The effect of oromotor therapy on the suction reflex in low birth weight infants and mother's self-efficacy

DOI: https://doi.org/10.56922/mchc.v4i11.2512

Authors

  • Yuni Karomah Universitas Islam Sultan Agung
  • Kurnia Wijayanti Universitas Islam Sultan Agung
  • Nopi Nur Khasanah Universitas Islam Sultan Agung

Low Birth Weight Infants Maternal Self-Efficacy Oromotor Therapy PIOMI Sucking Reflex

Abstract

Background: Low birth weight (LBW) infants are at risk of impaired sucking reflexes due to the immaturity of the oromotor system, which can affect nutritional intake and increase morbidity. Maternal involvement in the care of LBW infants is strongly influenced by maternal self-efficacy. One intervention that can be applied is oromotor therapy using the Premature Infant Oral Motor Intervention (PIOMI) method.

Purpose: To analyze the effect of oromotor therapy on the sucking reflex of LBW infants and maternal self-efficacy.

Method: This study employed a quantitative pre-experimental design with a one-group pretest–posttest without control approach. The sample consisted of 17 mother–infant dyads of LBW infants treated in the NICU of Dr. Kariadi General Hospital, Semarang, selected using purposive sampling. The PIOMI intervention was administered for 7 days. Infant sucking reflex was measured using the Neonatal Oral-Motor Assessment Scale (NOMAS), while maternal self- efficacy was assessed using the Perceived Maternal Parenting Self-Efficacy (PMP-SE) questionnaire. Data were analyzed using the Wilcoxon test.

Results: The results demonstrated a significant improvement in infant sucking reflex and maternal self-efficacy after the PIOMI intervention, with statistically significant differences (p < 0.05).

Conclusion: PIOMI oromotor therapy is effective in improving the oromotor function of LBW infants and enhancing maternal confidence in infant care.

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References

Agustina, K. S., Rosita, E., Pani, W., Silfia, N. N., Fadliyah, L., Kusika, S. Y., & Judijanto, L. (2024). Asuhan Kebidanan Keluarga Berencana. PT. Green Pustaka Indonesia.

Alinejad-Naeini, M., Razavi, N., Sohrabi, S., & Heidari-Beni, F. (2021). The association between health literacy, social support and self-efficacy in mothers of preterm neonates. The Journal of Maternal-Fetal & Neonatal Medicine, 34(11), 1703-1710.

Amaliya, S., Kapti, R. E., Astari, A. M., Yuliatun, L., & Azizah, N. (2023). Improving knowledge and self-efficacy in caring at home for parents with low-birth-weight babies. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 8(2), 819-826.

Amaliya, S., Kapti, R. E., Astari, A. M., Yuliatun, L., & Azizah, N. (2023). Improving knowledge and self-efficacy in caring at home for parents with low-birth-weight babies. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 8(2), 819-826.

Cakirli, M., Bayat, M., & Tekin, A. N. (2025). Effect of premature infant oral motor intervention (PIOMI) and pacifier intervention on the transition to oral feeding in preterm infants: A randomized controlled study. Japan Journal of Nursing Science, 22(2), e70009.

Central Java Provincial Statistics Agency. (2024). umlah Bayi Lahir, Bayi Berat Badan Lahir Rendah (BBLR), dan Bergizi Kurang Menurut Kabupaten/Kota di Provinsi Jawa Tengah (Jiwa), 2023. Retrieved from: https://jateng.bps.go.id/id/statistics-table/2/Mzc4IzI%3D/jumlah-bayi-lahir-bayi-berat-badan-lahir-rendah-bblr-bblr-dirujuk-dan-bergizi-buruk-menurut-kabupaten-kota-di-provinsi-jawa-tengah.html

Duhita, F., Sari, C. A., & Kartikasari, D. (2024). Penguatan peran social support ibu hamil sebagai upaya mewujudkan kehamilan dan persalinan yang sehat. J Masy Mandiri, 8(1), 1484-1493.

