Oral Feeding Readiness Assessment

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Tool III: infant with cleft lips and or palate oral feeding readiness assessment scale: Infant oral feeding readiness assessment scale (POFRAS) is comprised of five main categories with items that consist of:
1) Oral posture (lips and tongue posture);
2) Oral reflexes (rooting, sucking, biting and gag reflexes)
3) Non-nutritive sucking (tongue movement, tongue cupping, jaw movement, sucking strain, sucking and pause, maintenance of sucking/pause, maintenance of alert state and stress signs).
Infant’s performance in each item is assessed from zero to 2 (Suzanne M, et al, 2005).
Tool IV: Infant Breastfeeding Behaviors Scale (IBFBS). The PIBBS can be used to describe the development of breast feeding behavior of infants (Hed berg. 1999).
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Discuss with parents realistic expectations for initiation and progression of feeding tube feeding only.…show more content…
After Non-nutritive sucking 90.0% sucking reflex was present and 10% were weak. According to biting reflex before Non-nutritive sucking 55% of them were weak, while 43.3% were present and 1.7% were absent, After NNS it was observed that the majority (83.3%) present were 5% weak and only 1.7% absent. Finally gag reflex part which present 90% present and only 10% had weak gag reflex .while after Non-nutritive gag reflex 96.6%were present and 3.4%were weak.
Table (5) showed that percent distribution of premature infant according to Non –Nutritive sucking tongue movement before Non –nutritive sucking 83.0% had adequate movement of total number, while 17.0%were altered during Non –nutritive sucking, After Non –nutritive sucking the majority of them 93.0%were adequate, and only 7.0%were altered sig 8. After Non –nutritive sucking 58.2% were present >8, while 35% had ranged between5-8, and were 6.7% had <120b/m before feeding while half (50%) have 120b/m after feeding

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