Research Article

Effect of Four Approaches to Oral Feeding Progression on Clinical Outcomes in Preterm Infants

Table 1

Description of four feeding approaches.

Approach namePMA at oral feeding startManner of oral feeding progression

Group 1, early start/slow progressing experience32 weeksOffered 2 oral feedings per day for 3 days (days 1–3). Oral feedings offered per day increased by 1 feeding every other day until day 14 when offerings were 8 oral feedings each day (days 4-5, 3 oral feeds offered; days 6-7, 4 oral feeds offered; days 8-9, 5 oral feeds offered; days 10-11, 6 oral feeds offered; days 12-13, 7 oral feeds offered; day 14, 8 oral feeds offered).

Group 2, early start/maximum experience32 weeksOffered 8 oral feedings every day, at each of 8 scheduled daily feedings starting on day 1.

Group 3, late start/slow progressing experience34 weeksOffered 2 oral feedings per day for 3 days (days 1–3). Oral feedings offered per day increased by 1 feeding every other day until day 14 when offerings were 8 oral feedings each day (days 4-5, 3 oral feeds offered; days 6-7, 4 oral feeds offered; days 8-9, 5 oral feeds offered; days 10-11, 6 oral feeds offered; days 12-13, 7 oral feeds offered; day 14, 8 oral feeds offered).

Group 4, late start/maximum experience34 weeksOffered 8 oral feedings every day, at each of 8 scheduled daily feedings starting on day 1.