BOTTLE FEEDING READINESS IN PRETERM INFANTS

早产儿的奶瓶喂养准备情况

• 批准号: 6700249
• 负责人: Rita H Pickler
• 金额: $ 38.19万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-02-01 至 2006-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6700249
• 关键词: autonomic nervous system; behavior test; behavioral /social science research tag; clinical research; developmental neurobiology; developmental nutrition; diet route /schedule; electromyography; functional ability; health care service evaluation; human data; human morbidity; human subject; neonatal intensive care; nutrition related tag; oral behavior; outcomes research; pediatric nursing; premature infant human; psychomotor function; pulmonary respiration; swallowing

DESCRIPTION: Bottle-feeding of preterm infants is both a routine and essential aspect of hospital care. Yet even routine caregiving activities, such as feeding, may cause adverse reactions in preterm infants if not managed appropriately. Since there are no universally accepted criteria for determining if a preterm infant is ready to bottle feed, the already vulnerable infant is subject to a trial-and-error approach to this most critical life-sustaining activity. Providing care (i.e., bottle feeding) when the infant indicated readiness to receive care has been suggested as a way to minimize potential adverse reactions to caregiving activities. Thus, the primary aim of this study is to test a predictive model of bottle-feeding readiness and bottle-feeding outcomes. Bottle-feeding readiness includes the infant's neurologic maturation, severity of illness, and pre-feeding autonomic, motor, and behavioral state organization. Bottle feeding outcomes include during and post-feeding autonomic, motor, and behavioral state organization, suck-swallow-breathe coordination, and feeding performance. A secondary aim of the study will be to examine how bottle-feeding experience influences both bottle-feeding readiness and bottle-feeding outcomes. This non-experimental, observational study will use data obtained from medical records and 10 to 14 feeding observations each for 95 infants beginning at 32 weeks post-conception age. Data will be analyzed with a variety of statistical techniques dependent on the measurement level of the variables. Continuous response measures will be modeled using MANOVA. Categorical variables will be modeled using logistic regression.

说明：早产儿的奶瓶喂养是一种常规和必要的