Feeding outcomes of extremely premature infants after neonatal care

Suzanne M Thoyre1

  • 1School of Nursing, Carrington Hall, University of North Carolina at Chapel Hill, NC 27599-7460, USA. thoyre@email.unc.edu

Insights

Families of extremely preterm infants often face feeding challenges after hospital discharge. Understanding these common eating difficulties is crucial for supporting infant growth and family well-being.

Area of Science:

  • Neonatal care
  • Pediatric nutrition
  • Infant development

Background:

  • Feeding difficulties are a significant concern for families with extremely preterm infants post-discharge.
  • Increasing referrals for feeding problems in extremely preterm children highlight a critical gap in transitional care.
  • Consequences include impaired growth, development, and family well-being.

Purpose of the Study:

  • To examine the evidence and nature of feeding problems in extremely preterm children after neonatal care discharge.
  • To inform healthcare professionals, particularly nurses, about common feeding issues.
  • To guide families in preparing for and managing post-discharge feeding challenges.

Main Methods:

  • Literature review of existing evidence on feeding problems in extremely preterm infants.
  • Analysis of common feeding issues reported by families and healthcare providers.
  • Synthesis of findings to describe the nature and scope of the problem.

Main Results:

  • Extremely preterm children frequently exhibit selective eating, small portion intake, and difficulty with food textures.
  • Food refusal is a common and distressing issue for families.
  • These feeding problems persist beyond neonatal intensive care unit (NICU) discharge.

Conclusions:

  • Feeding problems are prevalent and impactful for extremely preterm infants and their families after discharge.
  • Nurses play a vital role in educating and supporting families to manage these challenges.
  • Further research and targeted interventions are needed to address the long-term nutritional and developmental needs of this population.

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