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. 2013 Jan-Feb:21 Spec No:140-5.
doi: 10.1590/s0104-11692013000700018.

Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale

[Article in English, Portuguese]
Cristina Ide Fujinaga  1 , Suzana Alves de Moraes, Nelma Ellen Zamberlan-Amorim, Thaíla Corrêa Castral, Andreara de Almeida e Silva, Carmen Gracinda Silvan Scochi
Affiliations
Free article

Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale

[Article in English, Portuguese]
Cristina Ide Fujinaga et al. Rev Lat Am Enfermagem. 2013 Jan-Feb.
Free article

Erratum in

  • Erratum.
    [No authors listed] [No authors listed] Rev Lat Am Enfermagem. 2014 Sep-Oct;22(5):883. doi: 10.1590/0104-1169.0000.2501. Rev Lat Am Enfermagem. 2014. PMID: 25493686 Free PMC article. No abstract available.

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.

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