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Investigating the Developmental Trajectory of Long-term Oral Feeding Problems in 'Healthy' Preterm Infants

Layne Robinson1, Lydia Heng1, Sandra Fucile1

  • 1Queen's University, Kingston, ON, Canada.

Developmental Neurorehabilitation
|January 17, 2022
PubMed

Insights

Many preterm infants experience oral feeding problems within their first year after hospital discharge. Avoidant behaviors like crying and refusing to eat are common, necessitating early identification and intervention.

Area of Science:

  • Neonatal care
  • Pediatric nutrition
  • Developmental pediatrics

Background:

  • Preterm infants are at higher risk for feeding difficulties.
  • Oral feeding problems can persist beyond initial hospitalization.
  • Long-term outcomes require further investigation.

Purpose of the Study:

  • To investigate the occurrence of oral feeding problems in preterm infants up to one year post-discharge.
  • To identify the types of feeding problems encountered.
  • To explore the relationship between feeding problems and other health factors.

Main Methods:

  • Prospective, longitudinal pilot study of infants born <34 weeks gestation.
  • Telephone questionnaires administered at 3, 6, and 12 months corrected gestational age.
  • Data collected on feeding problems, medical issues, and rehabilitation services.

Main Results:

  • 72.2% of parents responded to questionnaires.
  • 42% of infants developed feeding problems within the first year.
  • Avoidant behaviors (crying, fussiness, refusal to eat) were the most frequent issues.

Conclusions:

  • Oral feeding problems are common in preterm infants during the first year after discharge.
  • Early identification and timely referrals are crucial for managing these issues.
  • Continued screening and support are needed to mitigate long-term feeding challenges.
Abstract

Keywords:
Infantinfant feedinglong-term feeding problemsoral feedingpost dischargepremature

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