Wireless Monitoring System for Oral-Feeding Evaluation of Preterm Infants

The oral feeding disorder is one of the important indicators for the high risk group of neurodevelopment delay. The procedure of oral feeding requires the coordination of sucking, swallowing, and breathing activities, and it is the most complex sensorimotor process for newborn infants. Premature inf...

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Bibliographic Details
Published in:IEEE transactions on biomedical circuits and systems 2015-10, Vol.9 (5), p.678-685
Main Authors: Chen, Chang-Ting, Wang, Yu-Lin, Wang, Chen-An, Ko, Mei-Ju, Fang, Wai-Chi, Lin, Bor-Shyh
Format: Article
Language:English
Subjects:
Biomedical Engineering - instrumentation
Biomedical imaging
Biomedical monitoring
Deglutition - physiology
Equipment Design
Feeding Methods - instrumentation
Humans
Infant, Newborn
Infant, Premature
Monitoring
Monitoring, Physiologic - instrumentation
Neonatal care
Oral feeding disorder
Pediatrics
Premature birth
premature infant
Respiration
Sensors
Signal Processing, Computer-Assisted - instrumentation
suck-swallow-respiration function
Sucking Behavior - physiology
Wireless communication
wireless monitoring system
Wireless sensor networks
Wireless Technology - instrumentation
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Summary:The oral feeding disorder is one of the important indicators for the high risk group of neurodevelopment delay. The procedure of oral feeding requires the coordination of sucking, swallowing, and breathing activities, and it is the most complex sensorimotor process for newborn infants. Premature infants often uneasily complete the procedure of oral feeding. However, the evaluation of the oral feeding disorders and severity are usually dependent on the subjective clinical experience of the physician. Monitoring the sucking-swallowing-breathing activities directly is difficult for preterm infants. In this study, a wireless monitoring system for oral-feeding evaluation of full term and preterm infants was proposed to objectively and quantitatively evaluate the coordination of suck-swallow-respiration function during oral feeding. Moreover, the ratios of the swallowing and breathing event numbers to the sucking event number were defined to evaluate the coordination of suck-swallow-respiration function during oral feeding. Finally, the system performance was validated and the coordination of suck-swallow-respiration function for full term and preterm infants during oral feeding was also investigated.
ISSN:1932-4545
1940-9990
DOI:10.1109/TBCAS.2015.2438031