Identification of a Pivotal Period in the Oral Feeding Progression of Preterm Infants

Fucile, Sandra; Phillips, Sarah; Bishop, Kelly; Jackson, Meagan; Yuzdepski, Taylor; Dow, Kimberly

doi:10.1055/s-0038-1669947

Cited by 6 publications

(2 citation statements)

References 39 publications

(58 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even though the late group infants were exposed to more number of CPAP days suggesting more severe early lung disease, the use of supplemental oxygen need during the oral feeding period, at 36 weeks, and at hospital discharge were similar between the two groups. Similar to our study, Fucile et al [20], reported that setbacks in oral feeding progression are least likely to occur when the oral feeding attempt frequency reaches 6-8/day vs. 1-2 or 3-5 per day. In our center, we generally consider hospital discharge, once infant is 48h off-NG tube feeding if there are no other medical or social reasons.…”

Section: Discussionsupporting

confidence: 91%

Transitioning from gavage to full oral feeds in premature infants: When should we discontinue the nasogastric tube?

Viswanathan

Jadcherla

2019

J Perinatol

View full text Add to dashboard Cite

Background The optimal timing for discontinuation of nasogastric (NG) tube in premature infants transitioning to oral feeding is not known. Objective To determine whether early removal of NG-tube is appropriate in low-risk premature infants. Methods Prospectively collected data of premature infants started on oral feeds at ≤34 weeks gestation were reviewed. Infants were categorized into 'early' or 'late' NG-removal groups based on the proportion of oral intake in the preceding 2-days, i.e., 60-79% or 80-100% of the total volume, respectively. Results In total 50 infants in early group vs. 43 in late group. Both groups had similar oral intake and weight change in the subsequent 2-days post-NG removal. The days from NG-removal to target oral volume, and to hospital discharge trended shorter in early vs. late group. Conclusions Discontinuing NG-tube when the oral feeding competency reaches~75% of prescribed feeding volume is safe and appropriate in low-risk premature infants.

show abstract

Section: Discussionsupporting

confidence: 91%

Transitioning from gavage to full oral feeds in premature infants: When should we discontinue the nasogastric tube?

Viswanathan

Jadcherla

2019

J Perinatol

View full text Add to dashboard Cite

show abstract

“…Their respiratory function will mature as preterm infants mature. Independent oral feeding is usually established near the time of discharge from NICU to home with coordination of sucking, swallowing, and breathing at a ratio of 1 : 1 : 1 or 2 : 2 : 1 [4].…”

Section: Introductionmentioning

confidence: 99%

Development of Swallowing Function in Infants with Oral Feeding Difficulties

Han

Shin

Jeon

2020

International Journal of Pediatrics

View full text Add to dashboard Cite

Background. Discharge of preterm infants is often delayed because of their oral feeding difficulties. Independent oral feeding is the last obstacle to pass after managing acute and chronic morbidities. We conducted this study to determine the prevalence, characteristics, and risk factors of swallowing dysfunction and suggest proper interventions to reduce aspiration and chronic lung injury. Methods. Infants admitted to the neonatal intensive care unit (January 2016 to December 2018) who were performed modified barium swallow study due to oral feeding difficulties were enrolled. Modified barium swallow study was done≥postmenstrual age 37 weeks to limit radiation exposure. Clinical data were collected retrospectively. Swallowing dysfunction was defined as inadequate epiglottic closure, laryngeal penetration, or tracheal aspiration according to result of the modified barium swallow study. Results. Among a total of 54 infants enrolled, nine (16.7%) were term infants, 13 (24.1%) were late preterm infants (gestational age, 34-36 weeks), and 32 (59.3%) were early preterm infants (gestational age<34 weeks). Gestational age and birth weight were smaller in infants with swallowing dysfunction. Total duration of mechanical ventilation and duration of invasive ventilation were longer in infants with swallowing dysfunction. The risk of swallowing dysfunction increased by 11.2 times for infants with gestational age<29 weeks compared to infants with gestational age≥29 weeks. Swallowing dysfunction was improved in most infants after they became matured. They showed different time and rate of maturation with the help of rehabilitation through swallow therapy and dietary modification with thickened formula. Conclusion. Preterm infants with gestational age<29 weeks or with longer ventilation duration are at a higher risk of aspiration. Rehabilitation of swallow therapy and dietary modification with thickened formula can be helpful interventions to prevent aspiration and chronic lung injury and reassure parents until independent oral feeding is possible.

show abstract

A systematic review of the definitions and prevalence of feeding intolerance in preterm infants

2021

View full text Add to dashboard Cite

Identification of a Pivotal Period in the Oral Feeding Progression of Preterm Infants

Cited by 6 publications

References 39 publications

Transitioning from gavage to full oral feeds in premature infants: When should we discontinue the nasogastric tube?

Transitioning from gavage to full oral feeds in premature infants: When should we discontinue the nasogastric tube?

Development of Swallowing Function in Infants with Oral Feeding Difficulties

A systematic review of the definitions and prevalence of feeding intolerance in preterm infants

Contact Info

Product

Resources

About