Nutritive and non-nutritive sucking patterns associated with pacifier use and bottle-feeding in full-term infants
Nutritive and non-nutritive sucking patterns associated with pacifier use and bottle-feeding in full-term infants
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DOI：
10.1016/j.earlhumdev.2019.03.007
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发表时间：
2019-05-01
影响因子：
2.5
通讯作者：
Nascimento, Maria D. S. B.
中科院分区：
文献类型：
--
作者：
Batista, Christyann L. C.;Rodrigues, Vandilson P.;Nascimento, Maria D. S. B.
背景资料：目前的文献没有提供关于使用人工乳头和婴儿吸吮模式之间关系的准确信息。目的：我们旨在调查使用奶嘴和/或奶瓶喂养是否与营养性吸吮（NS）和非营养性吸吮（NNS）模式相关。研究设计：横断面研究。受试者：429名足月婴儿/母亲。结果测量：通过问卷调查和观察母乳喂养期间的NS和NNS（手指吸吮）收集数据。采用多因素Logistic回归分析人工乳头使用与NS和NNS变化之间的校正关系。结果：人工乳头组NNS和NS模式的变化频率较高。关于人工乳头的类型，奶嘴的使用有更大的影响，而使用奶瓶的NNS模式的变化提出了更多的协会在NS pattern.Conclusion的变化：研究结果表明，使用人工乳头可能与婴儿的吸吮模式的变化，表现出可能存在的乳头混淆，其对母乳喂养的影响。
Background: The current literature does not provide accurate information about the association between use of artificial nipples and sucking patterns in infants.Aims: We aimed to investigate whether pacifier use and/or bottle-feeding were associated with nutritive sucking (NS) and non-nutritive sucking (NNS) patterns.Study design: Cross-sectional study.Subjects: 429 full-term infants/mothers.Outcome measures: Data were collected through a questionnaire and observations of NS during breastfeeding and NNS (finger sucking). Multivariate logistic regression was used to analyze the adjusted associations between artificial nipple use and between NS and NNS changes.Results: There were higher frequencies of changes in the NNS and NS patterns in the group that used artificial nipples. Regarding the type of artificial nipple, pacifier use had a greater influence on changes in the NNS pattern whereas the use of a baby bottle presented a greater number of associations with changes in the NS pattern.Conclusion: The findings suggest that the use of artificial nipples may be associated with changes in the sucking patterns of infants, demonstrating the possible existence of nipple confusion and its effect on breastfeeding.