Infant-Directed Oral Feeding for Premature and Critically Ill Hospitalized Infants

This guideline offers evidence-based protocols that can be individualized to an infant’s abilities (infant-directed) and acknowledge the family as the primary caregiver and feeder (family-centered). Guidance is provided for nurses to help parents interpret infant cues during feeding, problem solve infant behavior issues, and explore interventions to support the infant’s self-regulation throughout feedings. Based heavily on the literature, this guideline offers a consistent approach and language for all caregivers, including family members, in the pursuit of optimal oral feeding outcomes.

Product Details

Authors: Sharon Sables-Baus, PhD MPA PCNS-BC; Kristen DeSanto, MSLS MS RD AHIP; Shakira Henderson, PhD(c) MPH MS RNC-NIC IBCLC; Jacqueline L. Kunz, NNP-BC; Andrea C. Morris, DNP RNC-NIC CCRN; Lorraine Shields, MN RNC NNP CNS; Connie Urbach, BSN RNIII CEIM; Jacqueline McGrath, PhD RN FAAN FNAP

Objectives

To provide an evidence-based clinical guideline for the consistent provision of safe and developmentally appropriate prefeeding and feeding strategies.
To support maturationally appropriate advancement of oral feeding for premature and critically ill hospitalized infants.

Target Population
The guideline’s recommendations are intended for all neonates and infants in the hospital setting including, but not limited to, patients in the neonatal intensive care unit and other intensive or critical care units.

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Published in November 2013

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