Pengaruh Piomi terhadap Feeding Skills pada Bayi Prematur di Rsud Koja Jakarta

Authors

  • Wasiah Kursius Samawati Poltekkes Kemenkes Surakarta
  • Roy Romey Daulas Mangunsong Poltekkes Kemenkes Surakarta
  • Alfiani Vivi Sutanto Poltekkes Kemenkes Surakarta

DOI:

https://doi.org/10.55123/insologi.v4i5.6554

Keywords:

Premature Infant, Feeding Skills, PIOMI, EFSAT, Effect Size

Abstract

This study aimed to examine the effect of the Premature Infant Oral Motor Intervention (PIOMI) on feeding skills in premature infants at RSUD Koja Jakarta, given that feeding skill dysfunction (mean gestational age 34.03 weeks) often leads to delayed oral feeding and prolonged hospitalization. Utilizing a one-group pretest-posttest quasi-experimental design, 30 premature infants were recruited via purposive sampling. The PIOMI intervention was administered intensively for 6 consecutive days, twice daily, starting at a mean chronological age of 6.8 days. Feeding skills were measured using the Early Feeding Skills Assessment Tool (EFSAT) before and after the intervention, and data were analyzed using the Paired Sample t-Test. Results showed that the mean EFS score significantly increased from 31.37 (pretest) to 47.17 (posttest), yielding a mean improvement of 15.8 points. The hypothesis test produced p < 0.001, indicating a highly significant effect of PIOMI. Furthermore, Cohen's d = 8.560 indicated a very strong, clinically relevant effect size (Very Large Effect). Functionally, 20% of subjects transitioned fully from OGT to oral feeding, and 43.3% increased their oral volume, accompanied by a mean weight gain from 1974.83 gr to 2049.23 gr. It is concluded that PIOMI is highly effective and has a strong clinical impact on improving feeding skills in premature infants, and its implementation as a standard protocol in the NICU is recommended to accelerate feeding independence.

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References

Astuti, D. D., Rustina, Y., & Wanda, D. (2022). Oral feeding skills in premature infants: A concept analysis. Belitung Nursing Journal, 8(4), 280–286. https://doi.org/10.33546/bnj.2107

Barros, F. C., De Lyra Rabello Neto, D., Villar, J., Kennedy, S. H., Silveira, M. F., DIaz-Rossello, J. L., & Victora, C. G. (2018). Caesarean sections and the prevalence of preterm and early-term births in Brazil: Secondary analyses of national birth registration. BMJ Open, 8(8), 1–9. https://doi.org/10.1136/bmjopen-2018-021538

Dietrich, L.-A. J., & Blanco, C. (2022). Oral Feeding of Preterm Infants in the NICU: Interventions and Outcomes. Newborn, 1(1), 104–108. https://doi.org/10.5005/jp-journals-11002-0010

Gennattasio, A., Perri, E. A., Baranek, D., & Rohan, A. (2014). Oral feeding readiness assessment in premature infants. MCN The American Journal of Maternal/Child Nursing, 40(2), 96–104. https://doi.org/10.1097/NMC.0000000000000115

Ghazi, S., Faramarzi, R., Boskabadi, A., Knoll, B. L., Ghaemi, H., Taghipour, A., & Sobhani-Rad, D. (2023). Prolonged Oral Motor Stimulation Treatment was Effective for Breastfeeding Achievement in Full Term Infants With Feeding Problems. Iranian Rehabilitation Journal, 21(2), 251–261. https://doi.org/10.32598/irj.21.2.1754.1

Herr, L., Chung, J., Lee, K. E., Han, J. H., Shin, J. E., Jung, H. I., & Kang, C. M. (2023). Oral characteristics and dietary habits of preterm children: A retrospective study using National Health Screening Program for Infants and Children. PLoS ONE, 18(3 March), 1–15. https://doi.org/10.1371/journal.pone.0281896

Kamity, R., Kapavarapu, P. K., & Chandel, A. (2021). Feeding problems and long-term outcomes in preterm infants—A systematic approach to evaluation and management. Children, 8(12). https://doi.org/10.3390/children8121158

Khandre, V., Potdar, J., & Keerti, A. (2022). Preterm Birth: An Overview. Cureus, 14(12), 10–15. https://doi.org/10.7759/cureus.33006

Manno, C. J., Fox, C., Eicher, P. S., & Kerwin, M. E. (2005). Early oral-motor interventions for pediatric feeding problems: What, when and how. Journal of Early and Intensive Behavior Intervention, 2(3), 145–159. https://doi.org/10.1037/h0100310

Miller, J. L. (2002). Pediatric Swallowing and Feeding Assessment and Management (Second Edition). In International Journal of Pediatric Otorhinolaryngology (Vol. 65, Issue 3). https://doi.org/10.1016/s0165-5876(02)00205-7

Morag, I., Hendel, Y., Karol, D., Geva, R., & Tzipi, S. (2019). Transition from nasogastric tube to oral feeding: The role of parental guided responsive feeding. Frontiers in Pediatrics, 7(MAY), 1–10. https://doi.org/10.3389/fped.2019.00190

Sampallo-Pedroza, R. M., Cardona-López, L. F., & Ramírez-Gómez, K. E. (2014). Description of oral-motor development from birth to six years of age. Revista Facultad de Medicina, 62(4), 593–604. https://doi.org/10.15446/revfacmed.v62n4.45211

Thoyre, S. M., Shaker, C. S., & Pridham, K. F. (2005). The early feeding skills assessment for preterm infants. Neonatal Network : NN, 24(3), 7–16. https://doi.org/10.1891/0730-0832.24.3.7

Townsel, C. D., Emmer, S. F., Campbell, W. A., & Hussain, N. (2017). Gender differences in respiratory morbidity and mortality of preterm neonates. Frontiers in Pediatrics, 5(January), 1–6. https://doi.org/10.3389/fped.2017.00006

Tsai, Y. L., Hsieh, P. C., Chen, T. Y., & Lin, Y. C. (2024). Effects of Complete Oral Motor Intervention and Nonnutritive Sucking Alone on the Feeding Performance of Premature Infants: A Systematic Review and Meta-Analysis. Children, 11(1). https://doi.org/10.3390/children11010004

UNICEF, & University of Pretoria. (2023). Feeding Preterm and Low-Birthweight Newborns. October.

Yavanoglu Atay, F. (2023). Evaluation of the Effect of Oral Motor Stimulation Exercises on Feeding Skills in Premature Infants. SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital, 57(2), 189–194. https://doi.org/10.14744/semb.2022.96562

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Published

2025-10-15

How to Cite

Wasiah Kursius Samawati, Roy Romey Daulas Mangunsong, & Alfiani Vivi Sutanto. (2025). Pengaruh Piomi terhadap Feeding Skills pada Bayi Prematur di Rsud Koja Jakarta. INSOLOGI: Jurnal Sains Dan Teknologi, 4(5), 1283–1292. https://doi.org/10.55123/insologi.v4i5.6554

Issue

Vol. 4 No. 5 (2025): Oktober 2025

Section

Articles

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Copyright (c) 2025 Wasiah Kursius Samawati, Roy Romey Daulas Mangunsong, Alfiani Vivi Sutanto

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