Greene, Z., O'Donnell, C. P., & Walshe, M. (2023). Oral stimulation for promoting oral feeding in preterm infants. Cochrane Database of Systematic Reviews, (6).

Griyaningsih, W., & Prasetyorini, H. (2025). Penerapan Oral Sensomotor Therapy Dalam Peningkatan Kemampuan Menghisap Dan Menelan Pada Bayi Prematur. Jurnal Manajemen Asuhan Keperawatan, 9(2), 76-83.

Juliawan, N. G., Kristianto, A. K., & Apriastini, N. K. T. (2023). Pengaruh Stimulasi Oromotor dalam Memperbaiki Refleks Isap Bayi Prematur. Sari Pediatri, 24(5), 341-51.

Ministry of Health of the Republic of Indonesia. (2023). Efforts to Prevent Premature Birth. Retrieved from: https://kemkes.go.id/id/rilis-kesehatan/upaya-pencegahan-bayi-lahir-prematur

Pascual, A., Wielenga, J. M., Ruhe, K., Kaam, A. H. V., Denswil, N. P., & Maaskant, J. M. (2024). The fundamentals of a parental peer-to-peer support program in the NICU: a scoping review. Maternal Health, Neonatology and Perinatology, 10(1), 19.

Permatasari, A., Hapsari, E. D., & Lismidiati, W. (2021). Efikasi Diri Ibu Yang Memiliki Bayi Berat Lahir Rendah Dengan Dukungan Sosial Dan Gejala Depresi. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 5(3), 124-136.

Prayeti, L. K. A. (2024). Perbedaan Self Efficacy Post Partum Sebelum Dan Sesudah Diberikan Bimbingan Individu Menggunakan Media Booklet Perawatan Bblr di Rumah (Doctoral Dissertation, Jurusan Kebidanan).

Samawati, W. K., Mangunsong, R. R. D., & Sutanto, A. V. (2025). Pengaruh Piomi terhadap Feeding Skills pada Bayi Prematur di Rsud Koja Jakarta. INSOLOGI: Jurnal Sains dan Teknologi, 4(5), 1283-1292.

Shafa, L. A., & Triana, N. Y. (2022). Efektivitas Pemberian Oral Motor Exercise Terhadap Reflek Hisap Pada Bblr Preterm. Jurnal Inovasi Penelitian, 3(2), 4973-4976.

Shah,V., Chanageri, S. V., Patil, T., Sukey, B., Padhi, S. B. (2025). Effect Of Preterm Infant Oral Motor Intervention (Piomi) On Feeding Readiness and Feeding Behaviour in Preterm Neonates-A Randomised Control Trial. Retrieved from: https://mail.jneonatalsurg.com/index.php/jns/article/view/5453/6105

Shahraki, S. K., Bazyar, M., Nematollahi, M., Emadi, S. F., & Tavan, A. (2025). Impact of family-centered care on parenting role and sense of competence in parents of preterm neonates: A quasi-experimental study. Journal of Neonatal Nursing, 31(1), 267-274.

Simon, L. V., Shah, M., & Bragg, B. N. (2024). Apgar score. StatPearls-NCBI Bookshelf.

Suherlin, I., Yulianingsih, E., & Porouw, H. S. (2024). Buku ajar asuhan neonatus, bayi dan balita. Deepublish.

Syaiful, Y., Fatmawati, L., & Sholichah, S. (2019). Stimulasi oral meningkatkan reflek hisap pada bayi berat lahir rendah (bblr). Journals of Ners Community, 10(1), 20-28.

Wahyuningsih, W., Perbawati, D., Herliawati, P. A., & Puspitasari, A. I. (2025). Buku Masalah Dalam Pemberian Asi. Mahakarya Citra Utama Group.

Yulianti, M., & Hasanah, P. N. (2024). Konsep dasar dan asuhan keperawatan bayi berat lahir rendah. Penerbit NEM.

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Published

2026-02-27