Preterm infant cues during breastfeeding and its measurement: A scoping review
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Keywords

breastfeeding
cues
preterm infants
newborn

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Purwandari, H., Purnamasari, M. D., Mulyono, W. A., & Huang, M.-C. (2023). Preterm infant cues during breastfeeding and its measurement: A scoping review. Belitung Nursing Journal, 9(3), 209–217. https://doi.org/10.33546/bnj.2445
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Accepted for publication: 2023-04-26
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Abstract

Background: Preterm infants display certain behaviors to communicate their needs, known as preterm infant cues. However, the existing research on preterm infant cues primarily draws from studies conducted on bottle-fed infants rather than breastfed infants.

Objective: This study aimed to investigate the concept of preterm infant cues during breastfeeding and its appropriate instruments.

Design: A scoping review.

Data Sources: The articles published up to January 2022 were searched from multiple sources from EBSCOhost Web, namely CINAHL Plus with Full Text, MEDLINE, ERIC, and E-Journals.

Review Methods: The articles retrieved for this review were screened using PICO (Population, Intervention, Comparison, and Outcomes) format.Preferred Reporting Items for Systematic Reviews (PRISMA) checklist was used in selecting the articles, and Joanna Briggs Institute Critical Appraisal was utilized by two independent authors to assess the articles’ quality. A descriptive method was used to analyze the data.

Results: The initial review stage found 183 potential articles, but only four satisfied the criteria. The notion of preterm infant cues during breastfeeding is centered on the actions of preterm infants while positioned on their mother's chest. These feeding cues are identifiable before, during, and after breastfeeding and include cues for hunger, self-regulation, stress, satiation, approach, avoidance, and sucking quality. To effectively recognize these cues, tools such as the Preterm Infants Cues Coding System (PFCCS), Infant Driven Scale (IDS), Newborn Individualized Developmental Care and Assessment Program (NIDCAP), and Preterm Breastfeeding Behavior Scale (PIBBS) can be utilized.

Conclusion: The study findings highlight the importance of recognizing preterm infant cues during breastfeeding to facilitate proper feeding and developmental care. Observational studies have proven to be an effective means of observing these cues during breastfeeding. By leveraging the cues identified in this review alongside tools such as PFCCS, IDS, NIDCAP, and PIBBS, nurses can accurately interpret preterm infants' breastfeeding cues in neonatal care settings of all levels. This, in turn, can aid in developing care plans that promote better feeding ability outcomes.

https://doi.org/10.33546/bnj.2445
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Supporting Agencies

This study was supported by the Directorate General of Resources for Science, Technology, and Higher Education of Indonesia [No 894/E4.4/K/2015].

Copyright

Copyright (c) 2023 Haryatiningsih Purwandari, Meivita Dewi Purnamasari, Wastu Adi Mulyono, Mei-Chih Huang

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

The authors declared that they do not have any conflict of interest in this study.

Funding

This study was supported by the Directorate General of Resources for Science, Technology, and Higher Education of Indonesia [No 894/E4.4/K/2015].

Acknowledgment

The authors acknowledge the Directorate General of Resources for Science, Technology, and Higher Education in Indonesia for supporting this project.

Authors’ Contributions

HP has contributed to the work’s conception, the articles’ acquisition, analysis, and interpretation of data, as well as writing and manuscript revision. MDP contributed to the articles’ acquisition and analyzed the data. WAM reviewed the quality of the selected articles and analyzed the data. MCH has contributed to the analysis of the Chinese article and manuscript revision. All authors approved the final version of the manuscript to be published.

Data Availability

Not applicable.

Ethical Consideration

Not applicable.

Declaration of Use of AI in Scientific Writing

Nothing to declare.


References

Als, H. (1982). Toward a synactive theory of development: Promise for the assessment and support of infant individuality. Infant Mental Health Journal, 3(4), 229-243. https://doi.org/10.1002/1097-0355(198224)3:4%3C229::AID-IMHJ2280030405%3E3.0.CO;2-H

Als, H. (1995). Manual for the naturalistic observation of newborn behavior: Newborn individualized developmental care and assessment program (NIDCAP). Boston: Harvard Medical School.

