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Guidelines for Bottle Feeding Your Premature Baby

Thomas, Jessica A. RN, MSN, CRNP

Section Editor(s): FORSYTHE, PAULA L. MSN, CNS

doi: 10.1097/01.ANC.0000304971.69578.f7
The Long Road Home

Prolonged use of gavage feedings is common in premature infants who have not yet acquired suck, swallow, and breathing coordination. Preterm infants must be developmentally mature to orally feed successfully. Als' Synactive Theory of Development offers a conceptual framework to facilitate understanding of how premature infants dynamically differentiate to attain developmental milestones such as oral feeding. Key clinical implications for neonatal nurses are contingent upon incorporating evidence-based research into practice and providing consistent quality care to improve feeding outcomes.

Hospital of the University of Pennsylvania, Philadelphia, and Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Address correspondence to Jessica A. Thomas, RN, MSN, CRNP, 151 Bradford Ct, Mt. Laurel, NJ 08054;

© 2007 National Association of Neonatal Nurses