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Cue-Based Feeding and Short-Term Health Outcomes of Premature Infants in Newborn Intensive Care Units: A Non-Randomized Trial Publisher Pubmed



Samane S1 ; Yadollah ZP2 ; Marzieh H3 ; Karimollah HT4 ; Reza ZM5 ; Afsaneh A6 ; Als H7
Authors
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Authors Affiliations
  1. 1. Master of Newborn Intensive Care Nursing, School of Nursing and Midwifery, Student Research Committee, Babol University of Medical Sciences, Babol, Iran
  2. 2. Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
  3. 3. Pediatric and Neonatal Intensive Care Nursing Education Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Biostatistics and Epidemiology, School of Public Health, Babol University of Medical Sciences, Babol, Iran
  5. 5. Department of Neonatology, Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Center for Non-Communicable Pediatric Diseases, Health Research Institute, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran
  7. 7. Department of Psychiatry, Harvard Medical School, Neurobehavioral Infant and Child Studies, Boston Children’s Hospital, Boston, MA, United States

Source: BMC Pediatrics Published:2022


Abstract

Background: Feedings based on behavioral cues is a method relying on infants’ behavioral expressions of readiness to feed. The objective of this interventional study was to determine the effect of cue-based feeding on the short-term health outcomes of preterm infants. Methods: This quasi-experimental study utilized a historical or phase lag design. It involved 60 preterm infants admitted to an Iranian referral hospital’s Level III-Newborn Intensive Care Unit (NICU) from April 2017 until January 2018. The experimental group (n = 30) received a three-step intervention of offering behavioral-cue-based oral (BCBO) feedings: Step 1 – One BCBO feeding every 12 hours for 3 days; Step 2 - Two BCBO feedings every 12 h for 3 days; and Step 3 – All feedings as BCBO feedings for 3 days. The control group received standard care feedings. Group difference data were analyzed with SPSS version 16 using descriptive and inferential statistics. Results: The infants’ mean weight at time of discharge for the intervention and control groups were 1492.79 ± 21.65 g and 1395.71 ± 17.61 g (P =.003) respectively. The mean durations of achieving full oral feedings in the intervention and control groups were 17 ± 6 and 20 ± 11 days, respectively (P =.19). The mean frequencies of hypoxia were 1 ± 1.54 and 5 ± 9.31 respectively (P =.03) and of gavage feedings 725 ± 584 and 1846 ± 2097 respectively (P =.009). No apnea events were reported for the intervention group; the frequency of apnea in the control group was 1 ± 2.11 (P =.16). Conclusion: The findings indicate that cue-based feeding is beneficial for preterm infants. Therefore, it is recommended that nurses employ cue-based feeding in the NICU. Trial registration: IRCTID: IRCT20170828035962N2. Registered 27 may 2018 – Retrospectively registered, https://en.irct.ir/trial/27024. © 2022, The Author(s).
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1. The Effect of Non-Nutritive Sucking by Mothers on Full Oral Feeding Attainment in Preterm Neonates, Journal of Comprehensive Pediatrics (2018)
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