Als, H., & McAnulty, G. B. (2011). The newborn individualized developmental care and assessment program (NIDCAP) with kangaroo mother care (KMC): Comprehensive care for preterm infants. Current Women's Health Reviews, 7(3), 288-301. https://doi.org/10.2174/157340411796355216

Bilgin, A., & Wolke, D. (2017). Associations between feeding problems and maternal sensitivity across infancy: Differences in very preterm and full-term infants. Journal of Developmental & Behavioral Pediatrics, 38(7), 538-544. https://doi.org/10.1097/DBP.0000000000000466

Bomer Norton, C. (2014). Breastfeeding: A holistic concept analysis. Public Health Nursing, 31(1), 88-96. https://doi.org/10.1111/phn.12047

Cassibba, R., Castoro, G., Costantino, E., Sette, G., & Van Ijzendoorn, M. H. (2015). Enhancing maternal sensitivity and infant attachment security with video feedback: An exploratory study in Italy. Infant Mental Health Journal, 36(1), 53-61. https://doi.org/10.1002/imhj.21486

Celik, I. H., Demirel, G., Canpolat, F. E., & Dilmen, U. (2013). A common problem for neonatal intensive care units: late preterm infants, a prospective study with term controls in a large perinatal center. The Journal of Maternal-Fetal & Neonatal Medicine, 26(5), 459-462. https://doi.org/10.3109/14767058.2012.735994

Chen, C.-T., Wang, L.-Y., Wang, Y.-L., & Lin, B.-S. (2017). Quantitative real-time assessment for feeding skill of preterm infants. Journal of Medical Systems, 41(6), 95. https://doi.org/10.1007/s10916-017-0744-1

Chorney, J. M., McMurtry, C. M., Chambers, C. T., & Bakeman, R. (2015). Developing and modifying behavioral coding schemes in pediatric psychology: A practical guide. Journal of Pediatric Psychology, 40(1), 154-164. https://doi.org/10.1093/jpepsy/jsu099

Dosani, A., Hemraj, J., Premji, S. S., Currie, G., Reilly, S. M., Lodha, A. K., Young, M., & Hall, M. (2016). Breastfeeding the late preterm infant: Experiences of mothers and perceptions of public health nurses. International Breastfeeding Journal, 12(1), 1-10. http://doi.org/10.1186/s13006-017-0114-0

Fanaro, S. (2013). Feeding intolerance in the preterm infant. Early Human Development, 89, S13-S20. https://doi.org/10.1016/j.earlhumdev.2013.07.013

Giannì, M. L., Sannino, P., Bezze, E., Plevani, L., Esposito, C., Muscolo, S., Roggero, P., & Mosca, F. (2017). Usefulness of the Infant Driven Scale in the early identification of preterm infants at risk for delayed oral feeding independency. Early Human Development, 115, 18-22. http://dx.doi.org/10.1016/j.earlhumdev.2017.08.008

Girgin, B. A., Gözen, D., & Karatekin, G. (2018). Effects of two different feeding positions on physiological characteristics and feeding performance of preterm infants: A randomized controlled trial. Journal for Specialists in Pediatric Nursing, 23(2), e12214. https://doi.org/10.1111/jspn.12214

Griffith, T., Rankin, K., & White-Traut, R. (2017). The relationship between behavioral states and oral feeding efficiency in preterm infants. Advances in Neonatal Care, 17(1), E12. https://doi.org/10.1097/ANC.0000000000000318

Howe, T.-H., & Sheu, C.-F. (2020). Predicting bottle-feeding performance using a reorganized Neonatal Oral-Motor Assessment Scale (NOMAS). American Journal of Occupational Therapy, 74(4_Supplement_1), 7411500015p7411500011. https://doi.org/10.5014/ajot.2020.74S1-PO3113

Huang, C.-C., & Huang, M.-C. (2019). Helping a preterm infant through the transitional feeding period using a cue-based feeding approach of developmental care. Hu Li Za Zhi, 66(2), 101-106. https://doi.org/10.6224/JN.201904_66(2).13

Lin, C.-H. (2005). Influence of feeding interaction program on maternal feeding behaviors with preterm infant. [Thesis, National Cheng Kung University]. Tainan City, Taiwan, ROC.

