Skip Navigation LinksHome > June 2013 - Volume 13 - Issue 3 > Lack of Feeding Progression in a Preterm Infant: A Case Stud...
Advances in Neonatal Care:
doi: 10.1097/ANC.0b013e31827bfd3e
Case of the Month

Lack of Feeding Progression in a Preterm Infant: A Case Study

White-Traut, Rosemary PhD, RN, FAAN; Shapiro, Nicole BA, RN; Healy-Baker, Elissa BSN, RN; Menchavez, Lina BSN, RN; Rankin, Kristin PhD; Medoff-Cooper, Barbara PhD, RN, FAAN

Section Editor(s): Heaberlin, Pamela MS, RN, NNP-BC - Section Editor

Collapse Box

Abstract

The purpose of this article was to present the case of a premature infant who displayed immature feeding progression because of nasal occlusion. Two male preterm infants of 33 weeks' gestational age at birth from a larger randomized trial were observed in a comparative case study. Using a prospective design, feeding assessments were conducted weekly from initiation of oral feeding until hospital discharge. Sucking organization was measured using the Medoff-Cooper Nutritive Sucking Apparatus (M-CNSA), which measured negative sucking pressure generated during oral feedings. Oral and nasogastric (NG) intake and vital signs were recorded. At 35 weeks, infant A demonstrated an immature feeding pattern with the M-CNSA NG feedings prevailing over oral feedings. When attempting to feed orally, infant A exhibited labored breathing and an erratic sucking pattern. During the third weekly feeding evaluation, nasal occlusion was discovered, the NG tube was discontinued, and phenylephrine (Neo-Synephrine) and humidified air were administered. Following treatment, infant A's sucking pattern normalized and the infant maintained complete oral feeding. Infant B demonstrated normal feeding progression. Nasal occlusion prevented infant A from achieving successful oral feeding. The M-CNSA has the ability to help clinicians detect inconsistencies in the sucking patterns of infants and objectively measures patterns of nutritive sucking. The M-CNSA has the potential to influence clinical decision making and identify the need for intervention.

© 2013 by the National Association of Neonatal Nurses.

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.