Factors associated with feeding problems in bottle-fed preterm infants: A descriptive cross-sectional study

Area of Science:

• Neonatal care
• Pediatric nutrition
• Infant feeding

Background:

• Feeding problems in preterm infants often continue post-discharge from neonatal intensive care.
• Understanding these persistent challenges is crucial for supporting vulnerable infants.
• This study focuses on identifying infant-specific factors related to bottle-feeding issues in preterm infants under seven months corrected age.

Purpose of the Study:

• To identify infant-related factors associated with bottle-feeding problems in preterm infants.
• To provide evidence for better support and interventions for preterm infants experiencing feeding difficulties.
• To analyze the relationship between prematurity, feeding issues, and specific medical conditions.

Main Methods:

• A descriptive, cross-sectional study involving 338 mothers of preterm infants (under 7 months corrected age).
• Data collected via a survey including infant and mother information.
• Utilized the Turkish version of the NeoEAT-Bottle-feeding assessment tool to evaluate feeding problems.

Main Results:

• Very and moderately preterm infants showed more feeding problems than late preterm infants.
• Lower gestational age at birth correlated with increased bottle-feeding difficulties.
• Diagnosed feeding problems and gastroesophageal reflux were significant predictors of severe feeding issues.

Conclusions:

• Very preterm birth, moderate preterm birth, gastroesophageal reflux, and diagnosed feeding disorders are linked to problematic bottle-feeding.
• Early identification of bottle-feeding difficulties in preterm infants is essential.
• This identification can guide timely interventions and specialist referrals for improved long-term outcomes.