"Pacifier Stiffness Alters the Dynamics of the Suck Central Pattern Gen" by Emily Zimmerman and Steven M. Barlow

Department of Special Education and Communication Disorders

 

Department of Special Education and Communication Disorders: Faculty Publications

Document Type

Article

Date of this Version

2008

Citation

J Neonatal Nurs. 2008 June ; 14(3): 79–86.

Comments

Copyright © 2007 Neonatal Nurses Association. Published by Elsevier Ltd.

Abstract

Variation in pacifier stiffness on non-nutritive suck (NNS) dynamics was examined among infants born prematurely with a history of respiratory distress syndrome. Three types of silicone pacifiers used in the NICU were tested for stiffness, revealing the Super Soothie™ nipple is 7 times stiffer than the Wee™ or Soothie™ pacifiers even though shape and displaced volume are identical. Suck dynamics among 20 preterm infants were subsequently sampled using the Soothie™ and Super Soothie™ pacifiers during follow-up at approximately 3 months of age. ANOVA revealed significant differences in NNS cycles/min, NNS amplitude, NNS cycles/burst, and NNS cycle periods as a function of pacifier stiffness. Infants modify the spatiotemporal output of their suck central pattern generator when presented with pacifiers with significantly different mechanical properties. Infants show a non-preference to suck due to high stiffness in the selected pacifier. Therefore, excessive pacifier stiffness may decrease ororhythmic patterning and impact feeding outcomes.

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