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Effects of pacifier use on transition to full breastfeeding and sucking skills in preterm infants: a randomised controlled trial

Vildan Kaya and Aynur Aytekin

Journal of Clinical Nursing, 2017, vol. 26, issue 13-14, 2055-2063

Abstract: Aims and objectives To determine the effects of pacifier use on transition to full breastfeeding and sucking skills in preterm infants. Background Feeding problems in preterm infants cause delays in hospital discharge, extend mother–infant reunification and increase medical cost. Nutritive sucking skills of preterm infants may develop by improving non‐nutritive sucking skills and increasing sucking experiences. Design A prospective, randomised controlled trial conducted in the Eastern Turkey. Methods Seventy infants were randomised into two groups: a pacifier group (n = 34) and a control group (n = 36). Pacifier use was applied in the preterm infants in the pacifier group, up to switching to full breastfeeding. The infants in the control group did not use pacifiers. Data were collected by a researcher using the Preterm Infant Introductory Information Form, the Preterm Infant Monitoring Form and the LATCH Breastfeeding Assessment Tool. For the study, ethics committee approval, official permission and written informed consents of the families were obtained. Results The time to transition to full breastfeeding (123·06 ± 66·56 hours) and the time to discharge (434·50 ± 133·29 hours) in the pacifier group were significantly shorter compared to the control group (167·78 ± 91·77 and 593·63 ± 385·32 hours, respectively) (p

Date: 2017
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https://doi.org/10.1111/jocn.13617

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