The transition from tube feeding to oral feeding algorithm in preterm infants: case-control study.
Algorithm for oral feeding
Full oral feeding
Oral feeding skills
Preterm
Readiness
Scale
Journal
BMC pediatrics
ISSN: 1471-2431
Titre abrégé: BMC Pediatr
Pays: England
ID NLM: 100967804
Informations de publication
Date de publication:
15 Jul 2024
15 Jul 2024
Historique:
received:
30
11
2023
accepted:
25
06
2024
medline:
16
7
2024
pubmed:
16
7
2024
entrez:
15
7
2024
Statut:
epublish
Résumé
Oral feeding is a complex sensorimotor process influenced by many variables, making it challenging for healthcare providers to introduce and manage it. Feeding practice guided by tradition or a trial-and-error approach may be inconsistent and potentially delay the progression of oral feeding skills. To apply a new feeding approach that assesses early oral feeding independence skills of preterm infants in the neonatal intensive care unit (NICU). To prove its effectiveness, compare two approaches of oral feeding progression based on clinical outcomes in preterm infants, the traditional approach used in the NICU of Mansoura University Children Hospital (MUCH) versus the newly applied approach. A quasi-experimental, exploratory, and analytical design was employed using two groups, control and intervention groups, with 40 infants for the first group and 41 infants for the second one. The first group (the control) was done first and included observation of the standard practice in the NICU of MUCH for preterm oral feeding, in which oral feeding was dependent on post-menstrual age (PMA) and weight for four months. The second group (the intervention) included early progression to oral feeding depending on early assessment of Oral Feeding Skills (OFS) and early supportive intervention and/or feeding therapy if needed using the newly developed scoring system, the Mansoura Early Feeding Skills Assessment "MEFSA" for the other four months. Infants in both groups were studied from the day of admission till discharge. In addition to age and weight criteria, other indicators for oral feeding readiness and oral motor skills were respected, such as oral feeding readiness cues, feeding practice, feeding maintenance, and feeding techniques. By following this approach, preterm infants achieved earlier start oral feeding (SOF) and full oral feeding (FOF) and were discharged with shorter periods of tube feeding. Infants gained weight without increasing their workload to the NICU team. The newly applied approach proved to be a successful bedside scoring system scale for assessing preterm infants' early oral feeding independence skills in the NICU. It offers an early individualized experience of oral feeding without clinical complications.
Sections du résumé
BACKGROUND
BACKGROUND
Oral feeding is a complex sensorimotor process influenced by many variables, making it challenging for healthcare providers to introduce and manage it. Feeding practice guided by tradition or a trial-and-error approach may be inconsistent and potentially delay the progression of oral feeding skills.
AIM
OBJECTIVE
To apply a new feeding approach that assesses early oral feeding independence skills of preterm infants in the neonatal intensive care unit (NICU). To prove its effectiveness, compare two approaches of oral feeding progression based on clinical outcomes in preterm infants, the traditional approach used in the NICU of Mansoura University Children Hospital (MUCH) versus the newly applied approach.
METHODS
METHODS
A quasi-experimental, exploratory, and analytical design was employed using two groups, control and intervention groups, with 40 infants for the first group and 41 infants for the second one. The first group (the control) was done first and included observation of the standard practice in the NICU of MUCH for preterm oral feeding, in which oral feeding was dependent on post-menstrual age (PMA) and weight for four months. The second group (the intervention) included early progression to oral feeding depending on early assessment of Oral Feeding Skills (OFS) and early supportive intervention and/or feeding therapy if needed using the newly developed scoring system, the Mansoura Early Feeding Skills Assessment "MEFSA" for the other four months. Infants in both groups were studied from the day of admission till discharge.
RESULTS
RESULTS
In addition to age and weight criteria, other indicators for oral feeding readiness and oral motor skills were respected, such as oral feeding readiness cues, feeding practice, feeding maintenance, and feeding techniques. By following this approach, preterm infants achieved earlier start oral feeding (SOF) and full oral feeding (FOF) and were discharged with shorter periods of tube feeding. Infants gained weight without increasing their workload to the NICU team.
CONCLUSION
CONCLUSIONS
The newly applied approach proved to be a successful bedside scoring system scale for assessing preterm infants' early oral feeding independence skills in the NICU. It offers an early individualized experience of oral feeding without clinical complications.
Identifiants
pubmed: 39009988
doi: 10.1186/s12887-024-04909-6
pii: 10.1186/s12887-024-04909-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
453Informations de copyright
© 2024. The Author(s).
