An integrated review of the literature on demand feedings for preterm infants

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
Denise D Crosson, Rita H Pickler

Abstract

In the past 50 years, only 7 studies evaluating demand feedings in preterm infants have been published. The studies employed a variety of research methods including nonexperimental, quasi-experimental, and experimental designs. The earliest demand feeding studies are difficult to interpret due to inadequate sample sizes and incomplete descriptions of methodology. Trials in the 1980s and early 1990s were better described; however, they suffered from designs that produced findings that likely were strongly related to unit, nurse, or infant-specific interactions with the treatment, making it unlikely that findings could be replicated in other settings. The most recent studies are better conceived and described. Overall, the pattern of findings across the past 50 years indicates that preterm infants who were fed on demand showed some clinical improvement when compared to those infants offered other feeding patterns. Demand-fed infants exhibited more hunger cues and had improved behavior state organization, shorter duration of hospitalization, and gained weight at the same rate or faster than infants not fed on demand. Although each of the studies reviewed had some methodologic weaknesses, the consistency of findings across differin...Continue Reading

References

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Citations

Nov 23, 2006·European Journal of Pediatrics·Gereon SchädlerRüdiger von Kries
Jul 23, 2008·Developmental Disabilities Research Reviews·Amy L Delaney, Joan C Arvedson
Jan 27, 2009·The Nursing Clinics of North America·Cheryl A LefaiverWendy Tuzik Micek
Feb 3, 2011·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Karen Lasby, Donna Dressler-Mund
Jan 16, 2019·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Sezin UnalDilek Ulubas Isik
Sep 1, 2016·The Cochrane Database of Systematic Reviews·Julie Watson, William McGuire
May 21, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Audrey LaneCarrie Brower-Breitwieser

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