Document Detail

An evidence-based guideline for introducing oral feeding to healthy preterm infants.
MedLine Citation:
PMID:  14598979     Owner:  NLM     Status:  MEDLINE    
The ability of a preterm infant to make the transition from gavage to oral nipple feeding depends on the infant's neurodevelopment in relation to behavioral organization, to a rhythmic suck-swallow-breathe pattern, and to cardiorespiratory regulation. Research-based knowledge about infant neurodevelopment in these three areas has led to the creation of a semidemand feeding method to aid in this transition. The method combines the use of nonnutritive sucking to promote awake behavior for feeding, use of behavioral assessment to identify readiness for feeding, and systematic observation of and response to infant behavior cues to regulate frequency, length, and volume of oral feedings. Semidemand feeding may be individualized for healthy preterm infants. This article discusses both the relevant knowledge about neurodevelopment and the semidemand feeding method itself.
Gail C McCain
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Neonatal network : NN     Volume:  22     ISSN:  0730-0832     ISO Abbreviation:  Neonatal Netw     Publication Date:    2003 Sep-Oct
Date Detail:
Created Date:  2003-11-05     Completed Date:  2003-12-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8503921     Medline TA:  Neonatal Netw     Country:  United States    
Other Details:
Languages:  eng     Pagination:  45-50     Citation Subset:  N    
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106-4904, USA.
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MeSH Terms
Bottle Feeding / nursing*
Deglutition / physiology*
Evidence-Based Medicine
Feeding Behavior / physiology*
Infant Care / standards*
Infant, Newborn
Infant, Premature / physiology*
Neonatal Nursing / methods
Practice Guidelines as Topic
Sucking Behavior / physiology*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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