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A Do-it-yourself System for Scheduled Feeding of Laboratory Rodents in Their Home Cage

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Responsive versus scheduled feeding for preterm infants.

Julie Watson¹, William McGuire

¹Sheffield Hallam University, Sheffield, UK.

The Cochrane Database of Systematic Reviews

|September 1, 2016

Summary

Responsive feeding for preterm infants may help them achieve oral feeding earlier, but evidence is limited. More research is needed to confirm benefits for infant growth and hospital stay duration.

Area of Science:

Neonatal care and nutrition
Infant feeding practices
Evidence-based medicine

Background:

Responsive feeding (infant-led) for preterm infants may improve feeding experiences, oral feeding establishment, nutrient intake, growth, and shorten hospital stays compared to scheduled feeding.
Current feeding protocols for preterm infants often rely on prescribed volumes at fixed intervals.

Purpose of the Study:

To evaluate the impact of responsive feeding versus scheduled interval feeding on preterm infant growth rates.
To assess parent satisfaction levels with different feeding policies.
To determine the effect on time to hospital discharge.

Main Methods:

Systematic review and meta-analysis of randomized controlled trials (RCTs) and quasi-RCTs.
Searched multiple databases (CENTRAL, PubMed, Embase, CINAHL) up to February 2016.

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Assessed eligibility, risk of bias, and extracted data independently; used fixed-effect model for meta-analyses.

Main Results:

Nine RCTs involving 593 preterm infants were included.
Responsive feeding showed slightly slower weight gain (MD -1.36 g/kg/day) but reduced time to oral feeding (MD -5.53 days).
Evidence quality was low (GRADE), with uncertain effects on hospitalization duration and no reported parent/caregiver views.

Conclusions:

Current data lack strong evidence that responsive feeding significantly impacts key outcomes for preterm infants or families.
Low-quality evidence suggests responsive feeding may expedite the transition to oral feeding.
Methodological weaknesses necessitate caution; large RCTs are required to confirm findings and explore other outcomes.