Effectiveness of Cue-Based Feeding Versus Scheduled Feeding in Preterm Infants Using Comprehensive Feeding Assessment Scales: A Randomized Clinical Trial

AuthorFarideh Kamranen
AuthorAhmad Reza Khatoonabadien
AuthorMahshid Aghajanzadehen
AuthorAbbas Ebadien
AuthorYaser Faryadrasen
AuthorSetareh Sagheben
OrcidAhmad Reza Khatoonabadi [0000-0003-1984-5911]en
OrcidAbbas Ebadi [0000-0002-2911-7005]en
OrcidYaser Faryadras [0000-0002-4494-8210]en
OrcidSetareh Sagheb [0000-0003-3298-2128]en
Accessioned Date2023-06-20T15:19:41Z
Available Date2023-06-20T15:19:41Z
Issued Date2020-12-31en
AbstractBackground: One of the most critical criteria in making ready an infant for discharge from the neonatal intensive care unit (NICU) is full oral feeding attainment. Objectives: The present study aimed at investigating the effectiveness of cue-based feeding in preterm infants. Methods: A randomized clinical trial study was designed to compare 37 preterm infants at a gestational age of ≤ 34 weeks in the cue-based feeding group (n = 18) and the scheduled feeding group (n = 19). All participants were evaluated by the Preterm Infant Oral Feeding Readiness Assessment Scale (PIOFRAS) and Early Feeding Skill (EFS) scale in four different stages. Outcome measures were weight (grams per day), duration of full oral feeding achievement, duration of hospitalization, postmenstrual age (PMA), and the score of PIOFRAS and EFS. A P-value of less than 0.05 has been considered statistically significant. Results: The duration of full oral feeding achievement was shorter in the cue-based feeding group (3.55 ± 1.24 vs 6.68 ± 2.00, P < 0.001). Infants were discharged earlier in the cue-based feeding group (15.55 ± 5.38 vs 27.10 ± 7.90, P < 0.001). The mean score of PIOFRAS only on the day of discharge in the cue-based feeding group was more than the scheduled feeding group (32.61 ± 1.14 vs 31.90 ± 0.87, P = 0.03). The score of EFS in each dimension was inconsistent in each stage, and differences were observed between two groups in the full oral feeding stage. Conclusions: Although PIOFRAS and EFS demonstrated no difference significantly in most of the stages of achievement in oral feeding between the cue-based feeding group and the scheduled feeding, the process of attainment of oral feeding and discharge from the hospital was more rapid in the cue-based feeding group.en
DOIhttps://doi.org/10.5812/ijp.107475en
URIhttps://repository.brieflands.com/handle/123456789/4872
KeywordInfanten
KeywordPrematureen
KeywordIntensive Care Unitsen
KeywordNewbornen
KeywordFeeding Behavioren
PublisherBrieflandsen
TitleEffectiveness of Cue-Based Feeding Versus Scheduled Feeding in Preterm Infants Using Comprehensive Feeding Assessment Scales: A Randomized Clinical Trialen
TypeResearch Articleen

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