Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Effectiveness of Cue-Based Feeding Versus Scheduled Feeding in Preterm Infants Using Comprehensive Feeding Assessment Scales: A Randomized Clinical Trial Publisher



Kamran F1 ; Khatoonabadi AR1 ; Aghajanzadeh M1 ; Ebadi A2, 3 ; Faryadras Y4 ; Sagheb S5, 6
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
  3. 3. Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
  4. 4. Department of Foreign Languages, Faculty of Literature and Humanities, Kharazmi University, Tehran, Iran
  5. 5. Department of Neonatology, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran
  6. 6. Mother, Fetus, Neonatal Research Center, Vali-e-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Pediatrics Published:2020


Abstract

Background: One of the most critical criteria in making ready an infant for discharge from the neonatal intensive care unit (NICU) is full oral feeding attainment. Objectives: The present study aimed at investigating the effectiveness of cue-based feeding in preterm infants. Methods: A randomized clinical trial study was designed to compare 37 preterm infants at a gestational age of ≤ 34 weeks in the cue-based feeding group (n = 18) and the scheduled feeding group (n = 19). All participants were evaluated by the Preterm Infant Oral Feeding Readiness Assessment Scale (PIOFRAS) and Early Feeding Skill (EFS) scale in four different stages. Outcome measures were weight (grams per day), duration of full oral feeding achievement, duration of hospitalization, postmenstrual age (PMA), and the score of PIOFRAS and EFS. A P-value of less than 0.05 has been considered statistically significant. Results: The duration of full oral feeding achievement was shorter in the cue-based feeding group (3.55 ± 1.24 vs 6.68 ± 2.00, P < 0.001). Infants were discharged earlier in the cue-based feeding group (15.55 ± 5.38 vs 27.10 ± 7.90, P < 0.001). The mean score of PIOFRAS only on the day of discharge in the cue-based feeding group was more than the scheduled feeding group (32.61 ± 1.14 vs 31.90 ± 0.87, P = 0.03). The score of EFS in each dimension was inconsistent in each stage, and differences were observed between two groups in the full oral feeding stage. Conclusions: Although PIOFRAS and EFS demonstrated no difference significantly in most of the stages of achievement in oral feeding between the cue-based feeding group and the scheduled feeding, the process of attainment of oral feeding and discharge from the hospital was more rapid in the cue-based feeding group. © 2020, Author(s).
Related Docs
1. The Validity and Reliability of Early Feeding Skills Assessment and Cue-Based Feeding Scales for Preterm Infants, Middle East Journal of Rehabilitation and Health Studies (2021)
2. Quality of Life and Stress in Mothers of Preterm Infant With Feeding Problems: A Cross Sectional Study, Journal of Neonatal Nursing (2023)
3. The Interrater and Intrarater Reliability of the Preterm Infant Oral Feeding Readiness Assessment Scale, Journal of Modern Rehabilitation (2019)
Experts (# of related papers)
View all Related Experts
Setareh Sagheb (3)
Ahmad Reza Khatoonabadi (2)