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Preterm infant cues during breastfeeding and its measurement: A scoping review

Haryatiningsih Purwandari1,2, Meivita Dewi Purnamasari2, Wastu Adi Mulyono2

  • 1Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Belitung Nursing Journal
|July 26, 2023
PubMed

Insights

Understanding preterm infant cues during breastfeeding is crucial for infant development. This review identifies key cues and assessment tools to improve feeding and care in neonatal settings.

Area of Science:

  • Neonatal Care
  • Infant Behavior
  • Breastfeeding Research

Background:

  • Preterm infants communicate needs through specific behaviors, termed preterm infant cues.
  • Existing research on these cues predominantly focuses on bottle-fed infants, neglecting breastfeeding contexts.

Purpose of the Study:

  • To investigate the concept of preterm infant cues specifically during breastfeeding.
  • To identify appropriate instruments for assessing these cues in breastfeeding preterm infants.

Main Methods:

  • A comprehensive scoping review of articles published up to January 2022.
  • Searches conducted across EBSCOhost databases (CINAHL, MEDLINE, ERIC, E-Journals).
  • Screening using PICO, PRISMA checklist, and Joanna Briggs Institute Critical Appraisal for quality assessment.

Main Results:

  • Only four articles met the inclusion criteria, focusing on preterm infant actions during chest-to-chest contact.
  • Identified cues occur before, during, and after breastfeeding, signaling hunger, self-regulation, stress, satiation, approach, avoidance, and sucking quality.
  • Recommended instruments include the Preterm Infants Cues Coding System (PFCCS), Infant Driven Scale (IDS), Newborn Individualized Developmental Care and Assessment Program (NIDCAP), and Preterm Breastfeeding Behavior Scale (PIBBS).

Conclusions:

  • Recognizing preterm infant cues during breastfeeding is vital for optimal feeding and developmental care.
  • Observational studies are effective for identifying these cues.
  • Utilizing identified cues and validated tools (PFCCS, IDS, NIDCAP, PIBBS) enhances nurses' ability to interpret cues and develop effective care plans in neonatal settings.
Abstract

Keywords:
breastfeedingcuesnewbornpreterm infants

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