Intensive Multidisciplinary Feeding Intervention for High-Risk Infants

William G Sharp1

  • 1Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA; Center for Advanced Pediatrics, Children's Healthcare of Atlanta, 1400 Tullie Road NE, Atlanta, GA 30329, USA.

Insights

Premature and medically complex infants often face long-term feeding issues. Intensive multidisciplinary feeding intervention (IMFI) is standard care, but new therapies are needed to reduce reliance on this intensive approach.

Area of Science:

  • Pediatrics
  • Neonatology
  • Developmental Pediatrics

Background:

  • Premature and medically complex infants are susceptible to persistent feeding difficulties extending past infancy.
  • Feeding problems in these vulnerable populations can significantly impact growth and development.
  • Current standard of care involves intensive multidisciplinary feeding intervention (IMFI).

Purpose of the Study:

  • To highlight the challenges faced by premature and medically complex infants with feeding problems.
  • To emphasize the components of intensive multidisciplinary feeding intervention (IMFI).
  • To identify the need for novel therapeutic strategies to mitigate the requirement for intensive feeding support.

Main Methods:

  • Review of current literature on infant feeding disorders.
  • Analysis of the standard components and team members involved in IMFI.
  • Discussion of the benefits and limitations of existing feeding interventions.

Main Results:

  • Infants born premature or medically complex exhibit a high risk for chronic feeding problems.
  • Intensive multidisciplinary feeding intervention (IMFI) is the established treatment approach.
  • The effectiveness of IMFI is acknowledged, but its intensive nature necessitates further research.

Conclusions:

  • While IMFI benefits infants with severe feeding issues, its intensive nature underscores the need for preventative or less intensive therapeutic alternatives.
  • Further research into novel pathways is crucial to reduce the incidence and severity of feeding problems in high-risk infant populations.
  • Developing new therapeutic strategies may decrease the number of infants requiring intensive, long-term feeding support.

Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
236
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
383
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
414
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
254
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
122
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
68