EFFECTIVENESS OF OROMOTOR STIMULATION ON PRETERM NEWBORN

FOR THE EARLY ACHIEVEMENT OF FULL FEEDING AND SHORTER

DURATION OF HOSPITAL STAY IN IMS & SUM HOSPITAL,
BHUBANESWAR, ODISHA

Submitted By
Mrs. Suvashree Mohanty
Child Health Nursing,
[Link]. Nursing, 2nd Year.

GUIDE

DEPARTMENT OF MEDICAL SURGICAL NURSING

HI-TECH COLLEGE OF NURSING,
BHUBANESWAR,ODISHA.

Dissertation submitted in partial fulfilment of the

requirement for the Degree Of Master of Science in Nursing

CHILD HEALTH NURSING

UTKAL UNIVERSITY
BHUBANESWAR,ODISHA
2020-22
EFFECTIVENESS OF OROMOTOR STIMULATION ON PRETERM NEWBORN FOR
THE EARLY ACHIEVEMENT OF FULL FEEDING AND SHORTER
DURATION OF HOSPITAL STAY IN IMS & SUM HOSPITAL,
BHUBANESWAR, ODISHA

Submitted By

Mrs. Suvashree Mohanty

Child Health Nursing,
[Link]. Nursing, 2nd Year.

GUIDE

DEPARTMENT OF CHILD HEALTH NURSING

HI-TECH COLLEGE OF NURSING,
BHUBANESWAR,ODISHA.

Dissertation submitted in partial fulfilment of the

requirement for the Degree Of Master of Science in Nursing

CHILD HEALTH NURSING

UTKAL UNIVERSITY
BHUBANESWAR,ODISHA
2020-22
 UTKAL UNIVERSITY, BHUBANESWAR

DECLARATION BY THE CANDIDATE

I hereby declare that the present research project titled Effectiveness of

Oromotor stimulation on preterm newborn for the early achievement of full
Feeding and shorter duration of hospital stay in IMS & SUM hospital,
Bhubaneswar, Odisha is a genuine research work undertaken and carried out

by me under the guidance of ..................................... , .................... , Hi-Teach

college of Nursing, Bhubaneswar,Odisha.

[Link] Mohanty
[Link] Nursing Final Year
 CERTIFICATE BY THE GUIDE

This is to certify that the dissertation entitled Effectiveness of oromotor

stimulation on preterm newborn for the early achievement of full Feeding
and shorter duration of hospital stay in IMS & SUM hospital, Bhubaneswar,
Odisha is the bonafide research work done by [Link] Mohanty IInd year [Link].
Nursing in partial fulfilment of the requirement for the degree of Master of Science in
Nursing , CHILD HEALTH NURSING .

Roll No
Master of Science in Nursing
(Child Health Nursing)
Hi-Teach College of Nursing
Bhubaneswar,Odisha.
 CERTIFICATE BY THE CO-GUIDE

This is to certify that the dissertation entitled “Effectiveness of oromotor

stimulation on preterm newborn for the early achievement of full Feeding
and shorter duration of hospital stay in IMS & SUM hospital, Bhubaneswar,
Odisha” is the bonafide research work done by Mrs. Suvashree Mohanty, IInd
year [Link]. Nursing in partial fulfilment of the requirement for the degree of Master
of science in Nursing , Child Health Nursing .

Roll No:- CO-GUIDE

Master of Science in Nursing
(Child Health Nursing)
(Child Health Nursing )
Hi-Teach College
Bhubaneswar , Odisha
 ACKNOWLEDGEMENT

To God be all glory, honour & thanks giving whose abiding grace made this study a
possibility.

My heartiest thanks to Director cum Dean cum Nursing Director Mrs Vijouya
Santhi , Hi-Tech College of Nursing, Bhubaneswar for her valuable suggestion and
give permission for completion of my project.

.My sincere thanks to Prof. Dr. Mrs Asisbala Mohapatra, Principal Hi-tech college
of nursing, Bhubaneswar for her constant encouragement, cooperation for complete
of my study..

I am express my sincere thanks to my guide Mrs. Puspanjalli Mallick, Asst.

Professor, Dept of Child Health Nursing, Hi-tech College of Nursing, Bhubaneswar
for her constant guidance, cooperation, advice and valuable suggestion for complete
my project easily.

I also thanks to Mrs. Bananee Dash, Mrs. Chandhala Kar for their great
encouragement of complete my project.

I also immensely thankful to all the teaching & non teaching staffs of Hi-Tech College
of Nursing, Bhubaneswar for their support and help in this thesis.

My sincere thanks to Mr Prasanta Braham, statistician for his guidance on analysis

of data .
I also obliged to our librarian for her cooperation and giving required material for
completion of the study.

I also deeply obliged to the Medical Superintendent, IMS & SUM Hospital,
Bhubaneswar for giving permission to conduct my study.

I also very much thankful to my parents, Husband all members of my family and
also friends for their full cooperation continuous support, encouragement and
affection which helps me to complete my study easily.

Last but not the least, I extend my thanks to all those who have been directly or
indirectly associated with my study at various levels but not mentioned in this
acknowledgement.

