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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

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Oral feeding is a developmental task for all premature infants. often, independent nipple feeding is the last barrier to discharge home from the NICU. A relationship exists between consistent, infant-driven feeding management practices and improved feeding performance. Conversely, a random approach to feeding may contribute to poor short-term and long-term clinical outcomes.

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.
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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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