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The effect of feeding experience on clinical outcomes in preterm infants
R H Pickler1, A Best, D Crosson
1School of Nursing, Family and Community Health Nursing, Virginia Commonwealth University, Richmond, VA 23298-0567, USA. rpickler@vcu.edu
Insights
Oral feeding experience in preterm infants significantly impacts clinical outcomes. Greater feeding experience leads to faster achievement of full oral feedings and shorter hospital stays, regardless of illness severity.
Area of Science:
- Neonatal Medicine
- Pediatric Nutrition
- Clinical Outcomes Research
Background:
- Preterm infants often face challenges with oral feeding.
- Early feeding experiences can influence developmental trajectories.
- Optimizing feeding strategies is crucial for neonatal care.
Purpose of the Study:
- To examine the association between oral feeding experience and clinical outcomes in preterm infants.
- To determine if feeding experience affects the time to achieve full oral feedings.
- To assess the impact of feeding experience on length of hospital stay.
Main Methods:
- A longitudinal, non-experimental study involving 92 preterm infants.
- Daily data collection on infant maturity, weight, and oral feeding experience.
- Assessment of overall infant morbidity to control for confounding factors.
Main Results:
- Oral feeding experience and infant morbidity were significant predictors of the time to full oral feedings.
- Feeding experience and gestational maturity at the initiation of oral feeding predicted length of stay post-feeding.
- Infant feeding experience did not significantly affect weight gain during the study period.
Conclusions:
- Enhanced oral feeding experience may expedite the transition to full oral feedings in preterm infants.
- Feeding experience appears to be a key factor in reducing length of stay, independent of illness severity.
- Further research is warranted to explore the clinical benefits of focused feeding interventions in neonates.
Objective:
The purpose of this analysis was to investigate the effect of oral feeding experience on clinical outcomes (time to full oral feedings and length of stay) in preterm infants.
Study Design:
This analysis was completed on 92 infants who participated in a longitudinal, non-experimental study. Data were collected daily for maturity, weight and experience at oral feeding. Additional data were collected to assess overall morbidity.
Result:
Time to full oral feedings was predicted by experience at oral feeding and morbidity. Length of stay from the start of oral feedings until discharge was predicted by feeding experience and by maturity at the first oral feeding. Weight gain was not affected by feeding experience.
Conclusion:
Experience at feeding may result in more rapid transition to full oral feedings regardless of severity of illness and may contribute to shorter length of stay. These positive clinical outcomes related to feeding experience warrant further research attention.
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