacifiers justifiable in the baby-friendly hospital initiative context? A clinician's guide.
[So] Source:BMC Pregnancy Childbirth;17(1):130, 2017 04 27.
[Is] ISSN:1471-2393
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The use of pacifiers is an ancient practice, but often becomes a point of debate when parents and professionals aim to protect and promote breastfeeding as most appropriately for nurturing infants. We discuss the current literature available on pacifier use to enable critical decision-making regarding justifiable use of pacifiers, especially in the Baby-Friendly Hospital Initiative context, and we provide practical guidelines for clinicians. DISCUSSION: Suck-swallow-breathe coordination is an important skill that every newborn must acquire for feeding success. In most cases the development and maintenance of the sucking reflex is not a problem, but sometimes the skill may be compromised due to factors such as mother-infant separation or medical conditions. In such situations the use of pacifiers can be considered therapeutic and even provide medical benefits to infants, including reducing the risk of sudden infant death syndrome. The argument opposing pacifier use, however, is based on potential risks such as nipple confusion and early cessation of breastfeeding. The Ten Steps to Successful Breastfeeding as embedded in the Baby-Friendly Hospital Initiative initially prohibited the use of pacifiers in a breastfeeding friendly environment to prevent potential associated risks. This article provides a summary of the evidence on the benefits of non-nutritive sucking, risks associated with pacifier use, an identification of the implications regarded as 'justifiable' in the clinical use of pacifiers and a comprehensive discussion to support the recommendations for safe pacifier use in healthy, full-term, and ill and preterm infants. The use of pacifiers is justifiable in certain situations and will support breastfeeding rather than interfere with it. Justifiable conditions have been identified as: low-birth weight and premature infants; infants at risk for hypoglyceamia; infants in need of oral stimulation to develop, maintain and mature the sucking reflex in preterm infants; and the achievement of neurobehavioural organisation. Medical benefits associated with the use of pacifiers include providing comfort, contributing towards neurobehavioural organisation, and reducing the risk of sudden infant death syndrome. Guidelines are presented for assessing and guiding safe pacifier use, for specific design to ensure safety, and for cessation of use to ensure normal childhood development.
[Mh] Termos MeSH primário: Desenvolvimento Infantil/fisiologia
Hospitais/normas
Chupetas/normas
Comportamento de Sucção/fisiologia
[Mh] Termos MeSH secundário: Aleitamento Materno
Feminino
Seres Humanos
Recém-Nascido
Masculino
Guias de Prática Clínica como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1186/s12884-017-1306-8


  2 / 2320 MEDLINE  
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[PMID]:29390342
[Au] Autor:Zhang X; Zhou M; Yin H; Dai Y; Li Y
[Ad] Endereço:Department of Neonatology.
[Ti] Título:The predictive value of early oral motor assessments for neurodevelopmental outcomes of moderately and late preterm infants.
[So] Source:Medicine (Baltimore);96(50):e9207, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Oral motor assessment is used to identify abnormal sucking patterns which may reflect neurodevelopmental problems in preterm infants, but few studies have focused on moderately and late preterm infants. We enrolled 118 moderately and late preterm infants (mean gestational age, 35.04 weeks; mean birth weight, 2347.59 g) and analyzed the relationship between the Neonatal Oral-Motor Assessment Scale scores of these infants and the Chinese revision of Bayley Scales of Infant Development outcomes at 6 months corrected age. And the infants with abnormal sucking pattern had significantly lower Mental Development Index and Psychomotor Development Index and showed a higher rate of below average scores than control group (P = .003, P = .029, P = .022). The incoordination of suck-swallow-respiration was a risk factor for adverse neurodevelopment (RR = 3.67, 95% CI: 1.42-9.45). These indicate that abnormal sucking patterns in moderately and late preterm infants might provide some predictive value for short-term neurodevelopmental outcomes, but the clinical predictive value for developmental delay need to be determined in a longer term follow-up. This finding may offer a basis for early intervention.
[Mh] Termos MeSH primário: Deficiências do Desenvolvimento/diagnóstico
Deficiências do Desenvolvimento/fisiopatologia
Recém-Nascido Prematuro/crescimento & desenvolvimento
Desempenho Psicomotor/fisiologia
Comportamento de Sucção/fisiologia
[Mh] Termos MeSH secundário: China
Feminino
Idade Gestacional
Seres Humanos
Lactente
Masculino
Valor Preditivo dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009207


