Effect of cue-based feeding on time to nipple feed and time to discharge in very low birth weight infants
Abstract The objective of this study is to evaluate the effectiveness of a cue-based feeding protocol in improving time to nipple feed and time to discharge in very low birth weight infants in a Level III Neonatal Intensive Care Unit. Demographic, feeding, and discharge data were recorded and compar...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2023-06-01
|
| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-36634-y |
| _version_ | 1797801449992749056 |
|---|---|
| author | Jonathan Spagnoli Ramasubbareddy Dhanireddy Emily Gannon Sandeep Chilakala |
| author_facet | Jonathan Spagnoli Ramasubbareddy Dhanireddy Emily Gannon Sandeep Chilakala |
| author_sort | Jonathan Spagnoli |
| collection | DOAJ |
| description | Abstract The objective of this study is to evaluate the effectiveness of a cue-based feeding protocol in improving time to nipple feed and time to discharge in very low birth weight infants in a Level III Neonatal Intensive Care Unit. Demographic, feeding, and discharge data were recorded and compared between the two cohorts. The pre-protocol cohort included infants born from August 2013 through April 2016 and the post-protocol cohort included infants born from January 2017 through December 2019. 272 infants were included in the pre-protocol cohort and 314 infants in the post-protocol cohort. Both cohorts were statistically comparable in gestational age, gender, race, birthweight, prenatal care, antenatal steroid use, and rates of maternal diabetes. There were statistically significant differences between the pre- versus post-protocol cohorts in median post-menstrual age (PMA) in days at first nipple feed (PO) (240 vs 238, p = 0.025), PMA in days at full PO (250 vs 247, p = 0.015), and length of stay in days (55 vs 48, p = 0.0113). Comparing each year in the post-protocol cohort, for each outcome measure, a similar trend was noted in 2017 and 2018, but not in 2019. In conclusion, the cue-based feeding protocol was associated with a decrease in the time to first PO, time to full nipple feeds, and the length of stay in very-low-birthweight infants. |
| first_indexed | 2024-03-13T04:50:39Z |
| format | Article |
| id | doaj.art-9163fd8d48c14468b5d4f805857aefae |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-13T04:50:39Z |
| publishDate | 2023-06-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-9163fd8d48c14468b5d4f805857aefae2023-06-18T11:13:11ZengNature PortfolioScientific Reports2045-23222023-06-011311610.1038/s41598-023-36634-yEffect of cue-based feeding on time to nipple feed and time to discharge in very low birth weight infantsJonathan Spagnoli0Ramasubbareddy Dhanireddy1Emily Gannon2Sandeep Chilakala3Department of Pediatrics, Division of Neonatology, The University of Tennessee Health Science CenterDepartment of Pediatrics, Division of Neonatology, The University of Tennessee Health Science CenterDepartment of Pediatrics, Division of Neonatology, The University of Tennessee Health Science CenterDepartment of Pediatrics, Division of Neonatology, The University of Tennessee Health Science CenterAbstract The objective of this study is to evaluate the effectiveness of a cue-based feeding protocol in improving time to nipple feed and time to discharge in very low birth weight infants in a Level III Neonatal Intensive Care Unit. Demographic, feeding, and discharge data were recorded and compared between the two cohorts. The pre-protocol cohort included infants born from August 2013 through April 2016 and the post-protocol cohort included infants born from January 2017 through December 2019. 272 infants were included in the pre-protocol cohort and 314 infants in the post-protocol cohort. Both cohorts were statistically comparable in gestational age, gender, race, birthweight, prenatal care, antenatal steroid use, and rates of maternal diabetes. There were statistically significant differences between the pre- versus post-protocol cohorts in median post-menstrual age (PMA) in days at first nipple feed (PO) (240 vs 238, p = 0.025), PMA in days at full PO (250 vs 247, p = 0.015), and length of stay in days (55 vs 48, p = 0.0113). Comparing each year in the post-protocol cohort, for each outcome measure, a similar trend was noted in 2017 and 2018, but not in 2019. In conclusion, the cue-based feeding protocol was associated with a decrease in the time to first PO, time to full nipple feeds, and the length of stay in very-low-birthweight infants.https://doi.org/10.1038/s41598-023-36634-y |
| spellingShingle | Jonathan Spagnoli Ramasubbareddy Dhanireddy Emily Gannon Sandeep Chilakala Effect of cue-based feeding on time to nipple feed and time to discharge in very low birth weight infants Scientific Reports |
| title | Effect of cue-based feeding on time to nipple feed and time to discharge in very low birth weight infants |
| title_full | Effect of cue-based feeding on time to nipple feed and time to discharge in very low birth weight infants |
| title_fullStr | Effect of cue-based feeding on time to nipple feed and time to discharge in very low birth weight infants |
| title_full_unstemmed | Effect of cue-based feeding on time to nipple feed and time to discharge in very low birth weight infants |
| title_short | Effect of cue-based feeding on time to nipple feed and time to discharge in very low birth weight infants |
| title_sort | effect of cue based feeding on time to nipple feed and time to discharge in very low birth weight infants |
| url | https://doi.org/10.1038/s41598-023-36634-y |
| work_keys_str_mv | AT jonathanspagnoli effectofcuebasedfeedingontimetonipplefeedandtimetodischargeinverylowbirthweightinfants AT ramasubbareddydhanireddy effectofcuebasedfeedingontimetonipplefeedandtimetodischargeinverylowbirthweightinfants AT emilygannon effectofcuebasedfeedingontimetonipplefeedandtimetodischargeinverylowbirthweightinfants AT sandeepchilakala effectofcuebasedfeedingontimetonipplefeedandtimetodischargeinverylowbirthweightinfants |