An Algorithm Proposal To Oral Feeding In Premature Infants

Florbela Neto, Ana Paula Franca, Sandra Cruz
2016 unpublished
The transition from tube feeding, to oral feeding is one of the most difficult for preterm infants. It's a continuous but slow process, which demands physiological development respiratory independence and the ability to coordinate suction, breathing and swallowing. Getting the premature to develop his/her feeding skills is the big challenge to the professionals that work in the NICU. Know the characteristics of preterm infants, essentials for oral feeding; to know the nurses' opinion on nursing
more » ... opinion on nursing interventions, that promote the transition of gavage feeding for oral feeding in preterm infants; to contribute to the development of a proposal for a guide to oral feeding in preterm infants were our objectives. As a methodology, qualitative, exploratory and descriptive study. Semistructured interviews were performed to neonatal nurses. Content analysis to treat data was used. Results -Weight, gestational age, physiological stability, sucking coordination, swallowing and breathing, and feeding involvement, are fundamental parameters to begin oral feeding. Positioning the baby, reflexes stimulation, control stress levels, monitoring the temperature and the milk flow, are nursing interventions that promotes the development of feeding skills. The existence of a guide not only gives security but also promotes the respect for the developmental stages of the preterm infant, the standard of care, encourages learning, reduces the subjectivity and fosters the evidence based practice, nevertheless, it ought to have a simple structure, be practical/judicious and small. An algorithm for the preterm infants oral feeding was developed grounded on nurses' opinion but also in the best available evidence.
doi:10.15405/epsbs.2016.07.02.8 fatcat:j3eqtmcjgrdvvac5yn6beqzgpq