State of the science: feeding readiness in the preterm infant

Jacqueline M McGrath1, Ana V Bodea Braescu

  • 1College of Nursing, Arizona State University, Tempe, AZ 85287, USA. jacqueline.mcgrath@asu.edu

Insights

Preparing preterm infants for discharge requires focusing on feeding readiness and progression. Skilled nursing care is crucial for successful bottle-feeding, a complex task in neonatal intensive care unit infants.

Area of Science:

  • Neonatal care
  • Pediatric nutrition
  • Infant development

Background:

  • Neonatal intensive care unit (NICU) discharge planning for preterm infants requires focus on key milestones.
  • Physiologic stability, weight gain, and successful oral feeding are critical for discharge readiness.
  • Successful bottle-feeding is a complex developmental task for preterm infants.

Purpose of the Study:

  • To provide a comprehensive literature review on feeding readiness and progression in preterm infants.
  • To explore the theoretical underpinnings of feeding readiness.
  • To identify factors influencing bottle-feeding readiness, progression, and success in this population.

Main Methods:

  • Comprehensive literature review of scientific articles.
  • Analysis of theoretical frameworks related to infant feeding.
  • Synthesis of factors affecting preterm infant feeding.

Main Results:

  • Feeding readiness assessment and skilled nursing care are essential for successful oral feeding.
  • Various factors influence the readiness, progression, and success of bottle-feeding in preterm infants.
  • The review synthesizes current knowledge on the state of science in this area.

Conclusions:

  • Optimizing preterm infant discharge necessitates a focus on feeding readiness and progression.
  • Skilled nursing interventions are vital for fostering successful oral feeding in the neonatal intensive care unit.
  • Understanding the factors affecting feeding is key to improving outcomes for preterm infants and their families.

Related Concept Videos

Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
The Nativist Approach01:21

The Nativist Approach

The nativist approach to infant cognitive development proposes that infants are born with inherent knowledge structures that allow them to interpret the world almost immediately. This perspective contrasts with earlier developmental theories, such as those proposed by Jean Piaget, which emphasized a more gradual acquisition of cognitive abilities through interaction with the environment. One key concept in this approach is object permanence — the understanding that objects continue to exist...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...