Improving Feeding Outcomes in the NICU: Moving From Volume-Driven to Infant-Driven Feeding Current research on feeding outcomes after discharge from the neonatal intensive care unit (NICU) suggests a need to critically look at the early underpinnings of persistent feeding problems in extremely preterm infants. Concepts of dynamic systems theory and sensitive care-giving are used to describe the specialized needs of this fragile ... Article
Article  |   October 01, 2010
Improving Feeding Outcomes in the NICU: Moving From Volume-Driven to Infant-Driven Feeding
Author Affiliations & Notes
  • Catherine S. Shaker
    Florida Hospital for Children, Orlando, FL
Article Information
Swallowing, Dysphagia & Feeding Disorders / Healthcare Settings / Articles
Article   |   October 01, 2010
Improving Feeding Outcomes in the NICU: Moving From Volume-Driven to Infant-Driven Feeding
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), October 2010, Vol. 19, 68-74. doi:10.1044/sasd19.3.68
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), October 2010, Vol. 19, 68-74. doi:10.1044/sasd19.3.68

Current research on feeding outcomes after discharge from the neonatal intensive care unit (NICU) suggests a need to critically look at the early underpinnings of persistent feeding problems in extremely preterm infants. Concepts of dynamic systems theory and sensitive care-giving are used to describe the specialized needs of this fragile population related to the emergence of safe and successful feeding and swallowing. Focusing on the infant as a co-regulatory partner and embracing a framework of an infant-driven, versus volume-driven, feeding approach are highlighted as best supporting the preterm infant's developmental strivings and long-term well-being.

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