Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale

Authors

  • Cristina Ide Fujinaga Universidade Estadual do Centro-Oeste do Paraná
  • Suzana Alves de Moraes Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Nelma Ellen Zamberlan-Amorim Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Thaíla Corrêa Castral Universidade de Goiás
  • Andreara de Almeida e Silva Universidade de Goiás
  • Carmen Gracinda Silvan Scochi Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto

DOI:

https://doi.org/10.1590/S0104-11692013000700018

Keywords:

Infant, Premature, Feeding Behavior, Breast Feeding, ROC Curve

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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Published

2013-02-01

Issue

Vol. 21 (2013): special issue

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale . (2013). Revista Latino-Americana De Enfermagem, 21(spe), 140-145. https://doi.org/10.1590/S0104-11692013000700018