Effect of a Preterm Infant Cue-Responsive Program on Timing of Transition to At-Breast Feeding
Keywords:
Preterm, Preterm infant cue-responsive program, Timing of transition to at-breast feedingAbstract
Premature transition from tube feeding to breastfeeding causes digestion and absorption problems in the intestines, leading to necrotizing enterocolitis. This 2-group quasi-experimental research aimed to compare duration of time for the transition from tube feeding to direct breastfeeding between preterm infants receiving a responsive cue-based care program and preterm infants receiving standard nursing care. The participants were 42 preterm infants with gestational age 32-36 weeks hospitalized in the neonatal intensive care unit of a tertiary hospital in the northern region. The participants were divided into an experimental group and a control group by matching, with 21 members in each group. Research instruments included: 1) a preterm infant cue-responsive program 2) the oral feeding readiness assessment form; 3) the breastfeeding assessment score; 4) the general information record for preterm infants and mothers; and 5) a transition period record from tube feeding to breastfeeding form. All instruments underwent content validity and reliability testing. Data were analyzed using descriptive statistics and independent t-test.
Results of the study showed that the mean transition period for the experimental group was 8.33 days (± SD = 4.09), while it was 13.10 days (± SD = 5.09) for the control group, indicating that the transition period in the experimental group was statistically significantly sooner (4.77 days) than that of the control group (p < .01).
The finding suggests that the preterm infant cue-responsive program enhances better swallowing development leading to less days for the transition time from tube feeding to breastfeeding in preterm infants. Thus, nurses in a neonatal intensive care units (NICU) may apply this program to preterm infants regarding enteral feeding in order for them to have effective breastfeeding.
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