Improving Feeding Outcomes in the NICU: Moving From Volume-Driven to Infant-Driven Feeding

Author:

Shaker Catherine S.1

Affiliation:

1. Florida Hospital for Children Orlando, FL

Abstract

Current research on feeding outcomes after discharge from the neonatal intensive care unit (NICU) suggests a need to critically look at the early underpinnings of persistent feeding problems in extremely preterm infants. Concepts of dynamic systems theory and sensitive care-giving are used to describe the specialized needs of this fragile population related to the emergence of safe and successful feeding and swallowing. Focusing on the infant as a co-regulatory partner and embracing a framework of an infant-driven, versus volume-driven, feeding approach are highlighted as best supporting the preterm infant's developmental strivings and long-term well-being.

Publisher

American Speech Language Hearing Association

Subject

General Medicine

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