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Reducing the Duration to Reach Full Enteral and Oral Feeding Volumes for Very Preterm and Extremely Preterm Infants:

Yu Ying Mo1, Jing Jing Chen, Wan Xiang He

  • 1Author Affiliation : Peking University Shenzhen Hospital, Shenzhen City, Guangdong Province, China.

The Journal of Perinatal & Neonatal Nursing
|December 17, 2024
PubMed

Insights

Quality improvement interventions expedited full enteral and oral feeding in preterm infants (<32 weeks gestation). These optimized feeding practices enhanced outcomes for vulnerable newborns during NICU stays.

Area of Science:

  • Neonatal nutrition
  • Pediatric critical care
  • Quality improvement science

Background:

  • Enteral and oral feeding are vital for infants born before 32 weeks gestation.
  • Optimized feeding practices can lead to improved health outcomes in preterm infants.
  • Early achievement of full feeding volumes is a critical milestone in neonatal intensive care.

Purpose of the Study:

  • To reduce the time required to reach full enteral and oral feeding volumes in infants with gestational age <32 weeks.
  • To implement and evaluate quality improvement interventions aimed at optimizing feeding in preterm neonates.
  • To enhance feeding outcomes for vulnerable infants in the neonatal intensive care unit.

Main Methods:

  • A pre-post-intervention study design was employed in a 44-bed NICU.
  • Interventions included workflow optimization, enhanced breastfeeding education, and oral motor strategies.
  • Feeding times, length of stay, and provider perceptions were analyzed.

Main Results:

  • Significant reductions in time to full enteral feeding were observed for infants <28 weeks gestation.
  • Significant reductions in time to full oral feeding were observed for infants 28-30 weeks gestation.
  • Healthcare providers found the interventions feasible and acceptable, with no significant changes in length of stay.

Conclusions:

  • Quality improvement initiatives effectively accelerate the attainment of full feeding volumes in preterm infants.
  • These interventions hold promise for improving overall feeding outcomes in neonatal populations.
  • Optimized feeding protocols are crucial for managing preterm infants in the NICU.
Abstract

Keywords:
enteral feedingoral feedingpreterm infantsquality improvement

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