A swallowing and breastfeeding intervention programme for small and sick neonates embedded in kangaroo mother care

Abstract

Available evidence of oral sensorimotor interventions for small neonates is not strong. Evidence of interventions for sick term neonates is largely lacking. Studies are limited by risk of bias and inconsistency. Evidence of interventions relying on a single stimulation technique only appears to be low to very low. Ongoing research is required. Contribution: We describe a five-component neonatal swallowing and breastfeeding intervention programme embedded in the practice of kangaroo mother care (KMC). Drawing on oropharyngeal physiology, neonatology, neurodevelopmental care, breastfeeding- and KMC science, the programme is the product of collaboration between a speech-language therapist and a medical doctor, and their team. Its implementation is dependent on coaching mothers and the neonatal care team. Researchers are invited to determine outcomes of the programme.

Keywords

• kangaroo mother care
• neonatal care
• oral feeding difficulties
• oral sensorimotor intervention
• practice guidelines
• preterm low-birthweight neonates
• small and sick neonates
• speech-language therapy
• swallowing and breastfeeding intervention programme