Demand vs. Scheduled Feedings for Premature Infants

Collinge, Judith M.; Bradley, Karen; Perks, Cheryl; Rezny, Ann; Topping, Patricia

doi:10.1111/j.1552-6909.1982.tb01036.x

Cited by 31 publications

(44 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…5 In regards to the effectiveness of cuebased oral feeding, an early study showed that ad libitum oral feeding promoted faster attainment of full oral feeding in a group of healthy preterm infants weighing at least 1800 g on study entry, without complications. 6 Similarly, another study of preterm infants <37 weeks of gestation showed that stable preterm infants were able to self-regulate the frequency and amount of their feedings and allow longer sleep times between nursing interventions without compromising growth using a demand feeding protocol. 7 A maximum 5-h time limit between feedings was established and guidelines for minimum fluid and caloric intake were employed as smaller infants were included than in previous studies (down to 1550 g at study entry).…”

Section: Discussionmentioning

confidence: 99%

“…The clinical pathway was developed using evidence which suggests that preterm infants are ready to regulate their own feeding as early as 32 weeks of PMA and that cue-based feeding can facilitate oral feeding progression. 1,[6][7][8]13 A study of infants born less than 30 weeks of gestation showed that early introduction of oral feeding could occur at an average of 31 weeks of PMA when initiating oral feedings 48 h after achieving full tube feeds. 5 This earlier introduction of oral feedings accelerated the transition time from tube to all oral feeding.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 Other studies have shown that healthy preterm infants can attain full oral feeding earlier by providing the cues to regulate their own feeding schedule. 1,[5][6][7] While these studies showed that full oral feeding can be achieved at earlier gestational ages by initiating oral feeding earlier and/or by employing infant-determined feeding schedules, they focused on select populations of 'well' preterm infants: some limited entry by weight criteria, 6,7 others failed to include infants with significant oxygen need or history of severe intraventricular hemorrhage. 5,8 Hence, many infants commonly cared for in the NICU have not been studied, are probably at greater risk for delayed progress with oral feedings, and may also benefit from a more individualized approach to oral feeding.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cue-based oral feeding clinical pathway results in earlier attainment of full oral feeding in premature infants

2007

View full text Add to dashboard Cite

Objective: To study whether a cue-based clinical pathway for oral feeding initiation and advancement of premature infants would result in earlier achievement of full oral feeding.Study Design: Age of achievement of full oral intake was compared for two groups of preterm infants; a prospective study group vs historic cohort controls. Study infants had oral feedings managed by nurses using a clinical pathway that relied on infant behavioral readiness signs to initiate and advance oral feedings. Controls had oral feedings managed by physician orders.Result: Fifty-one infants (n ¼ 28 study and n ¼ 23 control) were studied. Gender distribution, gestational age, birth weight and ventilator days were not different between groups. Study infants reached full oral feedings 6 days earlier than controls (36±1 3/7 weeks of postmenstrual age (PMA) vs 36 6/7±1 4/7 weeks of PMA, P ¼ 0.02). Conclusion:The cue-based clinical pathway for oral feeding initiation and advancement of premature infants resulted in earlier achievement of full oral feeding.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cue-based oral feeding clinical pathway results in earlier attainment of full oral feeding in premature infants

2007

View full text Add to dashboard Cite

show abstract

“…Oral feeding attempts are often limited because of concerns that excess energy will be expended at the cost of weight gain, although this is not documented in the literature. 28,29 Few studies have examined the effect of experience on feeding outcomes, including nutritive sucking.…”

Section: Discussionmentioning

confidence: 99%

Predictors of nutritive sucking in preterm infants

et al. 2006

View full text Add to dashboard Cite

Objective: The purposes of this analysis were to determine how select characteristics of nutritive sucking (number of sucks, sucks/burst, and sucks/minute) change over time and to examine the effect of select factors (morbidity, maturity, prefeeding behavior state, and feeding experience) on those changes.Study design: A longitudinal, non-experimental study was conducted in a Level 3 neonatal intensive care unit using a convenience sample of 88 preterm infants. Statistical analyses were performed using a repeated-measures mixed-model in SAS.Results: Sucking activity (number of sucks, sucks/burst, and sucks/ minute) was predicted by morbidity, maturity, feeding experience and prefeeding behavior state. Experience at oral feeding had the greatest effect on changes in the number of sucks, suck/burst and sucks/minute. Conclusion:Experience at feeding may result in more rapid maturation of sucking characteristics.

