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Oral feeding readiness assessment in premature infants
Annmarie Gennattasio1, Elizabeth A Perri, Donna Baranek
1Annmarie Gennattasio is a Nurse Practitioner, Neonatal Intensive Care Unit, Cohen Children's Medical Center of the North Shore-LIJ Health System, New Hyde Park, NY. Elizabeth A. Perri is a Nurse Practitioner, Neonatal Intensive Care Unit, Cohen Children's Medical Center of the North Shore-LIJ Health System, New Hyde Park, NY. Donna Baranek is a Nurse Practitioner, Neonatal Intensive Care Unit, Cohen Children's Medical Center of the North Shore-LIJ Health System, New Hyde Park, NY. Annie Rohan is Director of Pediatric Research, Stony Brook University, School of Nursing, Stony Brook, NY, and a Nurse Practitioner, Neonatal Intensive Care Unit, Cohen Children's Medical Center of the North Shore-LIJ Health System, New Hyde Park, NY. She can be reached via e-mail at annie.rohan@stonybrook.edu.
Insights
Assessing oral feeding readiness in premature infants is crucial. Implementing evidence-based strategies can improve feeding outcomes, shorten hospital stays, and reduce costs.
Area of Science:
- Neonatology
- Pediatric Gastroenterology
- Developmental Pediatrics
Background:
- Oral feeding readiness in premature infants is not well-defined.
- Evidence-based strategies for initiating and advancing oral feedings are needed.
Purpose of the Study:
- To review literature on oral feeding readiness in premature infants.
- To identify strategies for safe and efficient progression to full oral intake.
Main Methods:
- Literature review of studies on oral feeding readiness in premature infants.
- Analysis of assessment tools, clinical pathways, and feeding protocols.
Main Results:
- Development of oral feeding readiness assessment tools, clinical pathways, and feeding advancement protocols.
- Recognition and support of oral feeding readiness can decrease hospital length of stay and healthcare costs.
Conclusions:
- Implementing cue-based oral feeding supported by rigorous assessment optimizes infant and caregiver hospital experiences.
- Effective oral feeding strategies promote infant attachment and parent satisfaction.
Abstract:
Oral feeding readiness is a complex concept. More evidence is needed on how to approach beginning oral feedings in premature hospitalized infants. This article provides a review of literature related to oral feeding readiness in the premature infant and strategies for promoting safe and efficient progression to full oral intake. Oral feeding readiness assessment tools, clinical pathways, and feeding advancement protocols have been developed to assist with oral feeding initiation and progression. Recognition and support of oral feeding readiness may decrease length of hospital stay and have a positive impact on reducing healthcare costs. Supporting effective cue-based oral feeding through use of rigorous assessment or evidence-based care guidelines can also optimize the hospital experience for infants and caregivers, which, in turn, can promote attachment and parent satisfaction.
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