  3 / 2320 MEDLINE  
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[PMID]:29211420
[Au] Autor:McGoldrick R; Solari D; Hogan M; Corrigan I; Cutting A; Shadbolt B; Todd DA
[Ti] Título:Tongue-tie in the newborn: Follow-up in the first 6 months.
[So] Source:Breastfeed Rev;24(3):33-40, 2016 Nov.
[Is] ISSN:0729-2759
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Over the last decade, a number of studies have demonstrated that early division of tongue-tie (TT) is associated with significant feeding benefits to both mother and baby. Notwithstanding, it remains a controversial procedure. We examined the breastfeeding outcomes of a cohort of babies at 1-2 weeks (follow-up 1) and 3-5 months (follow-up 2), post-TT division. METHODS: We undertook a cohort study on all mother/baby dyads who had a TT divided at Canberra Hospital between 1 July 2013 and 30 June 2014. We contacted the mothers of both follow-up groups by telephone, focusing on breastfeeding and maternal pain. RESULTS: Follow-up 1 consisted of 116/182 (63.7%) of mothers in the study; contacted at 12.4+-7.8 days post-division. Of these, 107/116 (92.2%) were still breastfeeding, with 11/15 (73.3%) of the mothers who had ceased breastfeeding before division having re-established it at the time of follow-up (p < 0.00l). Additionally, 90/101 (89.1%) valid responses reported decreased nipple pain following TT division. Follow-up 2 consisted of 112/182 (61.5%) of all mothers in the study; contacted at 3.7+-1.8 months of age. Of these, 86/112 (76.8%) were still breastfeeding, with 11/15 (73.3%) of mothers who had ceased breastfeeding before division having re-established it at follow-up (p < 0.001). CONCLUSION: A divided TT was associated with benefits at both periods of follow-up. There was (i) an increase in overall breastfeeding rates and (ii) a decrease in maternal pain.
[Mh] Termos MeSH primário: Aleitamento Materno/psicologia
Freio Lingual
Mães/psicologia
Comportamento de Sucção
[Mh] Termos MeSH secundário: Estudos de Coortes
Feminino
Seguimentos
Seres Humanos
Lactente
Cuidado do Lactente/psicologia
Recém-Nascido
Período Pós-Parto
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:K
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


  4 / 2320 MEDLINE  
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[PMID]:29211381
[Au] Autor:McGuire E
[Ti] Título:Cleft lip and palates and breastfeeding.
[So] Source:Breastfeed Rev;25(1):17-23, 2017 Mar.
[Is] ISSN:0729-2759
[Cp] País de publicação:Australia
[La] Idioma:eng
[Mh] Termos MeSH primário: Aleitamento Materno/métodos
Fenda Labial
Fissura Palatina
Mães/educação
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Lactente
Cuidado do Lactente/métodos
Recém-Nascido
Masculino
Papel do Profissional de Enfermagem
Comportamento de Sucção
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:K
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


  5 / 2320 MEDLINE  
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[PMID]:28542877
[Au] Autor:Slattery J
[Ad] Endereço:Speech Pathology Department, Northern Health, Melbourne, Australia.
[Ti] Título:Preterm sucking behaviour and later neurodevelopment.
[So] Source:Dev Med Child Neurol;59(8):784-785, 2017 08.
[Is] ISSN:1469-8749
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Recém-Nascido Prematuro
Comportamento de Sucção
[Mh] Termos MeSH secundário: Seres Humanos
Recém-Nascido
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1111/dmcn.13470


