About this trial
The goal of this observational study is to assess the link between reactions to orofacial stimuli observed at 29 weeks of amenorrhoea, and feeding difficulties at 36 weeks of amenorrhoea, in babies born prematurely between 26 and 27 + 6 weeks of gestation, admitted to the CHSF between 1 May 2025 and 31 March 2026. The main questions it aims to answer are : Can reactions to orofacial stimulation in babies born very prematurely be used as a tool for early detection of feeding difficulties before discharge from hospital? Is it possible to establish a predictive score for potential feeding difficulties as early as 29 weeks of gestation corrected, based on reactions to orofacial stimuli ? Participants will have their reactions to orofacial stimulations recorded in the 'Suivi oralité' grid completed by the nurses in the neonatal medicine and intensive care unit, which will then collect.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Premature babies born between 26 and 27 + 6 weeks of gestation
Admitted to the CHSF between 1 May 2025 and 31 March 2026
Criteria grid completed upon admission
Parents or guardians informed of the study and not opposed to it.
Disqualifiers
ENT malformation
Neurological pathology
Dysplasia or oxygen therapy greater than or equal to 0.3L/min (these children are seen systematically)
Extreme prematurity (gestational age less than 26 weeks)
Trial population
Premature babies hospitalised at the CHSF in neonatal resuscitation or intensive care units
Trial design
Cohort
Retrospective
Treatments tested in this trial
Oro-facial stimulation
Other interventionmassages and sensory stimulation aimed at stimulating the oral-facial reflexes of newborns (hand-to-mouth connection, cardinal points, milk smell, digging, crushing (finger or teat), sucking (crushing + suction))
Treatment groups
Trial outcomes
Primary outcomes
Enteral nutrition
Necessity for newborns to be fed exclusively by enteral nutrition at 36 weeks' gestation for at least 24 hours, percentage of milk volume taken orally at 36 weeks' gestation compared to prescription, average duration of bottle feeding at 36 weeks' gestation
Sponsors and contacts
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