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Feeding Dynamics in Very Preterm Infants with Delayed Oral Feeding Attainment

Samuel J Gentle1,2, Vivek V Shukla1, Abigail Cooley3

  • 1Department of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, USA.

Neonatology
|March 16, 2025
PubMed

Insights

Preterm infants experiencing delayed oral feeding attainment (LPO) received fewer feeding interventions and were fed less frequently than those achieving early attainment (EPO). These findings highlight differences in feeding strategies for preterm infants.

Area of Science:

  • Neonatalogy
  • Pediatric Nutrition
  • Developmental Pediatrics

Background:

  • Preterm infants often face challenges with oral feeding.
  • Identifying infants at risk for delayed oral feeding is crucial for timely intervention.

Purpose of the Study:

  • To characterize features identifying preterm infants at risk of delayed oral feeding attainment.
  • To compare feeding strategies between infants with early and late oral feeding attainment.

Main Methods:

  • Prospective observational study of 257 preterm infants (25 0/7 to 32 6/7 weeks' gestation).
  • Defined early independent oral feed attainment (EPO) within 35 days and late attainment (LPO) at or after 35 days.
  • Compared feeding interventions and reasons for discontinuation between groups.

Main Results:

  • 162 out of 257 infants achieved EPO.
  • Infants with LPO received fewer feeding interventions (e.g., side lying, pacing) in the first week.
  • LPO infants were fed less frequently (2 vs. 3 times/day; p < 0.001) compared to EPO infants.

Conclusions:

  • Preterm infants with LPO demonstrate different feeding strategies compared to those with EPO.
  • Understanding these differences can inform resource allocation and individualized care plans.
  • Feeding intervention frequency and type may be indicators of feeding attainment trajectory.
Abstract

Keywords:
DevelopmentGastric tubeOral feedingPrematurity

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