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Feeding outcomes of extremely premature infants after neonatal care
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.
Abstract:
Feeding is a primary concern for families of extremely preterm (EP) infants following discharge from neonatal care. An increasing number of EP children are being referred for treatment of feeding problems, including eating only a few types of food or very small portions, difficulty transitioning to textured foods, and refusing food. These issues have the potential for significant consequences for the children's growth and development as well as their family's well-being. An understanding of the kinds of feeding problems faced by families of EP infants can help nurses guide families to be ready for and respond to these issues. In this article, the evidence for and the nature of feeding problems in EP children after discharge from neonatal care are examined.
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