Yi YG, et al. - The medical records and video recordings for the Neonatal Oral-Motor Assessment Scale (NOMAS) of premature infants was analyzed and divided into two groups on the basis of the presence or absence of incoordination in order to examine whether uncoordinated sucking pattern during bottle-feeding in premature infants was related to the developmental outcomes at 8–12 and 18–24 months of age (corrected for prematurity). It was discovered that in the cognitive domain of the Bayley-III at both 8–12 and 18–24 months, in premature infants, an uncoordinated sucking pattern was independently correlated with a greater risk of abnormal developmental outcomes. Furthermore, for periodic follow-up and early intervention, there may be a requirement for developmental impediment when incoordination of sucking, swallowing, and respiration that leads to stress signals on the NOMAS is noted prior to the 40 weeks postmenstrual age.