  6 / 2320 MEDLINE  
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[PMID]:28432690
[Au] Autor:Wolthuis-Stigter MI; Da Costa SP; Bos AF; Krijnen WP; Van Der Schans CP; Luinge MR
[Ad] Endereço:Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands.
[Ti] Título:Sucking behaviour in infants born preterm and developmental outcomes at primary school age.
[So] Source:Dev Med Child Neurol;59(8):871-877, 2017 Aug.
[Is] ISSN:1469-8749
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIM: To determine the association between sucking in infants born preterm and developmental outcomes at 5 years. METHOD: Thirty-four infants were included (mean gestational age 30wks 4d, mean birthweight 1407g). The Neonatal Oral-Motor Assessment Scale was used longitudinally from 37 to 50 weeks postmenstrual age. At 5 years, we assessed motor skills, intelligence, language, verbal memory, and behavioural problems. Linear regression analyses were performed to test whether aspects of sucking behaviour predicted these developmental outcomes. Where linear regression was not appropriate, Spearman's correlation coefficients were calculated between sucking and developmental outcomes. RESULTS: Sucking was associated with total motor skills (B [unstandardized correlation coefficient for normally distributed data]=22.66, 95% confidence interval [CI] 6.61 to 38.71), balance (Spearman's ρ=0.64, p<0.001), total intelligence (B=-1.16, 95% CI -1.89 to -0.44, B=10.48, 95% CI 0.39 to 20.71, B=-2.22, 95% CI -3.42 to -1.02), verbal intelligence (B=-0.95; 95% CI -1.83 to -0.07, B=-2.02; 95% CI -3.55 to -0.49), performance intelligence (B=-1.34, 95% CI -2.13 to -0.54, B=12.36, 95% CI 1.13 to 23.60, B=-2.37, 95% CI -3.75 to -0.96), and language (B=-1.78, 95% CI -3.36 to -0.19). All associations were in the same direction: the better the sucking, the higher the test scores. Verbal memory and behavioural problems were not associated with sucking. INTERPRETATION: Abnormal sucking between 42 weeks and 50 weeks postmenstrual age may reflect abnormal neurological functioning in children born preterm.
[Mh] Termos MeSH primário: Desenvolvimento Infantil/fisiologia
Recém-Nascido Prematuro
Inteligência/fisiologia
Desenvolvimento da Linguagem
Destreza Motora/fisiologia
Comportamento de Sucção/fisiologia
[Mh] Termos MeSH secundário: Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Estudos Longitudinais
Masculino
Memória/fisiologia
Comportamento Problema
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170423
[St] Status:MEDLINE
[do] DOI:10.1111/dmcn.13438


  7 / 2320 MEDLINE  
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[PMID]:28300951
[Au] Autor:Yamamoto RC; Prade LS; Bolzan GP; Weinmann AR; Keske-Soares M
[Ad] Endereço:Universidade Federal de Santa Maria - UFSM - Santa Maria (RS), Brasil.
[Ti] Título:Relationship between oxygen saturation, gestational age, and level of oral feeding skills in preterm infants.
[Ti] Título:A relação entre saturação de oxigênio, idade gestacional e nível de habilidade de alimentação oral de recém-nascido pré-termo..
[So] Source:Codas;29(1):e20150219, 2017 Mar 09.
[Is] ISSN:2317-1782
[Cp] País de publicação:Brazil
[La] Idioma:por; eng
[Ab] Resumo:Purpose: To correlate the peripheral oxygen saturation with gestational age and the level of oral feeding skills in the introduction of oral feeding in preterm infants. Methods: This is a cross-sectional, quantitative study whose sample was composed of 169 clinically stable preterm infants. Peripheral oxygen saturation was assessed before and after introduction of oral feeding. The preterm infants were stratified into three groups based on their gestational age at birth: 26-29, 30-33, and 34-36 weeks. The preterm infants were classified into four levels according to their oral feeding skill and resistance. Results: No differences in oxygen saturation were observed between the strata of gestational age and between the levels of oral feeding skill. Differences were observed in the groups of preterm infants aged 30-33 weeks (p=0.04) and 34-36 weeks (p=0.02) and on the level I of oral feeding skills (p=0.04) when oxygen saturation was compared at pre- and post-first oral feeding. Significant correlations (p<0.001) were found between gestational age and the levels of oral feeding skills (r=0.38); in Group A, between gestational age and oxygen saturation before the first oral feeding (r=0.83); in Group B, between the level of oral feeding skill and oxygen saturation before the first oral feeding (r=0.26) and between level of oral feeding skill and gestational age (r=0.26). Conclusion: Correlation was found for peripheral oxygen saturation when compared with gestational age and with the level of oral feeding skills.
[Mh] Termos MeSH primário: Alimentação Artificial
Comportamento Alimentar/fisiologia
Idade Gestacional
Recém-Nascido Prematuro/fisiologia
Consumo de Oxigênio/fisiologia
Comportamento de Sucção/fisiologia
[Mh] Termos MeSH secundário: Estudos Transversais
Feminino
Seres Humanos
Recém-Nascido
Masculino
Oxigênio
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
S88TT14065 (Oxygen)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170705
[Lr] Data última revisão:
170705
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE


