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Early Hum Dev. 2018 May;120:46-52. doi: 10.1016/j.earlhumdev.2018.04.001. Epub 2018 Apr 11.

Oral feeding practices and discharge timing for moderately preterm infants.

Author information

1
Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
2
Department of Pediatrics, University of Iowa, Iowa City, IA, USA.
3
Biostatistics and Epidemiology Division, RTI International, Research Triangle Park, NC, USA.
4
Department of Pediatrics, Stanford University, Palo Alto, CA, USA.
5
Social, Statistical, and Environmental Sciences Unit, RTI International, Rockville, MD, USA.
6
Department of Pediatrics, Case Western Reserve University, Cleveland, OH, USA.
7
Department of Pediatrics, University of Iowa, Iowa City, IA, USA. Electronic address: edward-bell@uiowa.edu.

Abstract

BACKGROUND:

Oral feeding skills of moderately preterm infants are not mature at birth.

AIMS:

To establish the relationship between postmenstrual age at introduction of first oral feeding and attainment of full oral feeding and hospital discharge for moderately preterm infants.

STUDY DESIGN:

Multicenter retrospective analysis of a prospective cohort of moderately preterm infants admitted to a Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network hospital.

SUBJECTS:

6146 infants born at 29-33 weeks' gestation from January 2012 to November 2013.

OUTCOME MEASURES:

Postmenstrual age at full oral feeding and at hospital discharge.

RESULTS:

The median postmenstrual age at first oral feeding was 33.9 weeks (interquartile range 33.1-34.3). For each week earlier at first oral feeding, full oral feeding occurred 4.5 days earlier (p < 0.0001) and hospital stay was shortened by 3.4 days (p < 0.0001). Higher birth weight (p < 0.0001) and black maternal race (p = 0.0001) were associated with younger postmenstrual age at full oral feeding and at discharge.

CONCLUSION:

Moderately preterm infants with earlier introduction of oral feeding achieved earlier full oral feeding and hospital discharge.

KEYWORDS:

Hospital discharge; moderately preterm infants; oral feeding; pulmonary disease

PMID:
29654994
PMCID:
PMC5951763
[Available on 2019-05-01]
DOI:
10.1016/j.earlhumdev.2018.04.001

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