<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-1146</journal-id>
<journal-title><![CDATA[Boletín médico del Hospital Infantil de México]]></journal-title>
<abbrev-journal-title><![CDATA[Bol. Med. Hosp. Infant. Mex.]]></abbrev-journal-title>
<issn>1665-1146</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-11462018000100015</article-id>
<article-id pub-id-type="doi">10.24875/bmhim.m18000001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Rehabilitación de las alteraciones en la succión y deglución en recién nacidos prematuros de la unidad de cuidados intensivos neonatales]]></article-title>
<article-title xml:lang="en"><![CDATA[Rehabilitation of sucking and swallowing alterations in premature newborn at the neonatal intensive care unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar-Vázquez]]></surname>
<given-names><![CDATA[Edda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Padilla]]></surname>
<given-names><![CDATA[M. Lucía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martín-López]]></surname>
<given-names><![CDATA[M. de Lourdes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-Hernández]]></surname>
<given-names><![CDATA[Adriana Abigail]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Departamento de Rehabilitación ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<volume>75</volume>
<numero>1</numero>
<fpage>15</fpage>
<lpage>22</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-11462018000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-11462018000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-11462018000100015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen En 20 años se han atendido 640 recién nacidos prematuros (RNP) y recién nacidos a término con alteraciones en la coordinación de la succión-deglución en la unidad de cuidados intensivos neonatales del Hospital Infantil de México Federico Gómez, empleado técnicas de tratamiento para pacientes con inmadurez, patologías de tipo neurológico, gastrointestinal, cardiológico y respiratorio. El presente trabajo describe el tratamiento empleado principalmente en RNP durante este periodo. La coordinación de la succión-deglución-respiración es una de las habilidades más complejas a las que se enfrenta el RNP, debido a que presenta inmadurez anatomofuncional y una incorrecta integración sensoriomotriz para los altos requerimientos energéticos a los que debe someterse. La succión y la deglución son procesos voluntarios e involuntarios que garantizan el paso seguro de alimentos de la boca al estómago, y requieren la coordinación de algunos pares craneales, del tronco y la corteza cerebral, y de los músculos de la boca, la faringe y el esófago. El tratamiento de rehabilitación consiste en el posicionamiento del niño y el cuidador al momento de la alimentación, la regulación de la sensibilidad y el tono muscular perioral e intraoral, la coordinación lingual, el cierre labial, la regulación del flujo de leche, el control de la velocidad de las salvas y la adaptación de tetinas tanto para biberón como para seno materno. El procesamiento de la alimentación con el tratamiento se logró reducir a semana y media, mientras que en los RNP sin tratamiento este proceso llegó a tomar hasta 3 semanas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Over the last 20 years, 640 premature newborns with alterations in suction-deglution have been taken care of in the neonatal intensive care unit at the Hospital Infantil de México Federico Gómez, using techniques for patients with immaturity, and neurological, gastrointestinal, cardiologic and respiratory pathologies. This descriptive study includes the treatment employed mainly in premature newborns during this period. Suction, swallowing and breathing coordination are some of the most complex abilities that premature newborns face, due to their anatomofunctional immaturity and improper sensoriomotor integration for the high energy requirements they must meet. Sucking and swallowing are voluntary and involuntary processes that guarantee the safe passage of food from mouth to stomach, and require the coordination of the cranial nerves, the brain stem and cerebral cortex and muscles of the mouth, pharynx and esophagus. The rehabilitation treatment consists in the positioning of the newborn and caretaker, adaptation of teat, regulation of muscle tone and progressive intake of milk. The feeding processing was reduced to 1.5 weeks in newborns submitted to treatment, whereas in those who did not receive the treatment, the proccess took up to 3 weeks.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Succión]]></kwd>
<kwd lng="es"><![CDATA[Deglución]]></kwd>
<kwd lng="es"><![CDATA[Prematuridad]]></kwd>
<kwd lng="es"><![CDATA[Ortodóncicas]]></kwd>
<kwd lng="es"><![CDATA[Salvas]]></kwd>
<kwd lng="es"><![CDATA[Amamantamiento]]></kwd>
<kwd lng="en"><![CDATA[Sucking]]></kwd>
<kwd lng="en"><![CDATA[Deglutition]]></kwd>
<kwd lng="en"><![CDATA[Prematurity]]></kwd>
<kwd lng="en"><![CDATA[Orthothontics]]></kwd>
<kwd lng="en"><![CDATA[Suction]]></kwd>
<kwd lng="en"><![CDATA[Breastfeeeding]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Espinosa]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Arrollo]]></surname>
<given-names><![CDATA[MO]]></given-names>
</name>
<name>
<surname><![CDATA[Martín]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Guía esencial de rehabilitación infantil]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Médica Panamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<source><![CDATA[Lactancia materna en el bebe prematuro hospitalizado en la unidad de cuidados intensivos neonatales (segunda entrega)]]></source>
<year>2012</year>
<publisher-name><![CDATA[Disfagia al día]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rendón Macías]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Serrano Meneses]]></surname>
<given-names><![CDATA[GJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fisiología de la succión nutricia en recién nacidos y lactantes]]></article-title>
<source><![CDATA[Bol Med Hosp Infant Mex]]></source>
<year>2011</year>
<volume>68</volume>
<page-range>319-27</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[KL]]></given-names>
</name>
<name>
<surname><![CDATA[Dalley]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
<name>
<surname><![CDATA[Agur]]></surname>
<given-names><![CDATA[AMR]]></given-names>
</name>
