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Non-Pharmacological and Non-Surgical Feeding Interventions for Hospitalized Infants with Pediatric Feeding Disorder: A Scoping Review

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Abstract

Infants born prematurely or with complex medical conditions often require treatment to facilitate safe and efficient feeding. Practice is based on evidence, so frontline clinicians look to the literature to make informed clinical decisions. The aim of this scoping review was to map and describe the literature base for infant feeding and swallowing interventions and to identify areas for further research. Four electronic databases were searched from the sources’ inceptions through April 2020 using a search strategy designed by a health sciences research librarian. Thirteen grey literature sources were searched and forward and backward citation chasing was performed. Inclusion criteria were English-language studies reporting non-pharmacological and non-surgical interventions for hospitalized infants. Exclusion criteria included interventions exclusively for infants with cleft lip or palate or for infants being fed exclusively though enteral feeding. Data were extracted using a form created a priori and data were reported descriptively. We reviewed 6654 abstracts: 725 were chosen for full-text review and 136 met inclusion. Most studies explored interventions for infants born prematurely (n = 128). Studies were stratified by intervention domain: bridging (n = 91) and feeding/swallowing (n = 45); intervention approach: direct (n = 72), indirect (n = 31), or combination (n = 33); and outcome: feeding performance (n = 125), physiologic stability (n = 40), and swallowing physiology (n = 12). The body of research in infant feeding has grown; however, a need remains for research focused on populations of infants with various medical complexities and for frequently used interventions that lack supporting evidence.

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Acknowledgements

Thanks are due to Maura Natale for assistance with initial abstract reviews.

Funding

This study was supported in part through funding received from the SHRS Research Development Fund, School of Health and Rehabilitation Sciences, University of Pittsburgh.

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Authors and Affiliations

  1. Department of Communication Science and Disorders, School of Health and Rehabilitation Sciences, University of Pittsburgh, 6035 Forbes Tower, Pittsburgh, PA, 15260, USA

    Amanda S. Mahoney, Molly O’Donnell & James L. Coyle

  2. Health Science Library System, University of Pittsburgh, Pittsburgh, PA, 15260, USA

    Rose Turner

  3. UPMC, Children’s Hospital of Pittsburgh, Pittsburgh, PA, 15224, USA

    Katherine E. White

  4. School of Audiology and Speech Sciences, University of British Columbia, Vancouver, BC, Canada

    Stacey A. Skoretz

  5. Department of Critical Care Medicine, University of Alberta, Edmonton, AB, Canada

    Stacey A. Skoretz

  6. Centre for Heart Lung Innovation, St. Paul’s Hospital, Vancouver, BC, Canada

    Stacey A. Skoretz

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Contributions

Conceptualization by AM, SS, RT, and JC. Methodology by SS and RT. Literature search by RT. Study selection by AM, MO, and KW. Data extraction by AM and MO. Data analysis and manuscript by AM and SS. The final version of the manuscript has been approved by all contributing authors.

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Correspondence to James L. Coyle.

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Mahoney, A.S., O’Donnell, M., Coyle, J.L. et al. Non-Pharmacological and Non-Surgical Feeding Interventions for Hospitalized Infants with Pediatric Feeding Disorder: A Scoping Review. Dysphagia 38, 818–836 (2023). https://doi.org/10.1007/s00455-022-10504-7

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