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Effect of co-morbidities on the development of oral feeding ability in pre-term infants: a retrospective study

Maria Lorella Giannì1, Patrizio Sannino2, Elena Bezze2

  • 1Fondazione I.R.C.C.S. Ca Granda Ospedale Maggiore Policlinico, Neonatal Intensive Care Unit Department of Clinical Science and Community Health, University of Milan, Via Commenda 12, 20122 Milano, Italy.

Scientific Reports
|November 13, 2015
PubMed

Insights

Pre-term infants often struggle with independent oral feeding. Comorbidities like bronchopulmonary dysplasia and gastrointestinal surgery significantly delay feeding independence in premature infants.

Area of Science:

  • Neonatology
  • Pediatric Gastroenterology
  • Developmental Pediatrics

Background:

  • Preterm infants often face challenges achieving independent oral feeding.
  • This difficulty can impede nutritional status and prolong hospitalization.

Purpose of the Study:

  • To investigate the impact of comorbidities on the timing of full oral feeding achievement in preterm infants.
  • To identify specific factors influencing feeding independence in this vulnerable population.

Main Methods:

  • Retrospective, single-center observational study.
  • Analysis of neonatal and feeding data from 84 preterm infants (gestational age <32 weeks).
  • Multiple linear regression used to evaluate the effect of comorbidities on feeding independence.

Main Results:

  • The mean postmenstrual age for achieving full oral feeding was 36.7 weeks.
  • Low birth weight was independently associated with delayed feeding.
  • Bronchopulmonary dysplasia and gastrointestinal surgery also independently predicted later feeding achievement.

Conclusions:

  • Comorbidities significantly influence the timeline for achieving oral feeding in preterm infants.
  • Early identification and management of these factors are crucial for optimizing infant nutrition and discharge planning.

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