[Link] Mohanty
[Link] Nursing Final Year
Hi-Tech College of Nursing
BHUBANESWAR
Date:
Place
 TABLE OF CONTENTS

CHAPTERS CONTENT PAGE NO

CHAPTER I INTRODUCTION 1

Need for the study 5

Statement of the problem 8

Objectives 8

Hypotheses 9

Operational definitions 9

Assumptions 10

Limitations 10

Projected outcomes 10

Conceptual Framework 11

CHAPTER II REVIEW OF LITERATURE 14-26

CHAPTER III RESEARCH METHODOLOGY 27

Research approach 27

Research design 27

Setting of the study 27

Population 28

Sample size and sampling technique 28

Criteria for Sample Selection 28

Description of the tool 29

Scoring procedure 30

Content validity 30
 Reliability 30

Pilot study 31

Procedure for data collection 31

Data analysis 32

Protection of Human subject 33

CHAPTER IV ANALYSIS AND 34-58

INTERPRETATION OF DATA

CHAPTER V DISCUSSION 59-63

CHAPTER VI SUMMARY, IMPLICATIONS, 64

RECOMMENDATIONS AND
CONCLUSIONS

Summary 64

Major findings of the study 65

Implications for nursing practice 67

Implications for nursing education 68

Implications for nursing administration 68

Implications for nursing research 69

Recommendations 70

Conclusion 71

REFERENCES 72

APPENDICES 77
 LIST OF TABLES
TABLE TITLE PAGE
NO NO

1 Frequency and percentage distribution of 36

samples according to selected demographic
variables

2 Level of behavior pattern of single child and 48

child with siblings

3 Compare the behavior pattern of single child 50

and sibling child

4 Association of single child behavior with 51

demographic variables.

5 Association of child with siblings behavior 55

with demographic variables.
 LIST OF FIGURES

FIGURE TITLE PAGE

NO NO

1 Conceptual framework based on Becker. M. Health 13

belief model.

2 Distribution of samples according to mother’s age. 42

3 Distribution of samples according to educational status. 42

4 Distribution of samples according to occupation. 43

5 Distribution of samples according to income. 43

6 Distribution of samples according to religion. 44

7 Distribution of samples according to type of family 44

8 Distribution of samples according to parenting style. 45

9 Distribution of samples according to child age. 45

10 Distribution of samples according to sex. 46

11 Distribution of samples according to birth order. 46

12 Distribution of samples according to educational status. 47

13 Distributions of samples according to no of children in 47

the family.

14 Distributions of samples according to level of behavior 49

pattern of single child.

15 Distributions of samples according to level of behavior 49

pattern of sibling child.
 LIST OF ANNEXURE

APPENDIX LIST OF APPENDIX

NO

I Letter seeking permission to conduct study

II Letter seeking experts opinion for content validity

III Certificate for validation

IV List of experts opinion for content validity

V Demographic data

xii
 LIST OF ABBREVIATIONS

1. H : Hypothesis

2. X² : Chi Square

4. = : Equal to

5. SD : Standard Deviation

6. WHO : World Health Organization

7. DF : Degree of freedom

8. n : Number of samples

xiii
 ABSTRACT

STATEMENT OF THE PROBLEM.

"Effectiveness of Oromotor Stimulation on Preterm Newborn for the Early Achievement of

full feeding and shorter duration of Hospital Stay in Selected IMS & SUM Hospital,
Bhubaneswar, Odisha."

OBJECTIVES OF THE STUDY

 To assess the feeding difficulty in preterm

 To compare the effectiveness of oromotor stimulation in experimental and control group.

 To find out the correlation between the pre-term baby and feeding difficulty in control and experimental
group.

 To compare the Length of hospital stay in control group and experimental group

 To find out the correlation between gestational age and hospital stay.

ASSUMPTIONS

The study assumes that

1. Oromotor stimulation can improve the feeding performance.

2. Oromotor stimulation can shorten hospital stay.

3. Oromotor stimulation can help to gain weight of the preterm babies.

DELIMITATION

The study was delimited to the preterm babies

1. With gestational age between 24-36 weeks

2. Admitted in NICU
3. With feeding problem

xiv
HYPOTHESIS

HO- There is no significant improvement of feeding performance after the

oromotor stimulation

H1- There is significant improvement of feeding performance after the oromotor stimulation

H2- There is significant gaining of weight after oromotor stimulation

H3- There is significant shorter hospital stay after oromotor stimulation.

OPERATIONAL DEFINITION

Effectiveness-Refers to the extent to which the oromotor stimulation achieve the desired result
in taking full feeding, weight gain, and duration of hospital stay in terms of difference in control
group and experimental group.

Preterm- Baby born with gestational age between 24 weeks to 36 weeks and admitted in NICU.

Oromotor Stimulus - Oromotor stimulation is an application of pressure by stroking the cheeks,

mouth, gums, tongue, and palate during stay in NICU or before feeding to improve muscle
contractility, strength and orientation reflexes and to arouse infants to a quiet alert state.

Full Feeding- when the baby will take feeding of 100m1/kg /day.

Weight gain- weight gain refers to the amount of weight increased from the birth weight during
the NICU stay till the time of discharge.

Duration of hospital stay- it refers to the days of preterm babies stay in NICU from the day of
admission to the day of discharge..

Key Words- Effectiveness, Oromotor Stimulation, Preterm Babies, Rate of Milk Intake, Hospital
Duration.

xv