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Prevalence and Predictors of Problematic Feeding at 1, 3, and 6 Months Corrected Age in Preterm Infants Born Prior to

Britt F Pados, Grace Briceno, Victoria Feaster

    Neonatal Network : NN
    |March 11, 2025
    PubMed

    Insights

    Problematic infant feeding is common in preterm infants, affecting 64% at 1 month. Gastroesophageal reflux disease diagnosed in the NICU predicts feeding issues and negatively impacts families.

    Area of Science:

    • Neonatal Medicine
    • Pediatric Nutrition
    • Developmental Pediatrics

    Background:

    • Preterm infants often experience feeding difficulties.
    • Problematic feeding can significantly impact infant development and family well-being.
    • Predictors of feeding issues in preterm infants require further investigation.

    Purpose of the Study:

    • To determine the prevalence of problematic feeding in preterm infants during the first six months of life.
    • To assess the impact of feeding problems on parents and families.
    • To identify predictive factors for problematic feeding at neonatal discharge.

    Main Methods:

    • A longitudinal, observational study design was employed.
    • The study included 43 preterm infants assessed at 1, 3, and 6 months corrected gestational age.
    • Key outcome measures included the Infant Eating Assessment Tool and Feeding Impact Scales.

    Main Results:

    • Problematic feeding was prevalent, observed in 64% at 1 month, 66% at 3 months, and 29% at 6 months corrected age.
    • Diagnosis of gastroesophageal reflux disease in the Neonatal Intensive Care Unit (NICU) was the strongest predictor of ongoing feeding problems.
    • Infants with feeding problems had a greater negative impact on their families and parents.

    Conclusions:

    • Problematic feeding is a significant concern for preterm infants in the first six months.
    • Early identification of risk factors, such as NICU-diagnosed gastroesophageal reflux disease, is crucial.
    • Interventions addressing feeding difficulties are essential to mitigate negative family impacts.

    Keywords:
    bottle feedingbreastfeedingbronchopulmonary dysplasiafamilyfeeding behaviorgastroesophageal refluxgastrointestinal distressinfantlow birth weightneonatepremature

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