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Does the Infant-Driven Feeding Method Positively Impact Preterm Infant Feeding Outcomes?

Margaret Settle1, Kim Francis

  • 1Massachusetts General Hospital, Wrentham.

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
|January 24, 2019
PubMed

Insights

The Infant-Driven Feeding (IDF) method shows mixed results for preterm infants in the NICU. More research is needed to confirm its effectiveness in improving oral feeding and reducing hospital stays.

Area of Science:

  • Neonatal Care
  • Pediatric Nutrition
  • Evidence-Based Practice

Background:

  • Independent oral feeding is crucial for NICU discharge and impacts length of stay.
  • Significant variation exists in oral feeding protocols within and between NICUs.
  • The Infant-Driven Feeding (IDF) method uses behavioral assessments (readiness, quality, caregiver support) for communication.

Purpose of the Study:

  • To review evidence on the Infant-Driven Feeding (IDF) method's impact on oral feeding initiation and achievement.
  • To assess the IDF method's effect on time to independent oral feedings.
  • To evaluate the IDF method's influence on length of stay in NICU/level II nurseries for preterm infants.

Main Methods:

  • Searched four databases (CINAHL, Medline/PubMed, Ovid Nursing, Embase) for relevant feeding methodologies.
  • Used keywords: "infant guided feedings," "infant driven feeding," "cue-based feeding," "co regulated feeding."
  • Reviewed 32 full-text articles for experimental, quasiexperimental, or retrospective study designs.

Main Results:

  • No experimental, quasiexperimental, or retrospective studies specifically using the IDF method were identified.
  • Three quality improvement projects utilized the IDF method with conflicting findings.
  • One project showed IDF improved achievement of oral feedings; two showed reduced length of stay; one found no significant differences.

Conclusions:

  • Current evidence supporting the Infant-Driven Feeding (IDF) method is limited to quality improvement projects.
  • Empirical validation of the IDF method is necessary.
  • Further research is required to guide practices for initiating and advancing oral feeding in preterm infants.
Abstract

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