Factors contributing to preterm infant engagement during bottle-feeding

Nursing Research
Suzanne M Thoyre, Roger L Brown

Abstract

Preterm infants have difficulty maintaining engagement throughout early oral feedings, which can lead to less efficient feeding and prolonged feeding skill development. To examine contributions of the infant, mother, and feeding context to infant engagement during bottle-feeding. Bottle-feedings of very-low-birthweight infants (n = 22) by their mothers were observed. Infant and maternal behaviors were coded and synchronized with physiologic measures. At completion of the feeding, the mothers were interviewed, and their working model of feeding coregulation was scored. Feedings were subdivided into feeding episodes (n = 114). Using multilevel linear regression analyses, four dyadic characteristics (working model of the caregiver's role as coregulator, birthweight, postconceptional age, baseline oxygen saturation) and five episode characteristics (readiness at episode onset, episode baseline oxygen saturation, mean oxygen saturation during the episode, maternal feeding behavior, and phase of feeding) were examined as potential predictors of feeding episode engagement. Conditions observed during the feeding observation explained most of the variation in engagement. Engagement was more likely to occur during the early phase of feed...Continue Reading

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Citations

Nov 4, 2010·The Journal of Perinatal & Neonatal Nursing·Rita H PicklerAl Best
Nov 11, 2011·The Journal of Perinatal & Neonatal Nursing·Erin Sundseth Ross, M Kathleen Philbin
Nov 11, 2011·The Journal of Perinatal & Neonatal Nursing·M Kathleen Philbin, Erin Sundseth Ross
Sep 22, 2006·Journal of Perinatology : Official Journal of the California Perinatal Association·R H PicklerP A Wetzel
Oct 3, 2008·Journal of Perinatology : Official Journal of the California Perinatal Association·R H PicklerD Crosson
Sep 18, 2012·Infant Behavior & Development·Barbara A ReynaJanet B Younger
Jun 28, 2007·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Suzanne M Thoyre
Jul 21, 2009·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Tondi M Harrison
Jul 21, 2009·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Barbara A Reyna, Rita H Pickler
Jul 21, 2009·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Lisa F BrownChristine Schubert
Sep 17, 2014·Research in Nursing & Health·Ashley M Weber, Tondi M Harrison
Jun 18, 2005·Neonatal Network : NN·Suzanne M ThoyreKaren F Pridham
Mar 9, 2017·Developmental Neurorehabilitation·Michelle BickellSandra Fucile
Jan 31, 2014·The Journal of Perinatal & Neonatal Nursing·Carrie-Ellen BriereRegina Cusson
Jan 31, 2014·The Journal of Perinatal & Neonatal Nursing·Jinhee ParkWilliam B Nix
Mar 6, 2018·Journal for Specialists in Pediatric Nursing : JSPN·Burcu Aykanat GirginGüner Karatekin
Jul 19, 2018·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Jinhee ParkSuzanne M Thoyre
Sep 22, 2018·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Suzanne M ThoyreJinhee Park
Jan 24, 2019·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Margaret Settle, Kim Francis
Dec 19, 2018·Journal of Pediatric Gastroenterology and Nutrition·Jinhee ParkMatt Gregas
Sep 27, 2013·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Rita H PickierAl Best

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