Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

The effect of feeding experience on clinical outcomes in preterm infants

Abstract

Objective:

The purpose of this analysis was to investigate the effect of oral feeding experience on clinical outcomes (time to full oral feedings and length of stay) in preterm infants.

Study Design:

This analysis was completed on 92 infants who participated in a longitudinal, non-experimental study. Data were collected daily for maturity, weight and experience at oral feeding. Additional data were collected to assess overall morbidity.

Result:

Time to full oral feedings was predicted by experience at oral feeding and morbidity. Length of stay from the start of oral feedings until discharge was predicted by feeding experience and by maturity at the first oral feeding. Weight gain was not affected by feeding experience.

Conclusion:

Experience at feeding may result in more rapid transition to full oral feedings regardless of severity of illness and may contribute to shorter length of stay. These positive clinical outcomes related to feeding experience warrant further research attention.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. American Academy of Pediatrics. Hospital discharge of the high-risk neonate. Pediatrics 1998; 102 (2): 411–417.

    Article  Google Scholar 

  2. Kirkby SR, Greenspan JS, Kornhauser M, Schneiderman R . Clinical outcomes and cost of the moderately preterm infant. Adv Neonat Care 2007; 7 (2): 80–87.

    Article  Google Scholar 

  3. Amaizu N, Shulman R, Schanler R, Lau C . Maturation of oral feeding skills in preterm infants. Acta Paediatr 2008; 97 (1): 61–67.

    Article  CAS  Google Scholar 

  4. Ross ES, Browne JV . Developmental progression of feeding skills: an approach to supporting feeding in preterm infants. Sem Neonatol 2002; 7 (6): 469–475.

    Article  Google Scholar 

  5. Dodrill P, McMahon S, Ward E, Weir K, Donovan T, Riddle B . Long-term oral sensitivity and feeding skills of low-risk pre-term infants. Early Hum Dev 2004; 76: 23–27.

    Article  Google Scholar 

  6. Thoyre SM, Carlson JR . Preterm infants’ behavioral indicators of oxygen decline during bottle feeding. J Adv Nurs 2003; 43 (631): 641.

    Google Scholar 

  7. Thoyre SM, Brown RL . Factors contributing to preterm infant engagement during bottle-feeding. Nurs Res 2004; 53 (5): 304–313.

    Article  Google Scholar 

  8. Pickler RH, Best AM, Reyna BA, Wetzel PA, Gutcher GR . Prediction of feeding performance in preterm infants. Newborn Infant Nurs Rev 2005; 5 (3): 116–123.

    Article  Google Scholar 

  9. Pickler RH, Mauck AG, Geldmaker B . Bottle-feeding histories of preterm infants. J Obstet Gynecol Neonatal Nurs 1997; 26 (4): 414–420.

    Article  CAS  Google Scholar 

  10. McCain GC, Gartside P, Greenberg JM, Lott JW . A feeding protocol for healthy preterm infants that shortens time to oral feeding. J Pediatr 2001; 139 (3): 374–379.

    Article  CAS  Google Scholar 

  11. Fucile S, Gisel E, Lau C . Oral stimulation accelerates the transition from tube to oral feeding in preterm infants. J Pediatr 2002; 141 (230): 236.

    Google Scholar 

  12. Pridham K, Bhattacharya A, Thoyre S, Steward D, Bamberger J, Wells J et al. Exploration of the contribution of biobehavioral variables to the energy expenditure of preterm infants. Biol Res Nurs 2005; 6 (3): 216–229.

    Article  Google Scholar 

  13. Korner AF, Stevenson DK, Kraemer HC, Spiker D, Scott DT, Constantinou J et al. Prediction of the development of low birth weight preterm infants by a new neonatal medical index. J Dev Behav Pediatr 1993; 14 (2): 106–111.

    Article  CAS  Google Scholar 

  14. Korner AF, Kraemer HC, Reade EP, Forrest T, Dimiceli S, Thom VA . A methodological approach to developing an assessment procedure for testing the neurobehavioral maturity of preterm infants. Child Dev 1987; 58 (6): 1478–1487.

    Article  CAS  Google Scholar 

  15. Pickler RH, Best AM, Reyna BA, Gutcher G, Wetzel PA . Predictors of nutritive sucking in preterm infants. J Perinatol 2006; 26 (11): 693–699.

    Article  CAS  Google Scholar 

  16. Simpson C, Schanler RJ, Lau C . Early introduction of oral feeding in preterm infants. Pediatrics 2002; 110 (3): 517–522.

    Article  Google Scholar 

  17. Hack M, Fanaroff AA . Outcomes of children of extremely low birthweight and gestational age in the 1990's. Early Hum Dev 1999; 53 (193): 218.

    Google Scholar 

  18. Cuevas KD, Silver DR, Brooten D, Youngblut JM, Bobo CM . The cost of prematurity: hospital charges at birth and frequency of rehospitalizations and acute care visits over the first year of life: a comparison by gestational age and birth weight. Am J Nurs 2005; 105 (7): 56–64.

    Article  Google Scholar 

  19. Catelin C, Tordjman S, Morin V, Oger E, Sizun J . Clinical, physiologic, and biologic impact of environmental and behavioral interventions in neonates during a routine nursing procedure. J Pain 2005; 6 (12): 791–797.

    Article  Google Scholar 

  20. Gressens P, Rogido M, Paindaveine B, Sola A . The impact of neonatal intensive care practices on the developing brain. Pediatrics 2002; 140: 646–653.

    Article  Google Scholar 

  21. Howe TH, Lin KC, Su CT, Hsieh CL . A review of psychometric properties of feeding assessment tools used in neonates. J Obstet Gynecol Neonatal Nurs 2008; 37 (3): 338–349.

    Article  Google Scholar 

  22. Als H, Duffy FH, McAnulty GB, Rivkin MJ, Vajapeyam S, Mulkern RV et al. Early experience alters brain function and structure. Pediatrics 2004; 113 (4): 846–857.

    Article  Google Scholar 

  23. Pickler RH, Chiaranai C, Reyna BA . Relationship of the first suck burst to feeding outcomes in preterm infants. J Perinat Neonatal Nurs 2006; 20 (2): 157–162.

    Article  Google Scholar 

  24. Thoyre SM . Feeding outcomes of extremely premature infants after neonatal care. J Obstet Gynecol Neonatal Nurs 2007; 36 (4): 366–376.

    Article  Google Scholar 

Download references

Acknowledgements

This study is supported by R01 NR005182 and F31 NR007929 from the National Institute of Nursing Research, National Institutes of Health.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R H Pickler.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pickler, R., Best, A. & Crosson, D. The effect of feeding experience on clinical outcomes in preterm infants. J Perinatol 29, 124–129 (2009). https://doi.org/10.1038/jp.2008.140

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/jp.2008.140

Keywords

This article is cited by

Search

Quick links