</person-group>
<source><![CDATA[Anatomía con orientación clínica]]></source>
<year>2007</year>
<publisher-loc><![CDATA[Querétaro ]]></publisher-loc>
<publisher-name><![CDATA[Médica Panamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sadler]]></surname>
<given-names><![CDATA[TW]]></given-names>
</name>
</person-group>
<source><![CDATA[Langman. Embriología médica]]></source>
<year>1993</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Médica Panamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guido-Campuzano]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Ibarra-Reyes]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Mateos-Ortiz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Eficacia de la succión no nutritiva en recién nacidos pretérmino]]></article-title>
<source><![CDATA[Perinatol Reprod Hum]]></source>
<year>2012</year>
<volume>26</volume>
<page-range>198-207</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lau]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oral feeding the preterm infant]]></article-title>
<source><![CDATA[Neo Reviews]]></source>
<year>2006</year>
<volume>7</volume>
<page-range>19-27</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Senn]]></surname>
<given-names><![CDATA[TE]]></given-names>
</name>
<name>
<surname><![CDATA[Espy]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effects of neurobehavioral assessment on feeding and weight gain in preterm neonates]]></article-title>
<source><![CDATA[J Dev Behav Pediatr]]></source>
<year>2013</year>
<volume>24</volume>
<page-range>85-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dailey]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<source><![CDATA[Pediatric dysphagia resource guide]]></source>
<year>2001</year>
<publisher-loc><![CDATA[Sanford ]]></publisher-loc>
<publisher-name><![CDATA[Singular Thomson Learning]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Inostroza]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Leal]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Neira]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Descripción de los reflejos orofaciales, succión nutritiva y no nutritiva en lactantes prematuros y recién nacidos de término]]></source>
<year>2013</year>
<publisher-name><![CDATA[Repositorio Académico de la Universidad de Chile]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bragelien]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rokke]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Markestad]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Stimulation of sucking and swallowing to promote oral feeding in premature infants]]></article-title>
<source><![CDATA[Acta Paediatr]]></source>
<year>2007</year>
<volume>96</volume>
<page-range>1430-2</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medoff- Cooper]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[McGrath]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Shults]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Feeding patterns of full-term and preterm infants at forty weeks postconceptional age]]></article-title>
<source><![CDATA[J Dev Behav Pediatr]]></source>
<year>2002</year>
<volume>23</volume>
<page-range>231-6</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Burklow]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[McGrath]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kaul]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management and prevention of feeding problems in young children with prematurity and very low birth weight]]></article-title>
<source><![CDATA[Infants and Young Children]]></source>
<year>2002</year>
<volume>14</volume>
<page-range>19-30</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ross]]></surname>
<given-names><![CDATA[ES]]></given-names>
</name>
<name>
<surname><![CDATA[Browne]]></surname>
<given-names><![CDATA[JV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Developmental progression of feeding skills an approach to supporting feeding in preterm infants]]></article-title>
<source><![CDATA[Semin Neonatol]]></source>
<year>2012</year>
<volume>7</volume>
<page-range>469-75</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Boiron]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Da Nobrega]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Roux]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effects of oral stimulation and oral support on nonnutritive sucking and feeding performance in preterm infants]]></article-title>
<source><![CDATA[Dev Med Child Neurol]]></source>
<year>2007</year>
<volume>49</volume>
<page-range>439-44</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thomas]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guidelines for bottle feeding your premature baby]]></article-title>
<source><![CDATA[Adv Neonatal Care]]></source>
<year>2007</year>
<volume>7</volume>
<page-range>311-8</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pridham]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Saxe]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Limbo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Feeding issues for mothers of very low-birth-weight, premature infants through the first year]]></article-title>
<source><![CDATA[J Perinat Neonatal Nurs]]></source>
<year>2004</year>
<volume>18</volume>
<page-range>161-9</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fucile]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gisel]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Lau]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oral stimulation accelerates the transition from tube to oral feeding in preterm infants]]></article-title>
<source><![CDATA[J Pediatr]]></source>
<year>2002</year>
<volume>141</volume>
<page-range>230-6</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medoff-Cooper]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nutritive sucking research from clinical questions to research answers]]></article-title>
<source><![CDATA[J Perinatal Neonatal Nurs]]></source>
<year>2005</year>
<volume>19</volume>
<page-range>265-72</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Field]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Stimulation of preterm infants]]></article-title>
<source><![CDATA[Pediatr Rev]]></source>
<year>2003</year>
<volume>24</volume>
<page-range>4-12</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
