Infant-driven feeding in premature infants: a quality improvement project

Abstract

The IDF approach was associated with significant reduction in time to full feeds and discharge, an effect that was most pronounced in infants >28 weeks GA. The downstream benefits included provider and parent satisfaction.

A Quality Improvement Initiative to Improve the Care of Infants Born Exposed to Opioids by Implementing the Eat, Sleep, Console Assessment Tool

“…The infantbased feeding readiness and quality score will be built into our EMR, in which, for example, 75% of goal feeds over 30 minutes would be considered good feed. 22 We will also be integrating the Newborn Weight Loss Tool into our EMR to better identify excess weight loss earlier in these at-risk newborns. 23 Our intention is to optimize nutrition through supplementation and fortification, lactation support, DHM, and speech and language pathology evaluation before starting medication.…”

Parents experiences of feeding their extremely preterm children during the first 2‐3 years – A qualitative study

“…Swedish NICUs implement several strategies to reduce parental stress during infants’ NICU stay, such as free parental access 24/7 and skin‐to‐skin care . Use of an approach in which the infant is in control and feeding is infant driven has been shown to result in a significant reduction in the time to reach full feeds by mouth, as well as earlier discharge, especially in infants born before 28 weeks of gestation …”

Use of a Gastroschisis Feeding Guideline to Improve Standardization of Care and Patient Outcomes at an Urban Children's Hospital

“…4 The use of protocols to standardize care has been shown to be beneficial for critically ill patients, contributing to improved patient outcomes and provider satisfaction in retrospective studies. 5,6 Protocolization also helps to identify provider noncompliance to best practices and may help identify associated factors that contribute to poor outcomes. 7 Moreover, the implementation of evidence-based nutrition management protocols has proven to improve patient outcomes in critically ill patients.…”