show abstract

“…If the infant is slightly or sound asleep, milk is supplied by a gastric tube. 110 It also has been described that PTNB infants can be fed on demand, reaching the appropriate ingestion of milk volume in a shorter time than those fed at fixed schedules, 111 but it is necessary to carefully follow up the weight gain of these patients in order to guarantee that they have proper nutrition. 106 Unfortunately, the transition from tube to oral feeding is more based on the routines of various services than on the observation and knowledge about the development of preterm infants.…”

Section: Special Considerations For Human Milk Feeding Of Preterm Infmentioning

confidence: 99%

Aleitamento materno em prematuros: manejo clínico hospitalar

Nascimento¹,

Issler²

2004

J. Pediatr. (Rio J.)

View full text Add to dashboard Cite

Suggested citation: do Nascimento MB, Issler H. Breastfeeding in premature infants: in-hospital clinical management. J Pediatr (Rio J). 2004;80(5 Suppl):S163-S172. AbstractObjective: To describe the importance of breastfeeding and its promotion in the in-hospital clinical management of premature newborns. Source of data:The authors made an extensive literature review on the topic, including technical books, theses, publications of national and international organizations, and search on MEDLINE database (1990 to 2003), using the following key words and boolean operators: breastfeeding AND low birth weight and breastfeeding AND preterm infant . Some significant references cited in the reviewed publications were used as well.Summary of the findings: After this review we conclude that many aspects make the breast milk particularly suitable to the premature newborn feeding. Despite being highly desirable, little success in breastfeeding preterm infants is generally observed, particularly in special care neonatal units, although there are evidences suggesting that a highly supportive hospital environment can make it possible to breastfeed these infants.Conclusions: Although breastfeeding premature infants represents a challenge, it is feasible if appropriate help and support are provided. Mothers of premature infants need information and support to make informed decisions about their infants feeding.J Pediatr (Rio J). 2004;80(5 Suppl):S163-S172: Breastfeeding, human milk, newborn, preterm infant, neonatal care. Breastfeeding in premature infants:in-hospital clinical management Maria Beatriz R. do Nascimento, 1 Hugo Issler 2 0021-7557/04/80-05-Suppl/S163 Jornal de Pediatria Copyright © 2004 by Sociedade Brasileira de PediatriaBreastfeeding is the safest and most natural form of infant feeding, and it should be exclusive up to the sixth month. After that, complementary feeding should be implemented, but breastfeeding can be maintained up to the second year of life or longer. 1 Human milk provides a unique combination of proteins, lipids, carbohydrates, minerals, vitamins, enzymes and living cells, in addition to offering nutritional, immunological, psychological and economic benefits. 2-7 These qualities have great importance when it comes to preterm newborns (PTNB), due to their greater vulnerability. 8 The appropriate clinical management of lactation has been described to facilitate the successful breastfeeding of full-term newborns. 9 The medical literature also provides evidence that mothers of PTNB infants should have access to breastfeeding support, in order to maintain a sufficient milk production; however, practical aspects regarding the promotion of human milk feeding still have not been settled into the routine care of preterm infants in most neonatal

show abstract

Demand vs. Scheduled Feedings for Premature Infants

Cited by 31 publications

References 2 publications

Cue-based oral feeding clinical pathway results in earlier attainment of full oral feeding in premature infants

Cue-based oral feeding clinical pathway results in earlier attainment of full oral feeding in premature infants

Predictors of nutritive sucking in preterm infants

Aleitamento materno em prematuros: manejo clínico hospitalar

Contact Info

Product

Resources

About