Improving Time to Independent Oral Feeding to Expedite Hospital Discharge in Preterm Infants
| Autor: | Samuel J, Gentle, Claire, Meads, Shae, Ganus, Elizabeth, Barnette, Kathryn, Munkus, Waldemar A, Carlo, Ariel A, Salas |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Pediatrics. 149 |
| ISSN: | 1098-4275 0031-4005 |
| Popis: | BACKGROUND AND OBJECTIVES Achievement of independent oral feedings remains the most common barrier to discharge in preterm infants. Early oral feeding initiation may be associated with a lower postmenstrual age (PMA) at independent oral feeding and discharge. In preterm infants born between 25 and 32 weeks’ gestation, our aim was to decrease the PMA at independent oral feedings and discharge by 1 week between June 2019 and June 2020. METHODS Following formation of a multidisciplinary team, the following plan-do-study-act cycles were targeted: (1) oral feeding initiation at RESULTS In total, 552 infants with a median gestational age of 30.3 weeks’ (interquartile range 28.1–32.0) and birth weight of 1320 g (interquartile range 1019–1620) were included. The PMA at discharge decreased from 38.8 to 37.7 weeks during the first plan-do-study-act cycle, which coincided with an increase in the number of infants initiated on oral feeds at CONCLUSIONS In preterm infants born between 25 and 32 weeks’ gestation, earlier oral feeding initiation was associated with a decreased PMA at independent oral feeding and discharge. |
| Databáze: | OpenAIRE |
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