  8 / 2320 MEDLINE  
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[PMID]:28178172
[Au] Autor:Liu Y; Huang X; Luo B; Peng W
[Ad] Endereço:aKey Laboratory of Birth Defects and Related Diseases of Women and Children, (Sichuan University), Ministry of Education bDepartment of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu cResearch Center of Combine Traditional Chinese and Western Medicine, Affiliated Traditional Medicine Hospital, Southwest Medical University, Luzhou dDepartment of Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
[Ti] Título:Effects of combined oral sucrose and nonnutritive sucking (NNS) on procedural pain of NICU newborns, 2001 to 2016: A PRISMA-compliant systematic review and meta-analysis.
[So] Source:Medicine (Baltimore);96(6):e6108, 2017 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Both oral sucrose (OS) and nonnutritive sucking (NNS) are effective nonpharmacological methods to alleviate procedures pain in neonatal intensive care unit (NICU) newborns when they were used alone, but the combined effect of OS+NNS remains controversial. So, we conducted this study to evaluate the efficiency of NNS combined with oral sucrose on pain relief in NICU newborns undergoing painful procedures. METHODS: We searched PubMed, Ovid (Medline), Embase (Medline), Cochrane Central Library, and other resources such as Google Scholar, bibliographies of included literatures for all available articles. Two reviewers screened literatures and extracted data independently. The fixed effects model was used to pool the results using Reviewer Manager (RevMan) 5.3. As each study included in our meta-analysis had been approved by Ethics Committee or institutional review board, thus our study did not need ethical approval. RESULTS: Seven randomized controlled trials, including 599 participants, were contained in our meta-analysis. The combination of oral sucrose and NNS is associated with reduced pain scores (mean difference [MD], -0.52; 95% confidence interval [CI], -0.68 to -0.36); shortened crying time (MD,-0.92; 95% CI, -1.39 to -0.44); but the 2 groups did not differ significantly in reducing bradycardia (MD, 0.73; 95% CI, 0.32-1.68), tachycardia (MD, 0.65; 95% CI, 0.38-1.10), or desaturations (MD, 0.73; 95% CI, 0.32-1.68). CONCLUSION: The pooled evidence indicates that the combination measures may serve as an evidence-based guideline for pain relief among patients having minor pain. Besides, it also indicates that OS combined with NNS can be an alternative for better prevention and management of procedure pain in NICU newborns. Nevertheless, the results may be limited due to incomplete data, and thus, more randomized controlled trials or well-designed studies are required to determine the effects of OS+NNS in the future.
[Mh] Termos MeSH primário: Unidades de Terapia Intensiva Neonatal
Manejo da Dor/métodos
Comportamento de Sucção
Sacarose/uso terapêutico
[Mh] Termos MeSH secundário: Choro
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Nm] Nome de substância:
57-50-1 (Sucrose)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170227
[Lr] Data última revisão:
170227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006108


