We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Cue-based feeding and short-term health outcomes of premature infants in newborn intensive care units: a non-randomized trial.
- Authors
Samane, Sefatbaqa; Yadollah, Zahed Pasha; Marzieh, Hasanpour; Karimollah, Hajian - Tilaki; Reza, Zarkesh Mohammad; Afsaneh, Arzani; Als, Heidelise
- Abstract
<bold>Background: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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).<bold>Conclusion: </bold>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.<bold>Trial Registration: </bold>IRCTID: IRCT20170828035962N2. Registered 27 may 2018 - Retrospectively registered, https://en.irct.ir/trial/27024 .
- Subjects
NEONATAL intensive care; NEWBORN infant care; INTENSIVE care units; PREMATURE infants; BREASTFEEDING promotion; INFANT health; INFERENTIAL statistics
- Publication
BMC Pediatrics, 2022, Vol 22, Issue 1, p1
- ISSN
1471-2431
- Publication type
journal article
- DOI
10.1186/s12887-021-03077-1