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The prevalence of feeding problems in children formerly treated in a neonatal intensive care unit

M Hoogewerf1, H J Ter Horst1, H Groen2

  • 1Division of Neonatology, Beatrix Children's Hospital, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Journal of Perinatology : Official Journal of the California Perinatal Association
|January 20, 2017
PubMed

Insights

Neonatal intensive care unit (NICU) graduates have more feeding problems than the general population. Prolonged tube feeding is a significant risk factor for these oral feeding difficulties in infants.

Area of Science:

  • Neonatal care
  • Pediatric nutrition
  • Developmental pediatrics

Background:

  • Oral feeding problems are common in infants following neonatal intensive care.
  • Identifying risk factors is crucial for early intervention and improved outcomes.

Purpose of the Study:

  • To ascertain the prevalence of oral feeding issues in neonatal intensive care unit (NICU) graduates.
  • To pinpoint clinical risk factors during NICU admission that contribute to these problems.

Main Methods:

  • An observational cohort study included 378 children admitted to level III/IV NICU.
  • Feeding problems were assessed using the Dutch Screeningslijst Eetgedrag Peuters across gestational age groups.
  • Clinical data were collected for logistic regression analysis to identify risk factors.

Main Results:

  • NICU graduates showed a higher prevalence of feeding problems (20.4%) compared to the reference population (15.0%).
  • Prolonged tube feeding (>30 days) was a significant risk factor (OR 2.50).
  • Being born small for gestational age was also a key risk factor (OR 4.79).

Conclusions:

  • Oral feeding problems are more prevalent in infants with a history of NICU care.
  • Prolonged tube feeding is identified as the most significant risk factor.
  • Early identification and management of risk factors are essential for NICU graduates.
Abstract

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