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Parental Participation in Preterm Infant Feeding in the Neonatal Intensive Care Unit

Marliese Dion Nist, Audrey Robinson, Rita H Pickler

    MCN. the American Journal of Maternal Child Nursing
    |December 6, 2022
    PubMed

    Insights

    Parental participation in feeding care for preterm infants was low but associated with earlier feeding milestones. Encouraging parental involvement may shorten hospital stays for these vulnerable infants.

    Area of Science:

    • Neonatal care
    • Developmental pediatrics
    • Infant nutrition

    Background:

    • Parental involvement in infant care is crucial for development.
    • Hospitalized preterm infants often require specialized feeding support.
    • Understanding factors influencing parental participation is key to optimizing care.

    Purpose of the Study:

    • Identify factors associated with parental feeding care participation in hospitalized preterm infants.
    • Examine the relationship between parental feeding participation and infant neurobehavioral outcomes.

    Main Methods:

    • Secondary analysis of data from a larger study on preterm infants.
    • Measured parental feeding participation (gavage and oral) as a proportion of feeding opportunities.
    • Assessed infant neurobehavioral outcomes and feeding milestones using standardized tools and electronic health records.

    Main Results:

    • Parental participation in feeding care was found to be low.
    • Factors associated with gavage feeding participation included infant sex, insurance, maternal race, gestational age, and birthweight.
    • Oral feeding participation was associated with infant sex, insurance, maternal race, and study group.
    • Increased parental feeding participation correlated with earlier achievement of feeding milestones.

    Conclusions:

    • Parental feeding participation can accelerate the achievement of feeding milestones in preterm infants.
    • This participation may contribute to a reduced length of hospitalization.
    • Healthcare providers should promote and facilitate parental involvement in the care of preterm infants, addressing identified barriers.
    Abstract

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