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Cue-based feeding in the NICU-a pathway to earlier oral feeding of preterm infants

Noa Ofek Shlomai1, Chen Mordechai2,3, Iris Morag4,5

  • 1Department of Neonatology, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.

Frontiers in Pediatrics
|October 7, 2024
PubMed

Insights

Cue-based feeding helps low birth weight preterm infants transition to oral feeds faster. This feeding method also reduces respiratory issues in very low birth weight infants, improving their overall outcomes.

Area of Science:

  • Neonatology
  • Pediatric Nutrition
  • Infant Feeding Practices

Background:

  • Preterm infants, particularly those with low birth weight, often require specialized feeding strategies.
  • Transitioning to oral feeds is a critical milestone in neonatal care.
  • Volume-driven and cue-based feeding are two common approaches with differing implications.

Purpose of the Study:

  • To compare volume-driven and cue-based feeding methods in low birth weight preterm infants.
  • To evaluate short-term outcomes, including transition to oral feeds, weight gain, and length of hospital stay.

Main Methods:

  • Retrospective cohort study comparing 240 low birth weight preterm infants.
  • 120 infants received volume-driven feeding, and 120 received cue-based feeding.
  • Sub-analysis by birth weight categories (<1,500g and 1,500-2,500g).

Main Results:

  • Cue-based feeding led to a faster transition to full oral feeding at an earlier gestational age.
  • Infants <1,500g fed by cue-based method had fewer adverse respiratory episodes.
  • Weight gain rate was lower in cue-based fed heavier infants, but discharge weight, breastfeeding rates, and length of stay were comparable.

Conclusions:

  • Cue-based feeding facilitates a quicker transition to oral feeding in very low birth weight preterm infants.
  • This approach is associated with earlier achievement of full oral feeds and improved respiratory outcomes in the most vulnerable infants.
Abstract

Keywords:
cue-based feedingneonatal intensive care unit (NICU)oral feedsvolume-driven feedsweight gain

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