Abstract
In this chapter, the authors discuss supplementation as it applies to the needs of the late preterm infant. Parents need to learn the importance of nutritive and nonnutritive feeding and how that will help them learn the basics of when supplementation is necessary and when it can be discontinued. An awareness of the unique characteristics of late preterm infants will help families be realistic in their feeding experience after hospital discharge.
This chapter will also discuss different recommendations for hospital discharge including implementing a plan for optimal feeding post-discharge. Many of these suggestions are extrapolated from research with extremely premature newborns and premature newborns in general, as there is limited practical intervention-related research specific to the late preterm newborn. For those areas without literature support, expert advice was solicited from healthcare professionals working with the late preterm population.
Bottle feeding is a common supplemental mode for the late preterm infant. Infant suck-swallow-breathe skill, ability to communicate, position, parental skill, and bottle characteristics will all impact the late preterm infant’s success with bottle feeding. A variety of weaning tips to facilitate exclusive breastfeeding are also discussed in the chapter.
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References
Premji S, Currie G, Reilly S, Dosani A, Oliver LM, Lodha AK, Young M. A qualitative study: mothers of late preterm infants relate their experiences of community-based care. PLoS One. 2017;12(3):e0174419. https://doi.org/10.1371/journal.pone.0174419.
DeMauro SB, Patel PR, Medoff-Cooper B, Posencheg M, Abbasi S. Postdischarge feeding patterns in early- and late-preterm infants. Clin Pediatr. 2011;50(10):957–62. https://doi.org/10.1177/0009922811409028.
Dosani AH, Hemraj J, Premji SS, Currie G, Reilly SM, Lodha AK, et al. Breastfeeding the late preterm infant: experiences of mothers and perceptions of public health nurses. Int Breastfeed J. 2017;12:23. https://doi.org/10.1186/s13006-017-0114-0.
Ludwig SM. Oral feeding and the late preterm infant. Newborn Infant Nurs Rev. 2007;7(2):72–5. https://doi.org/10.1053/j.nainr.2007.05.005.
Meier P, Wright K, Engstrom J. Management of breastfeeding during and after the maternity hospitalization for late preterm infants. Clin Perinatol. 2013;40(4):689–705. https://doi.org/10.1016/j.clp.2013.07.014.
Mattson E, Funkquist EL, Wickström M, Nqvist KH, Volgsten H. Healthy late preterm infants and supplementary artificial milk feeds: effects on breast feeding and associated parameters. Midwifery. 2015;31(4):426–31. https://doi.org/10.1016/j.midw.2014.12.004.
White A, Parnell K. The transition from tube to full oral feeding (breast or bottle) – a cue-based developmental approach. J Neonatal Nurs. 2013;19(4):189–97. https://doi.org/10.1016/j.jnn.2013.03.006.
Browne JV, Ross ES. Eating as a neurodevelopmental process for high-risk newborns. Clin Perinatol. 2011;38(4):731–43. https://doi.org/10.1016/j.clp.2011.08.004.
Walker M. Breastfeeding management for the late preterm infant: practical Interventions for “little imposters”. Clin Lactat. 2010;1(1):22–6. https://doi.org/10.1891/215805310807011873.
Brackett, K. B. Know the flow, don’t go with the flow! By Britt Pados PhD(c), RN, NNP-BC, bpados@email.unc.edu. Pediatric Feeding News; 2014. Available from http://pediatricfeedingnews.com/know-the-flow-dont-go-with-the-flow-by-britt-pados-phdc-rn-nnp-bc-bpadosemail-unc-edu/. Accessed 28 Mar 2018.
Walker M. Breastfeeding the late preterm infant. J Obstet Gynecol Neonatal Nurs. 2008;37(6):692–701. https://doi.org/10.1111/j.1552-6909.2008.00293.x.
Gianni ML, Roggero P, Piemontese P, Liotto N, Orsi A, Amato OR, et al. Is nutritional support needed in late preterm infants? BMC Pediatr. 2015;15:194. https://doi.org/10.1186/s12887-015-0511-8.
Jefferies AL, Canadian Paediatric Society, Fetus and Newborn Committee. Going home: facilitating discharge of the preterm infant. Paediatric Child Health. 2014;19(1):31–42.
