Sucking Reflex: Difference between revisions

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== Introduction ==
== Introduction ==
The sucking reflex is said to be seen in utero by the third month of fetal life so that by the end of gestation it can be put to use.<ref>Smith WL, Erenberg A, Nowak A, Franken Jr EA. [https://pubs.rsna.org/doi/abs/10.1148/radiology.156.2.3892576 Physiology of sucking in the normal term infant using real-time US]. Radiology. 1985 Aug;156(2):379-81.</ref>
The sucking reflex is said to be seen in utero by the third month of fetal life so that by the end of gestation it can be put to use.<ref>Smith WL, Erenberg A, Nowak A, Franken Jr EA. [https://pubs.rsna.org/doi/abs/10.1148/radiology.156.2.3892576 Physiology of sucking in the normal term infant using real-time US]. Radiology. 1985 Aug;156(2):379-81.</ref>
It is considered an appropriate feeding response in newborns.<ref>Schott JM, Rossor MN. [https://jnnp.bmj.com/content/74/5/558.short The grasp and other primitive reflexes]. Journal of Neurology, Neurosurgery & Psychiatry. 2003 May 1;74(5):558-60.</ref>
The [[Rooting Reflex|rooting reflex]] and sucking reflex work together in order to feed the infant.<ref name=":0">Woolridge MW. [https://www.sciencedirect.com/science/article/abs/pii/S0266613886800419 The ‘anatomy’of infant sucking. Midwifery]. 1986 Dec 1;2(4):164-71.</ref>
== Incidence and Prevalence ==
In a research conducted by Paulson and Gottlieb, 53% of adult patients showed the presence of a sucking reflex.<ref>PAULSON G, GOTTLIEB G. [https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.1019.3990&rep=rep1&type=pdf Development reflexes: the reappearance of foetal and neonatal reflexes in aged patients]. Brain. 1968 Mar 1;91(1):37-52.</ref>
In a study conducted by Brown et al, 240 healthy young adults were studied in which they found that 3% of the population had a sucking reflex.<ref>Brown DL, Smith TL, Knepper LE. [https://n.neurology.org/content/51/1/322.short Evaluation of five primitive reflexes in 240 young adults]. Neurology. 1998 Jul 1;51(1):322-.</ref>


== Stimulus ==
== Stimulus ==
Stroking the central part above the upper lip.<ref name=":1">Chandradasa M, Rathnayake L. [https://journals.rcni.com/nursing-children-and-young-people/evidence-and-practice/retained-primitive-reflexes-in-children-clinical-implications-and-targeted-homebased-interventions-ncyp.2019.e1132/abs Retained primitive reflexes in children, clinical implications and targeted home-based interventions. Nursing Children and Young People]. 2022 Jan 6;34(1).</ref>  OR    Stimulation of the palate with the help of the nipple during [[Breast Feeding and Physiotherapy|breastfeeding]].<ref name=":0" />


== Response ==
== Response ==
Pursing the lips <ref name=":1" />around the inserted object ( finger or nipple)


== Duration ==
== Duration ==
Is seen from 13-16 weeks during gestation and disintegrates by 12 months of age.<ref name=":2">Feştilă D, Ghergie M, Muntean A, Matiz D, ŞERBǍNESCU A. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462418/ Suckling and non-nutritive sucking habit: what should we know?]. Clujul medical. 2014;87(1):11.</ref>


== Clinical Relevance ==
== Clinical Relevance ==
The presence of sucking pads around the vermillion border of the lips of infants is associated with an effective sucking reflex.<ref>Hendrik HD. [https://content.iospress.com/articles/journal-of-neonatal-perinatal-medicine/npm72413 Sucking-pads and primitive sucking reflex]. Journal of Neonatal-Perinatal Medicine. 2013 Jan 1;6(4):281-3.</ref>
 