Références
Embleton ND, Fewtrell M. Complementary feeding in preterm infants. Lancet Global Health. 2017;5(5):e470–1.
doi: 10.1016/S2214-109X(17)30151-1
pubmed: 28395833
Briere C-E, McGrath J, Cong X, Cusson R. State of the science: a contemporary review of feeding readiness in the preterm infant. J Perinat Neonatal Nurs. 2014;28(1):51–8.
doi: 10.1097/JPN.0000000000000011
pubmed: 24476652
Perrin JM, Anderson LE, Van Cleave J. The rise in chronic conditions among infants, children, and youth can be met with continued health system innovations. Health Aff. 2014;33(12):2099–105.
doi: 10.1377/hlthaff.2014.0832
Crowe L, Chang A, Wallace K. Instruments for assessing readiness to commence suck feeds in preterm infants: effects on time to establish full oral feeding and duration of hospitalisation. Cochrane Database Syst Reviews, 2016(8).
Fucile S, Gisel EG, McFarland DH, Lau C. Oral and non-oral sensorimotor interventions enhance oral feeding performance in preterm infants. Dev Med Child Neurol. 2011;53(9):829–35.
doi: 10.1111/j.1469-8749.2011.04023.x
pubmed: 21707601
pmcid: 3150428
Barkemeyer BM. Discharge planning. Pediatr Clin. 2015;62(2):545–56.
Lau C. Maturation of infant oral feeding skills, in Pediatric Dysphagia. Springer; 2018. pp. 17–32.
Griffith T, White-Traut R, Janusek LW. A Behavioral Epigenetics Model to Predict Oral Feeding Skills in Preterm Infants Advances in Neonatal Care. Official Journal of the National Association of Neonatal Nurses; 2020.
Bourin PF, Puech M, Woisard V. Pediatric Aspect of Dysphagia, in Dysphagia. Springer; 2017. pp. 213–36.
Viviers M, Kritzinger A, Vinck B. Development of a clinical feeding assessment scale for very young infants in South Africa. South Afr J Commun Disord. 2016;63(1):1–11.
Rappazzo CA, Turk CL. Clinical feeding-swallowing evaluation: overview for the Healthcare Provider, in Pediatric Dysphagia. Springer; 2018. pp. 49–65.
Yi YG, Oh B-M, Shin SH, Shin JY, Kim E-K, Shin H-I. Stress signals during sucking activity are associated with longer transition time to full oral feeding in premature infants. Front Pead. 2018;6:54.
doi: 10.3389/fped.2018.00054
Schroeder JW, Willette S, Molinaro LH. Fiberoptic endoscopic evaluation of swallowing: assessing dysphagia in the breastfeeding patient, in Pediatric Dysphagia. Springer; 2018. pp. 93–9.
Abouseif HA, Mansour AF, Sabbour S. Prevalence and outcome of Preterm premature rupture of membranes (PPROM) among pregnant women attending Ain Shams maternity hospital. Egypt J Community Med. 2018;36(2):99–107.
doi: 10.21608/ejcm.2018.11055
El-Kassas O, Amer A, Abdel-Hady H, Abou-Elsaad T. Developing a Mansoura Early Feeding skills Assessment (MEFSA) Scale for Preterm infants. Pediatr Gastroenterol Hepatol Nutr. 2023;26(6):320–37.
doi: 10.5223/pghn.2023.26.6.320
pubmed: 38025492
pmcid: 10651360
Breton S, Steinwender S. Timing introduction and transition to oral feeding in preterm infants: current trends and practice. Newborn Infant Nurs Reviews. 2008;8(3):153–9.
doi: 10.1053/j.nainr.2008.06.007
Haseli A, Eghdampour F, Mozafari M, Hasani M, Ghiasi A, Masomi F. Associated factors with neonatal weight loss after birth. J Compr Pediatr, 2017. 8(4).
Younesian S, Yadegari F, Soleimani F. Impact of oral sensory motor stimulation on feeding performance, length of hospital stay, and weight gain of preterm infants in NICU. Iran Red Crescent Med J, 2015. 17(7).
Liu Y-L, Chen Y-L, Cheng I, Lin M-I, Jow G-M, Mu S-C. Early oral-motor management on feeding performance in premature neonates. J Formos Med Assoc. 2013;112(3):161–4.
doi: 10.1016/j.jfma.2012.08.003
pubmed: 23473529
Kamhawy H, Holditch-Davis D, Al-Sharkawy S, Alrafay S, Corazzini K. Non-nutritive sucking for Preterm infants in Egypt. J Obstetric Gynecologic Neonatal Nurs. 2014;43(3):330–40.
doi: 10.1111/1552-6909.12310
Lyu T-c, Zhang Y-x, Hu X-j, Cao Y, Ren P, Wang Y-j. The effect of an early oral stimulation program on oral feeding of preterm infants. Int J Nurs Sci. 2014;1(1):42–7.
Harding CM, Law J, Pring T. The use of non-nutritive sucking to promote functional sucking skills in premature infants: an exploratory trial. Infant. 2006;2(6):238–40.
Yildiz A, Arikan D. The effects of giving pacifiers to premature infants and making them listen to lullabies on their transition period for total oral feeding and sucking success. J Clin Nurs. 2012;21(5–6):644–56.
doi: 10.1111/j.1365-2702.2010.03634.x
pubmed: 21668549