  9 / 2320 MEDLINE  
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[PMID]:28131321
[Au] Autor:Carter BS; Brunkhorst J
[Ad] Endereço:Department of Pediatrics, Division of Neonatology, University of Missouri at Kansas City School of Medicine, 2401 Gillham Rd, Kansas City, MO 64108; Children׳s Mercy Bioethics Center, Kansas City, MO. Electronic address: bscarter@cmh.edu.
[Ti] Título:Neonatal pain management.
[So] Source:Semin Perinatol;41(2):111-116, 2017 Mar.
[Is] ISSN:1558-075X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pain management in the neonatal ICU remains challenging for many clinicians and in many complex care circumstances. The authors review general pain management principles and address the use of pain scales, non-pharmacologic management, and various agents that may be useful in general neonatal practice, procedurally, or at the end of life. Chronic pain and neonatal abstinence are also noted.
[Mh] Termos MeSH primário: Analgésicos Opioides/uso terapêutico
Hipnóticos e Sedativos/uso terapêutico
Método Canguru/métodos
Manejo da Dor
Cuidados Paliativos
[Mh] Termos MeSH secundário: Aminas/uso terapêutico
Ansiolíticos/uso terapêutico
Barbitúricos/uso terapêutico
Dor Crônica/terapia
Ácidos Cicloexanocarboxílicos/uso terapêutico
Dexmedetomidina/uso terapêutico
Seres Humanos
Recém-Nascido
Unidades de Terapia Intensiva Neonatal
Ketamina/uso terapêutico
Lorazepam/uso terapêutico
Midazolam/uso terapêutico
Síndrome de Abstinência Neonatal/terapia
Medição da Dor
Propofol/uso terapêutico
Comportamento de Sucção
Sacarose/uso terapêutico
Assistência Terminal
Ácido gama-Aminobutírico/uso terapêutico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Amines); 0 (Analgesics, Opioid); 0 (Anti-Anxiety Agents); 0 (Barbiturates); 0 (Cyclohexanecarboxylic Acids); 0 (Hypnotics and Sedatives); 56-12-2 (gamma-Aminobutyric Acid); 57-50-1 (Sucrose); 67VB76HONO (Dexmedetomidine); 690G0D6V8H (Ketamine); 6CW7F3G59X (gabapentin); O26FZP769L (Lorazepam); R60L0SM5BC (Midazolam); YI7VU623SF (Propofol)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170130
[St] Status:MEDLINE


  10 / 2320 MEDLINE  
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[PMID]:28118488
[Au] Autor:Zimmerman E; Foran M
[Ad] Endereço:Department of Communication Sciences & Disorders, Northeastern University, Boston, MA, USA.
[Ti] Título:Patterned auditory stimulation and suck dynamics in full-term infants.
[So] Source:Acta Paediatr;106(5):727-732, 2017 May.
[Is] ISSN:1651-2227
[Cp] País de publicação:Norway
[La] Idioma:eng
[Ab] Resumo:AIM: To determine whether patterned auditory stimuli, designed to mimic the natural burst-pause pattern evident in non-nutritive suck (NNS) with variations to the intraburst frequency, alter infants' NNS and cardiorespiratory patterning. METHODS: Sixteen healthy full-term infants participated in this study. Infants were fitted with electrocardiogram electrodes and a respiratory belt to measure cardiorespiratory patterning. Infants were offered a custom pacifier attached to a pressure transducer to measure NNS. Prior to the start of the study, a two-minute NNS and cardiorespiratory baseline was attained. Next, three auditory stimulation conditions were presented in the form of sucking clicks at interburst frequencies of 1, 2 and 4 Hz. Each of the three frequencies was played for two minutes. RESULTS: Separate repeated-measures ANOVAs revealed significant differences in NNS burst duration (p = 0.013), NNS cycles/burst (p = 0.010) and NNS bursts/minute (p = 0.005) across auditory stimulation conditions. No significant differences were evident in the cardiorespiratory outcomes. CONCLUSION: We found that patterned auditory stimulation significantly reduced NNS dynamics and had no effect on cardiorespiratory patterning. The findings further suggest that infants attempted to modulate their suck pattern to the patterned acoustic stimuli by shortening their burst durations with fewer cycles per burst.
[Mh] Termos MeSH primário: Estimulação Acústica
Comportamento de Sucção
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Lactente
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE
[do] DOI:10.1111/apa.13751



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