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Quantifying the Impact of Common Feeding Interventions on Nutritive Sucking Performance Using a Commercially
Gilson J Capilouto1, Tommy J Cunningham, Nirmala Desai
1Departments of Rehabilitation Sciences (Dr Capilouto) and Pediatrics (Dr Desai), University of Kentucky, Lexington; and NFANT Labs, LLC, Atlanta, Georgia (Dr Cunningham).
The Journal of Perinatal & Neonatal Nursing
|October 26, 2019
Summary
Feeding difficulties affect many infants. This study shows that interventions, including positional changes and nipple flow adjustments, can improve infant nutritive sucking performance, particularly suck frequency.
Area of Science:
- Pediatrics
- Neonatology
- Infant Nutrition
Background:
- 25%-40% of infants face challenges with breast or bottle feeding.
- Limited evidence-based support exists for common infant feeding practices.
- Neonatal and infant feeding remains an understudied area.
Purpose of the Study:
- To quantify the impact of feeding interventions on nutritive sucking performance in infants post-discharge.
- To demonstrate the use of technology for measuring intervention effects on sucking.
- To support individualized care for infants with feeding difficulties.
Main Methods:
- Observational case series involving 2 infants in an outpatient setting.
- Calculation of pre- and postintervention effect sizes to assess cumulative intervention impact.
- Measurement of nutritive sucking metrics: nipple movement, peak sucking amplitude, duration, frequency, and smoothness.
Main Results:
- Cumulative interventions significantly improved suck frequency in both infants.
- Postintervention, infants demonstrated an increased rate of nutritive sucking per burst.
- Individual sucking performance metrics showed differential responses to interventions.
Conclusions:
- Feeding interventions can positively impact infant nutritive sucking performance.
- Readily available technology can quantify intervention effects, enabling personalized care.
- Strengthening the evidence base for infant feeding interventions is crucial for improving outcomes.

