Parents' Experiences of Feeding Preterm Infants After Hospital Discharge: A Scoping Review

Juliane Alves Santos1, John Kearney1, Aileen Kennedy1

  • 1School of Biological, Health and Sports Sciences, Technological University Dublin, Dublin, Republic of Ireland.

Insights

Caring for preterm infants post-hospital discharge is challenging for parents, involving emotional, practical, and identity issues. Enhanced support is crucial for parental confidence and infant well-being.

Area of Science:

  • Neonatal care
  • Parental adaptation
  • Qualitative research synthesis

Background:

  • Feeding preterm infants after hospital discharge presents significant challenges for parents, extending beyond nutrition.
  • The lived experiences of parents during this critical transition are not well-understood.
  • Optimal nutrition and parental support are vital for infant development.

Purpose of the Study:

  • To map and synthesize qualitative evidence on parents' lived experiences feeding preterm infants post-discharge.
  • To identify key challenges, coping strategies, and support system gaps.
  • To inform improved care strategies for preterm infants and their families.

Main Methods:

  • Scoping review guided by the Joanna Briggs Institute framework.
  • Comprehensive literature search across PubMed, Web of Science, and Scopus.
  • Inclusion of 38 qualitative studies (1995-2025) using the Population-Concept-Context framework.

Main Results:

  • Five thematic domains emerged: feeding challenges, emotional/identity dimensions, support systems, coping strategies, and complementary feeding.
  • Mothers reported significant emotional strain, inadequate support, and conflicting advice.
  • Feeding practices were influenced by neonatal intensive care unit routines and infant immaturity; socioeconomic factors played a role.

Conclusions:

  • Post-discharge feeding of preterm infants is complex and emotionally demanding.
  • Comprehensive, individualized, and emotionally attuned support is necessary for parental confidence and infant well-being.
  • Gaps exist in understanding paternal roles, longitudinal experiences, and complementary feeding practices.
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 through...
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...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
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,...