Cue-Based Feeding in Preterm Infants With Short Term Growth And Neurodevelopmental outcome:A Quasiexperimental Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 112
- 试验地点
- 1
- 主要终点
- To compare the rate of growth in preterm infants (born less than 37
研究概览
简要总结
Preterm infants need to be able to coordinate sucking, swallowing, and breathing, sustain alert
awake behavior and preserve cardiorespiratory stability to achieve successful oral feeding . This
develops through a gradual oral motor maturation process that correlates with the emergence
of motor pathways and maturation of the central nervous system, which correlates with the
postmenstrual age (PMA) of the infant . Until these levels of behavioral readiness and oral
motor maturation are reached, preterm infants commonly require gavage feedings which are
given on a schedule to ensure that specific feeding volumes are consumed. Premature infants
often struggle with oral feeding due to underdeveloped skills and immature neurological
systems . Traditionally, oral feedings in the NICU are based on fixed schedules and volumes,
rather than the infant’s readiness and ability . This approach can lead to feeding difficulties,
longer hospital stays, and stress for both infants and caregivers.
Cue-based feeding is a more individualized method that focuses on an infant’s behavioral cues
to determine feeding times and amounts . Behavioral cue-based feeding (BCBF) based on close
observation of the infant’s behavioral signals is a method in which caregivers determine how
and when and how much an infant expects to be fed. Each infant is considered an individual
with meaningful behaviors. A gestational age and volume driven approach to feeding therefore
is shifted towards an infant-driven approach .These cues include signs of hunger, readiness to
suck, and the ability to coordinate sucking, swallowing, and breathing.
Standardized feeding cues
-
Crying
-
Quiet alert
-
Hand-to-mouth activity
-
Sucking on fingers, fist, or pacifier
-
Rooting
-
Inability to settle after position change, diaper change,
or pacifier
Research suggests that cue-based feeding can support safer, more effective feeding
experiences, promote earlier feeding milestones, and possibly reduce the length of hospital
stays.
The benefits of cue-based oral feeding highlights the need for a shift from volume-driven to
infant-driven feeding practices, aligning with developmental care principles . By recognizing and
responding to each infant’s cues, caregivers can support better feeding outcomes and overall
development .
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 1.00 Day(s) 至 90.00 Month(s)（—）
- 性别
- All
入选标准
- •1.Who have attained corrected gestation age of 32 weeks or more 2.Have attained complete oral feeding (paladai feeding) for 24hrs
- •Discontinued all parenteral fluids.
排除标准
- •a) Pretern neonate with congenital malformation b)Preterm neonate with chromosomal abnormality c)Preterm nenate with gastrointestinal surgical interventions d)Lack of weight gain for 3 consecutive days after inclusion in study e)Feeding prescribed as per physician discretion e)Preterm neonates treated for Necrotizing enterocolitis, feeding intolerance.
结局指标
主要结局
To compare the rate of growth in preterm infants (born less than 37
时间窗: To compare the rate of growth in preterm infants (born less than 37 | weeks) who received cue based feeding in NICU and after discharge till 40 weeks of | gestation to that of who has received scheduled feeding in the past | and 3 months
weeks) who received cue based feeding in NICU and after discharge till 40 weeks of
时间窗: To compare the rate of growth in preterm infants (born less than 37 | weeks) who received cue based feeding in NICU and after discharge till 40 weeks of | gestation to that of who has received scheduled feeding in the past | and 3 months
gestation to that of who has received scheduled feeding in the past
时间窗: To compare the rate of growth in preterm infants (born less than 37 | weeks) who received cue based feeding in NICU and after discharge till 40 weeks of | gestation to that of who has received scheduled feeding in the past | and 3 months
次要结局
- 1.To study duration from onset of full oral feeding to discharge(2. To compare the neurodevelopmental outcome using HNNE score at)
研究者
Dr Meghana K
KLE Academy of Higher Education and Research