Right on Cue: A Systematic Review of Cue-Based Feeding in the NICU

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  • February 22, 2019
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  • Przybyla, Megan
    • Affiliation: School of Medicine, Department of Allied Health Sciences, Division of Speech and Hearing Sciences
  • Baumgart, Leah
    • Affiliation: School of Medicine, Department of Allied Health Sciences, Division of Speech and Hearing Sciences
  • Orme, Cally
    • Affiliation: School of Medicine, Department of Allied Health Sciences, Division of Speech and Hearing Sciences
Abstract
  • Premature infants in the NICU often experience feeding difficulties that prolong their hospital stay. In the past, health care professionals have relied on a preset feeding schedule to facilitate weight gain and improve the health status of infants in the NICU. Transition to full oral feeding is often the last benchmark in determining readiness for hospital discharge (Wellington, 2015). Cue-based feeding, also known as demand or infant-driven feeding, has gained support as a strategy that responds more appropriately to an individual infant's needs (Shaker, 2010). Instead of following a schedule of when and how much to feed an infant, cue-based feeding is guided by the behavioral cues of the infant to encourage acquisition of safe feeding behaviors. Infants can self-direct their feeding in a developmentally appropriate way, allowing for a more efficient transition to full oral feeding. Although some studies have indicated the effectiveness of cue-based feeding, the long-standing traditions of NICU culture mean that infant-driven programs have not been widely implemented.
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  • In Copyright
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  • University of North Carolina at Chapel Hill. Department of Allied Health Sciences. Division of Speech and Hearing Sciences. Student Research Day (8th: 2016: Chapel Hill, NC)
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  • May 10, 2016

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