Management of Oral Feeding Challenges in Neonatal Intensive Care Units (NICUs): A National Survey in China

Frontiers in Pediatrics
Tianchan LyuChantal Lau

Abstract

Objectives: To investigate the current practices of oral feeding difficulties facing high-risk infants in Chinese NICUs. Methods: A questionnaire to survey infant oral feeding practices was distributed to 100 level II and III Chinese neonatal intensive care units (NICUs). Results: Responses were obtained from 88 NICUs. No Units had any structured guidelines regarding the management of infant oral feeding as they transitioned from tube to independent oral feeding. In 54 (61.4%) NICUs, nurses and physicians made shared decisions on when oral feeding were to be initiated. Fifty-four (61.4%) and 22 (25.0%) NICUs used postmenstrual age (PMA) or weight at PMA as a criterion for initiating oral feedings, respectively. The top three criteria to determine introduction of oral feeding were severity of disease, presence of sucking reflex, and trial feeding success. Adverse events were used by 78 Units as indices of oral feeding difficulty. Twenty (22.7%) and 25 (28.4%) Units had access to occupational therapists or nurses who provided oral motor interventions during feeding, i.e., oral support (chin and cheek support, aid to deglutition), non-nutritive sucking with pacifier, and oral stimulation. Conclusions: The management of oral feedin...Continue Reading

References

Nov 1, 1994·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·E P Siddell, R D Froman
Sep 3, 2002·Pediatrics·Chanda SimpsonChantal Lau
Jun 5, 2003·Pediatrics·Melanie M SmithLouise Kuhn
Jan 14, 2005·The Journal of Perinatal & Neonatal Nursing·Jacqueline M McGrath, Ana V Bodea Braescu
Jun 18, 2005·Neonatal Network : NN·Suzanne M ThoyreKaren F Pridham
May 30, 2008·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Tsu-Hsin HoweChing-Lin Hsieh
Jun 3, 2008·Early Human Development·Pamela DodrillGeoffrey Cleghorn
Nov 4, 2008·Pediatrics·UNKNOWN American Academy of Pediatrics Committee on Fetus and Newborn
Jan 29, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·R Pineda
Nov 11, 2011·The Journal of Perinatal & Neonatal Nursing·Erin Sundseth Ross, M Kathleen Philbin
Apr 23, 2015·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Carrie-Ellen BriereRegina Cusson
Oct 16, 2015·The Cochrane Database of Systematic Reviews·Julie Watson, William McGuire
Jan 23, 2016·The American Journal of Clinical Nutrition·Chantal Lau
Sep 21, 2016·The Cochrane Database of Systematic Reviews·Zelda GreeneMargaret Walshe
Oct 20, 2017·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Chantal Lau
Jan 9, 2018·Occupational Therapy in Health Care·Caitlin HardySandra Fucile
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·Jacqueline M McGrath, Debra Brandon
Jan 24, 2019·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Margaret Settle, Kim Francis

❮ Previous
Next ❯

Methods Mentioned

BETA
PMA

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.