Sables-Baus S, DeSanto K, Henderson S, Kunz JL, Morris AC, Shields L, et al. Infant-directed oral feeding for premature and critically ill hospitalized infants: Guideline for practice. Chicago, IL: National Association of Neonatal Nurses; 2013.
Whyte RK, Canadian Paediatric Society, Fetus and Newborn Committee. Safe discharge of the late preterm infant: position statement. Paediatric Child Health. 2010;15(10):655–60.
Jackman KT. Go with the flow: choosing a feeding system for infants in the neonatal intensive care unit and beyond based on flow performance. Newborn Infant Nurs Rev. 2013;13(1):31–4.
Raines D. Preparing for NICU discharge: mothers’ concerns. Neonatal Netw. 2013;32(6):399–403. https://doi.org/10.1891/0730-0832.32.6.399.
Vonderheid SC, Rankin K, Norr K, Vasa R, Hills S, White-Trau R. Health care use outcomes of an integrated hospital-to-home mother-preterm infant intervention. J Obstet Gynecol Neonatal Nurs. 2016;45(5):625–38. https://doi.org/10.1016/j.jogn.2016.05.007.
Lau C, Sheena HR, Shulman RJ, Schanler RJ. Oral feeding in low birth weight infants. J Pediatr. 1997;130(4):561–9.
Shaker CS. Infant-guided, co-regulated feeding in the neonatal intensive care unit. Part II: interventions to promote neuroprotection and safety. Semin Speech Lang. 2017;38(2):106–15. https://doi.org/10.1055/s-0037-1599108.
Lucas R, Paquett R, Briere CE, McGrath JG. Furthering our understanding of the needs of mothers who are pumping breast milk for infants in the NICU: an integrative review. Adv Neonatal Care. 2014;14(4):214–52. https://doi.org/10.1097/ANC.0000000000000110.
Cleaveland K. Feeding challenges in the late preterm infant. Neonatal Netw. 2010;29(1):37–41. https://doi.org/10.1891/0730-0832.29.37.
Hubbard ET, Stellwagen L, Wolf A. The late preterm infant: a little baby with big needs. Contemp Pediatr. 2007;24(11):51–8.
Meier PF, Furman LM, Degenhardt M. Increased lactation risk for late preterm infants and mothers: evidence and management strategies to protect breastfeeding. J Midwifery Womens Health. 2007;52(6):579–87.
Briere CE, McGrath J, Cong X, Cusson R. An integrative review of factors that influence breastfeeding duration for premature infants after NICU hospitalization. J Obstet Gynecol Neonatal Nurs. 2014;43(3):272–81. https://doi.org/10.1111/1552-6909.12297.
Phillips-Pula L, Pickler R, McGrath JM, Brown LF, Dusing SC. Caring for a preterm infant at home: a mother’s perspective. J Perinat Neonat Nurs. 2013;27(4):335–44. https://doi.org/10.1097/JPN.0b013e3182a983be.
Silberstein D, Feldman R, Gardner JM, Karmel BZ, Kuint J, Geva R. The mother-infant feeding relationship across the first year and the development of feeding difficulties in low-risk premature infants. Infancy. 2009;14(5):501–25.
Purdy IB, Singh N, Le C, Bell C, Whiteside C, Collins M. Biophysiologic and social stress relationships with breast milk feeding pre- and post-discharge from the neonatal intensive care unit. J Obstet Gynecol Neonatal Nurs. 2012;41(3):347–57. https://doi.org/10.1111/j.1552-6909.2012.01368.x.
Munson M, Saatkamp R, West C. Late preterm infants: steps to success. Neonatal Netw. 2011;30(4):267–70. https://doi.org/10.1891/0730-0832.30.4.267.
Lee SY, Guan JJ. Prevalence and prediators of exclusive breastfeeding in late preterm infants at 12 weeks. Child Health Nurs Res. 2016;22(2):79–86. https://doi.org/10.4094/chnr.2016.22.2.79.
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Marandola, J., Lasby, K. (2019). How Do You Wean a Late Preterm Infant Off Supplements: You Mean I Have to Suck Feed?. In: Premji, S. (eds) Late Preterm Infants. Springer, Cham. https://doi.org/10.1007/978-3-319-94352-7_8
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DOI: https://doi.org/10.1007/978-3-319-94352-7_8
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