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Relationship of the first suck burst to feeding outcomes in preterm infants
Rita H Pickler1, Chantira Chiaranai, Barbara A Reyna
1Virginia Commonwealth University, Richmond, Va 23298, USA. rpickler@vcu.edu
Insights
The number of sucks in a preterm infant
Area of Science:
- Neonatal Nutrition
- Pediatric Feeding Disorders
Background:
- Preterm infants often face feeding challenges.
- Early feeding behaviors can predict feeding success.
Purpose of the Study:
- To investigate the link between initial nutritive sucking bursts and feeding outcomes in preterm infants.
- To explore how infant factors like morbidity, maturity, and feeding experience relate to the first suck burst.
Main Methods:
- A non-experimental study involving 95 preterm infants.
- Feeding outcomes measured included proficiency, efficiency, consumption, and overall feeding success.
- Correlation and regression analyses were employed.
Main Results:
- A higher number of sucks in the first burst correlated positively with all feeding outcomes.
- The first suck burst also showed positive correlations with behavior state and feeding experience.
- Feeding experience was the strongest predictor of feeding outcomes, with the first suck burst also contributing significantly.
Conclusions:
- The number of sucks in the initial burst is a significant predictor of feeding success in preterm infants.
- As preterm infants gain feeding experience, the first suck burst becomes a valuable indicator of feeding performance.
- This finding can aid in early identification of feeding difficulties and inform interventions.
Objective:
This study examined the relationship between the number of sucks in the first nutritive suck burst and feeding outcomes in preterm infants. The relationships of morbidity, maturity, and feeding experience to the number of sucks in the first suck burst were also examined.
Methods:
A non-experimental study of 95 preterm infants was used. Feeding outcomes included proficiency (percent consumed in first 5 min of feeding), efficiency (volume consumed over total feeding time), consumed (percent consumed over total feeding), and feeding success (proficiency >or=0.3, efficiency >or=1.5 mL/min, and consumed >or=0.8). Data were analyzed using correlation and regression analysis.
Results And Conclusions:
There were statistically significant positive relationships between number of sucks in the first burst and all feeding outcomes-proficiency, efficiency, consumed, and success (r=0.303, 0.365, 0.259, and tau=0.229, P<.01, respectively). The number of sucks in the first burst was also positively correlated to behavior state and feeding experience (tau=0.104 and r=0.220, P<.01, respectively). Feeding experience was the best predictor of feeding outcomes; the number of sucks in the first suck burst also contributed significantly to all feeding outcomes. The findings suggest that as infants gain experience at feeding, the first suck burst could be a useful indicator for how successful a particular feeding might be.
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