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Feeding preterm infants. Schedule or demand?

R B Saunders1, C B Friedman, P R Stramoski

  • 1University of North Carolina, School of Nursing, Greensboro 27412-5001.

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|May 1, 1991
PubMed
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Feeding preterm infants on demand is safe and comparable to scheduled feeding regarding weight gain and hospital stay. This approach may improve infant feeding behaviors and parent-infant interactions.

Area of Science:

  • Neonatal care
  • Infant nutrition
  • Developmental pediatrics

Background:

  • Preterm infants often require specialized feeding protocols.
  • Establishing effective feeding strategies is crucial for infant development and parental bonding.
  • Current practices vary, with both scheduled and on-demand feeding methods employed.

Purpose of the Study:

  • To compare weight gain, hospitalization duration, and feeding behaviors in preterm infants fed on demand versus on a schedule.
  • To assess the safety and benefits of self-regulated feeding in physiologically stable preterm infants.
  • To explore the impact of feeding methods on parent-infant interactions.

Main Methods:

  • A comparative study involving two groups of preterm infants: on-demand feeding (n=15) and scheduled feeding (n=14).

Related Experiment Videos

  • Monitoring of weight gain and length of hospitalization for both groups.
  • Observation and analysis of infant feeding behaviors, including rest periods and hunger cue demonstration.

    • Main Results:

    • No significant differences were observed in weight gain or length of hospital stay between the on-demand and scheduled feeding groups.
    • Self-regulated, on-demand feeding was determined to be safe for preterm infants who were physiologically stable.
    • Infants fed on demand exhibited longer rest periods and greater opportunity to signal hunger cues.

    Conclusions:

    • On-demand feeding is a safe and viable alternative to scheduled feeding for stable preterm infants.
    • Implementing on-demand feeding may positively influence infant feeding behaviors and parent-infant communication.
    • Findings suggest that on-demand feeding can enhance the responsive interactions between parents and their preterm infants.