* The presence of sucking pads around the vermillion border of the lips of infants is associated with an effective sucking reflex.<ref>Hendrik HD. [https://content.iospress.com/articles/journal-of-neonatal-perinatal-medicine/npm72413 Sucking-pads and primitive sucking reflex]. Journal of Neonatal-Perinatal Medicine. 2013 Jan 1;6(4):281-3.</ref>
* The newborn babies of smoking mothers tend to show delayed sucking responses.<ref>Cutajar K. [https://www.um.edu.mt/library/oar/handle/123456789/92712 The effects of smoking on pregnancy and breastfeeding].</ref>
* Sucking and swallowing are present in utero from 13-16 weeks and these mechanisms are considered an important precursor to respiration and [[deglutition]].<ref name=":2" />
* [[Breast Feeding and Physiotherapy|Breastfeeding]] commences with the help of both sucking and [[Rooting Reflex|rooting reflex]] followed by swallowing reflex.<ref name=":0" />


== References ==
== References ==

Revision as of 19:01, 5 May 2022

Introduction[edit | edit source]

The sucking reflex is said to be seen in utero by the third month of fetal life so that by the end of gestation it can be put to use.[1]

It is considered an appropriate feeding response in newborns.[2]

The rooting reflex and sucking reflex work together in order to feed the infant.[3]

Incidence and Prevalence[edit | edit source]

In a research conducted by Paulson and Gottlieb, 53% of adult patients showed the presence of a sucking reflex.[4]

In a study conducted by Brown et al, 240 healthy young adults were studied in which they found that 3% of the population had a sucking reflex.[5]

Stimulus[edit | edit source]

Stroking the central part above the upper lip.[6] OR Stimulation of the palate with the help of the nipple during breastfeeding.[3]

Response[edit | edit source]

Pursing the lips [6]around the inserted object ( finger or nipple)

Duration[edit | edit source]

Is seen from 13-16 weeks during gestation and disintegrates by 12 months of age.[7]

Clinical Relevance[edit | edit source]

  • The presence of sucking pads around the vermillion border of the lips of infants is associated with an effective sucking reflex.[8]
  • The newborn babies of smoking mothers tend to show delayed sucking responses.[9]
  • Sucking and swallowing are present in utero from 13-16 weeks and these mechanisms are considered an important precursor to respiration and deglutition.[7]
  • Breastfeeding commences with the help of both sucking and rooting reflex followed by swallowing reflex.[3]

References[edit | edit source]

  1. Smith WL, Erenberg A, Nowak A, Franken Jr EA. Physiology of sucking in the normal term infant using real-time US. Radiology. 1985 Aug;156(2):379-81.
  2. Schott JM, Rossor MN. The grasp and other primitive reflexes. Journal of Neurology, Neurosurgery & Psychiatry. 2003 May 1;74(5):558-60.
  3. 3.0 3.1 3.2 Woolridge MW. The ‘anatomy’of infant sucking. Midwifery. 1986 Dec 1;2(4):164-71.
  4. PAULSON G, GOTTLIEB G. Development reflexes: the reappearance of foetal and neonatal reflexes in aged patients. Brain. 1968 Mar 1;91(1):37-52.
  5. Brown DL, Smith TL, Knepper LE. Evaluation of five primitive reflexes in 240 young adults. Neurology. 1998 Jul 1;51(1):322-.
  6. 6.0 6.1 Chandradasa M, Rathnayake L. Retained primitive reflexes in children, clinical implications and targeted home-based interventions. Nursing Children and Young People. 2022 Jan 6;34(1).
  7. 7.0 7.1 Feştilă D, Ghergie M, Muntean A, Matiz D, ŞERBǍNESCU A. Suckling and non-nutritive sucking habit: what should we know?. Clujul medical. 2014;87(1):11.
  8. Hendrik HD. Sucking-pads and primitive sucking reflex. Journal of Neonatal-Perinatal Medicine. 2013 Jan 1;6(4):281-3.
  9. Cutajar K. The effects of smoking on pregnancy and breastfeeding.