Eating in "SINC": Safe Individualized Nipple-Feeding Competence, a Quality Improvement Project to Explore Infant-Driven Oral Feeding for Very Premature Infants Requiring Noninvasive Respiratory Support
We report a quality improvement project that was undertaken across five NICUs in an urban setting. our aim was to safely initiate and advance nipple feeding for very preterm neonates (born at <32 weeks gestation) who had a respiratory morbidity requiring nasal continuous positive airway pressure therapy.
A novel algorithm entitled "eating in SINC: Safe individualized nipple-Feeding Competence" was developed. Safe individualized nipple-feeding competence involves the baby, the parents, and the health care team by using infant-driven strategies, common language, and developmentally appropriate goals while supporting fragile neonates to be skilled feeders.
Keywords: BREASTFEEDING; BRONCHOPULMONARY DYSPLASIA (BPD); INFANT-DRIVEN FEEDING; NASAL CONTINUOUS POSITIVE AIRWAY PRESSURE (NCPAP); NEONATE; NICU; NIPPLE FEEDING; NONINVASIVE RESPIRATORY SUPPORT; PREMATURE; QUALITY IMPROVEMENT
Document Type: Research Article
Affiliations: Foothills Medical Centre, NICU, 5th Floor, 1403 29 Street NW, Calgary, AB, T2N 2T9, Canada
Publication date: July 1, 2016
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