Cue-based feeding and growth in preterm infants: a two-year follow-up study

Iris Morag1, Dina Kogan1, Eden Weinberg2

  • 1Shamir Medical Center, Affiliated with the Gray Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Insights

Cue-based feeding (CBF) in preterm infants led to earlier discharge and better parent-infant feeding interactions. This approach supports normal growth and may optimize infant outcomes when combined with nutritional monitoring.

Area of Science:

  • Neonatal nutrition
  • Pediatric feeding
  • Infant growth and development

Background:

  • Preterm infants often face feeding challenges.
  • Traditional feeding (TF) methods may not always optimize infant outcomes.
  • Cue-based feeding (CBF) offers a responsive approach to infant feeding.

Purpose of the Study:

  • To compare growth trajectories and feeding characteristics up to two years of age between preterm infants fed using traditional feeding (TF) and cue-based feeding (CBF).

Main Methods:

  • Retrospective cohort study of preterm infants (27⁰/₇-33⁶/₇ weeks' gestation).
  • Comparison of feeding epochs: TF vs. CBF.
  • Assessment of anthropometric indices and feeding characteristics using the Montreal Children's Hospital Feeding Scale (MCHFS) at two years.

Main Results:

  • CBF was associated with shorter hospital stay and earlier discharge.
  • Weight and head circumference Z-scores at discharge were similar between groups.
  • While both groups showed growth declines, the TF group had consistently lower weight and length-for-age Z-scores.
  • Coercive feeding behaviors were more prevalent in the TF group at two years.

Conclusions:

  • Cue-based feeding (CBF) is linked to earlier discharge and more adaptive parent-infant feeding interactions in preterm infants.
  • CBF supports normal growth trajectories.
  • Integrating responsive feeding with nutritional monitoring may enhance both physical and relational outcomes for preterm infants.
Abstract

Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
1.8K
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
2.5K
Oxygen Requirements and Growth Patterns01:29

Oxygen Requirements and Growth Patterns

Microorganisms exhibit diverse oxygen requirements and growth patterns driven by their metabolic strategies and environmental adaptations. Oxygen, while essential for many organisms, can also be toxic under certain conditions, shaping how microorganisms grow and survive.Oxygen Requirements of MicroorganismsMicroorganisms are classified based on their ability to use or tolerate oxygen:● Obligate aerobes like Mycobacterium tuberculosis need oxygen for energy production, as it serves as the...
2.4K
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
859
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
1.7K