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Published on: April 19, 2024
Neonatal Feeding Behavior as a Complex Dynamical System
Eugene C Goldfield1, Jennifer Perez2, Katherine Engstler2
1Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Insights
This study introduces a complex dynamical systems approach to understand neonatal feeding behaviors. Applying this framework is crucial for effectively translating future big data into improved clinical practice for neonates.
Area of Science:
- Neonatology
- Speech-Language Pathology
- Complex Dynamical Systems Theory
Background:
- Evidence-based practice in 2017 necessitates advanced methods for neonatal feeding behavior assessment.
- Current challenges include determining oral feed initiation, respiratory support, swallow function assessment, and liquid viscosity for neonates.
Purpose of the Study:
- To present a complex dynamical systems perspective for characterizing neonatal feeding behavior.
- To frame key challenges faced by clinicians in neonatal feeding.
Main Methods:
- Application of complex dynamical systems concepts.
- Analysis of critical factors in neonatal feeding decisions.
Main Results:
- A systems perspective offers a framework for addressing complex neonatal feeding issues.
- Effective translation of big data into clinical practice requires a broader contextual understanding.
Conclusions:
- A complex dynamical systems approach is vital for advancing neonatal feeding practice.
- Understanding feeding within a larger systems context is essential for utilizing big data effectively.
Abstract:
The requirements of evidence-based practice in 2017 are motivating new theoretical foundations and methodological tools for characterizing neonatal feeding behavior. Toward that end, this article offers a complex dynamical systems perspective. A set of critical concepts from this perspective frames challenges faced by speech-language pathologists and allied professionals: when to initiate oral feeds, how to determine the robustness of neonatal breathing during feeding and appropriate levels of respiratory support, what instrumental assessments of swallow function to use with preterm neonates, and whether or not to introduce thickened liquids. In the near future, we can expect vast amounts of new data to guide evidence-based practice. But unless practitioners are able to frame these issues in a systems context larger than the individual child, the availability of "big data" will not be effectively translated to clinical practice.
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