Relationships between preterm medical factors and feeding behaviors at term-equivalent age

IF 2.2 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Early human development Pub Date : 2024-02-28 DOI:10.1016/j.earlhumdev.2024.105975

Carolyn Ibrahim , Molly Grabill , Joan Smith , Roberta Pineda

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引用次数: 0

Abstract

Aim

To identify relationships between early medical factors and preterm infant feeding behaviors at term-equivalent age.

Methods

Forty-three very preterm infants born ≤32 weeks gestation had standardized feeding assessments using the Neonatal Eating Outcome Assessment at term-equivalent age (36–42 weeks postmenstrual age). Medical factors were collected and analyses were run to determine if associations between different medical factors and feeding performance exist.

Results

Lower Neonatal Eating Outcome Assessment scores at term-equivalent age were associated with lower estimated gestational age (p < .01), lower birthweight (p < .01), older postmenstrual age at discharge (p < .01), longer length of stay in the neonatal intensive care unit (p < .01), chronic lung disease (p = .03), as well as more days on total parenteral nutrition (p = .03), endotracheal intubation (p < .01), and noninvasive mechanical ventilation (p < .01).

Conclusion

More feeding problems are observed in infants born earlier, with longer hospital stays, and with complex medical courses. Knowledge of the association between these medical factors and feeding difficulties allows for identification of infants who may benefit from early, targeted interventions to optimize the feeding process.

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早产儿医疗因素与足月时喂养行为的关系

确定早期医疗因素与足月早产儿喂养行为之间的关系。对 43 名妊娠不足 32 周的极早产儿在足月（月经后 36-42 周）时使用新生儿饮食结果评估进行标准化喂养评估。收集医疗因素并进行分析，以确定不同医疗因素与喂养表现之间是否存在关联。较低的足月新生儿进食结果评估得分与较低的估计胎龄（< .01）、较低的出生体重（< .01）、较高的出院后月龄（p < .01）、较长的新生儿重症监护室住院时间（< .01）、慢性肺部疾病（= .03）以及较多的全肠外营养（p = .03）、气管插管（< .01）和无创机械通气（p < .01）有关。喂养问题在出生较早、住院时间较长、病程复杂的婴儿中更为明显。了解了这些医疗因素与喂养困难之间的关系，就可以识别出哪些婴儿可能会受益于早期的针对性干预，以优化喂养过程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early human development 医学-妇产科学

CiteScore

4.40

自引率

4.00%

发文量

100

审稿时长

46 days

期刊介绍： Established as an authoritative, highly cited voice on early human development, Early Human Development provides a unique opportunity for researchers and clinicians to bridge the communication gap between disciplines. Creating a forum for the productive exchange of ideas concerning early human growth and development, the journal publishes original research and clinical papers with particular emphasis on the continuum between fetal life and the perinatal period; aspects of postnatal growth influenced by early events; and the safeguarding of the quality of human survival. The first comprehensive and interdisciplinary journal in this area of growing importance, Early Human Development offers pertinent contributions to the following subject areas: Fetology; perinatology; pediatrics; growth and development; obstetrics; reproduction and fertility; epidemiology; behavioural sciences; nutrition and metabolism; teratology; neurology; brain biology; developmental psychology and screening.