Lin, S.-C., Lin, C.-H., Zhang, J.-W., Chen, S.-M., Chen, C.-L., & Huang, M.-C. (2013). Breast-and bottle-feeding in preterm infants: A comparison of behavioral cues. Hu Li Za Zhi, 60(6), 27. https://doi.org/10.6224/JN.60.6.27

Lober, A., Dodgson, J. E., & Kelly, L. (2020). Using the Preterm Infant Breastfeeding Behavior Scale with late preterm infants. Clinical Lactation, 11(3), 121-129. https://doi.org/10.1891/CLINLACT-D-20-00001

Moola, S., Munn, Z., Tufanaru, C., Aromataris, E., Sears, K., Sfetcu, R., Currie, M., Qureshi, R., Mattis, P., Lisy, K., & Mu, P.-F. (2020). Chapter 7: Systematic reviews of etiology and risk. In E. Aromataris & Z. Munn (Eds). JBI Manual for Evidence Synthesis. JBI. https://synthesismanual.jbi.global

Munn, Z., Peters, M. D., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18(1), 1-7. https://doi.org/10.1186/s12874-018-0611-x

Newland, L., L’Huillier, M. W., Petrey, B., & Scheans, P. (2013). Implementation of cue-based feeding in a level III NICU. Neonatal Network, 32(2), 132-137. https://doi.org/10.1891/0730-0832.32.2.132

Nyqvist, K. H., Ewald, U., & Sjödén, P.-O. (1996). Supporting a preterm infant's behaviour during breastfeeding: A case report. Journal of Human Lactation, 12(3), 221-228. https://doi.org/10.1177/089033449601200320

Nyqvist, K. H., Sjödén, P.-O., & Ewald, U. (1999). The development of preterm infants’ breastfeeding behavior. Early Human Development, 55(3), 247-264. https://doi.org/10.1016/S0378-3782(99)00025-0

Oxford, M., & Findlay, D. (2015). NCAST programs caregiver/parent-child interaction feeding manual. Seatlle: University of Washington, School of Nursing.

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., & Brennan, S. E. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. International Journal of Surgery, 88, 105906. https://doi.org/10.1016/j.ijsu.2021.105906

Peters, M. D., Godfrey, C. M., Khalil, H., McInerney, P., Parker, D., & Soares, C. B. (2015). Guidance for conducting systematic scoping reviews. International Journal of Evidence-based Healthcare, 13(3), 141-146. https://doi.org/10.1097/XEB.0000000000000050

Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, & Khalil, H. (2020). Chapter 11: Scoping Reviews (2020 version). In E. Aromataris & Z. Munn (Eds.), JBI Manual for Evidence Synthesis. https://doi.org/10.46658/JBIMES-20-12

Pineda, R., Prince, D., Reynolds, J., Grabill, M., & Smith, J. (2020). Preterm infant feeding performance at term equivalent age differs from that of full-term infants. Journal of Perinatology, 40(4), 646-654. https://doi.org/10.1038/s41372-020-0616-2

Puckett, B., Grover, V. K., Holt, T., & Sankaran, K. (2008). Cue-based feeding for preterm infants: A prospective trial. American Journal of Perinatology, 25(10), 623-628. https://doi.org/10.1055/s-0028-1090583

Purwandari, H., & Huang, M.-C. (2020). Short-term outcomes of preterm infants in a medical center at Banyumas Regency, Indonesia: A preliminary study. Babali Nursing Research, 1(2), 47-57. https://doi.org/10.37363/bnr.2020.1225

Rommel, N., van Wijk, M., Boets, B., Hebbard, G., Haslam, R., Davidson, G., & Omari, T. (2011). Development of pharyngo-esophageal physiology during swallowing in the preterm infant. Neurogastroenterology & Motility, 23(10), e401-e408. https://doi.org/10.1111/j.1365-2982.2011.01763.x

Shaker, C. S. (2013). Cue-based feeding in the NICU: Using the infant’s communication as a guide. Neonatal Network, 32(6), 404-408. http://dx.doi.org/10.1891/0730-0832.32.6.404

Shin, H., Park, Y. J., Ryu, H., & Seomun, G. A. (2008). Maternal sensitivity: A concept analysis. Journal of Advanced Nursing, 64(3), 304-314. https://doi.org/10.1111/j.1365-2648.2008.04814.x

Wellington, A., & Perlman, J. M. (2015). Infant-driven feeding in premature infants: a quality improvement project. Archives of Disease in Childhood-Fetal and Neonatal Edition, 100(6), F495-F500. http://dx.doi.org/10.1136/archdischild-2015-308296

White-Traut, R., Liu, L., Norr, K., Rankin, K., Campbell, S. K., Griffith, T., Vasa, R., Geraldo, V., & Medoff-Cooper, B. (2017). Do orally-directed behaviors mediate the relationship between behavioral state and nutritive sucking in preterm infants? Early Human Development, 109, 26. https://doi.org/10.1016/j.earlhumdev.2017.04.007


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