Factors affecting the introduction of complementary foods in the preterm infant

F J Norris1, M S Larkin, C M Williams

  • 1School of Biomedical and Life Sciences, University of Surrey, Guildford, Surrey, UK.

Insights

Many carers introduced solid foods to preterm infants before guidelines recommended. Compliance with Department of Health (DoH) guidelines for infant weaning was poor, indicating a need for further research into long-term effects.

Area of Science:

  • Pediatrics
  • Neonatology
  • Infant Nutrition

Background:

  • Current infant feeding practices for preterm infants are not well-documented.
  • Understanding these practices is crucial for ensuring optimal infant growth and development.

Purpose of the Study:

  • To identify current infant feeding practices among carers of preterm infants.
  • To assess compliance with established Department of Health (DoH) guidelines for introducing complementary foods.

Main Methods:

  • Structured interviews were conducted with mothers of 253 preterm infants.
  • Feeding practices were monitored until infants reached 12 months corrected age.
  • Data collection occurred in three hospitals over a two-year period.

Main Results:

  • 49% of preterm infants received solids before the general DoH guideline (17.1 weeks corrected age).
  • 95% received solids before the term infant guideline (11.5 weeks corrected age).
  • 21% received solids before the preterm infant guideline (infant weighing at least 5 kg).

Conclusions:

  • Infant feeding practices, particularly the introduction of complementary foods, varied significantly among carers of preterm infants.
  • Compliance with DoH guidelines was notably poor.
  • Further research is needed to determine the long-term effects of these weaning practices on preterm infant growth and morbidity.
Abstract

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