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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.
Abstract:
Finding ways to consistently prepare preterm infants and their families for more timely discharge must continue as a focus for everyone involved in the care of these infants in the neonatal intensive care unit. The gold standards for discharge from the neonatal intensive care unit are physiologic stability (especially respiratory stability), consistent weight gain, and successful oral feeding, usually from a bottle. Successful bottle-feeding is considered the most complex task of infancy. Fostering successful oral feeding in preterm infants requires consistently high levels of skilled nursing care, which must begin with accurate assessment of feeding readiness and thoughtful progression to full oral feeding. This comprehensive review of the literature provides an overview of the state of the science related to feeding readiness and progression in the preterm infant. The theoretical foundation for feeding readiness and factors that appear to affect bottle-feeding readiness, progression, and success are presented in this article.
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