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Bottle-Feeding Challenges in Preterm-Born Infants in the First 7 Months of Life

Rebecca R Hill1, Jinhee Park2, Britt F Pados2

  • 1MGH Institute of Health Professions, Boston, MA, USA.

Global Pediatric Health
|September 21, 2020
PubMed

Insights

Preterm infants often struggle with bottle-feeding after hospital discharge. Very preterm infants show more feeding difficulties, influenced by age, reflux, and facial anomalies.

Area of Science:

  • Neonatology
  • Pediatric Nutrition
  • Infant Feeding

Background:

  • Oral feeding difficulties are common in preterm infants during neonatal intensive care.
  • Limited research exists on post-discharge feeding problems for preterm infants.
  • Understanding long-term feeding challenges is crucial for infant development.

Purpose of the Study:

  • To describe symptoms of problematic bottle-feeding in preterm infants up to 7 months corrected age.
  • To compare feeding issues in preterm versus full-term infants after hospital discharge.
  • To identify factors associated with bottle-feeding problems in early infancy.

Main Methods:

  • Online survey administered to parents of infants under 7 months.
  • Utilized the Neonatal Eating Assessment Tool-Bottle-feeding (NeoEAT-Bottle-feeding).
  • Statistical analysis using general linear models to compare groups and identify associated factors.

Main Results:

  • Very preterm infants exhibited significantly more problematic bottle-feeding symptoms than other infants.
  • Infant's current age, gastroesophageal reflux, and facial/oral anomalies were linked to feeding difficulties.
  • NeoEAT-Bottle-feeding scores differed based on preterm status and other clinical factors.

Conclusions:

  • Preterm infants, particularly those very preterm, face ongoing bottle-feeding challenges post-discharge.
  • Gastroesophageal reflux and structural anomalies exacerbate feeding problems.
  • Early identification and intervention are needed for infants with persistent feeding issues.

Keywords:
bottle feedingfeeding behaviorinfantintensive careneonatalpremature birth

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