ArticleAdvances in neonatal care : official journal of the National Association of Neonatal Nurses2017
The Relationship Between Behavioral States and Oral Feeding Efficiency in Preterm Infants.
Article in Advances in neonatal care : official journal of the National Association of Neonatal Nurses, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03755999 (A Cue-based Developmental Approach Toward the Preterm Infants During Feeding Transition Period - Explore Clinical Facts, Evaluate Intervention Effects and Develop Clinical Guideline), which is not on this map. Cited by 16 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Cue-based Developmental Approach Toward the Preterm Infants During Feeding Transition Period - Explore Clinical Facts, Evaluate Intervention Effects and Develop Clinical Guideline
Who cites it
16 citing papers in PubMed, 47 citations in OpenAlex.
- Impact of diaper change frequency on preterm infants' vital sign stability and skin health: A RCT.Early human development · 2022Trial
- Patterned frequency-modulated oral stimulation in preterm infants: A multicenter randomized controlled trial.PloS one · 2019Trial
- Do orally-directed behaviors mediate the relationship between behavioral state and nutritive sucking in preterm infants?Early human development · 2017Trial
- Study Protocol for a Randomized Controlled Trial of Multisensory Early Oral Administration of Human Milk (M-MILK) for Very Preterm Infants: Enhancing Stress Regulation, Neurodevelopment, and Oral Feeding Skills.Biological research for nursing · 2026Article
- Impact of the H-HOPE multisensory behavioural intervention plus Kangaroo Mother Care on early growth in preterm infants in Malawi.BMC pediatrics · 2026Article
- Right and Left Side-Lying Positioning During Bottle-Feeding in Premature Infants-A Randomized Crossover Pilot Study.Journal of clinical medicine · 2025Article
- Turkish adaptation of the Neonatal Eating Assessment Tool-Bottle-Feeding in preterm infants discharged to home.Turkish journal of medical sciences · 2024Article
- Developmental care pathway for hospitalised infants with CHD: on behalf of the Cardiac Newborn Neuroprotective Network, a Special Interest Group of the Cardiac Neurodevelopmental Outcome Collaborative.Cardiology in the young · 2023Article
- Baby Intensive Early Active Treatment (babiEAT): A Pilot Randomised Controlled Trial of Feeding Therapy for Infants with Cerebral Palsy and Oropharyngeal Dysphagia.Journal of clinical medicine · 2023Article
- Preterm infant cues during breastfeeding and its measurement: A scoping review.Belitung nursing journal · 2023Article
- Factors Affecting Oral Feeding Ability in Indonesian Preterm Infants.Pediatric reports · 2022Article
- Infant stimulation reduces weight loss and increases breastfeeding: a randomized controlled trial.Investigacion y educacion en enfermeria · 2022Article
- Descriptive Longitudinal Pilot Study: Behaviors Surrounding Feeding of Preterm Infants Who Received Extended Tube Feedings.HSOA journal neonatology & clinical pediatrics · 2022Article
- Neonatal feeding performance is related to feeding outcomes in childhood.Early human development · 2020Article
- Neonatal Eating Outcome Assessment: tool development and inter-rater reliability.Acta paediatrica (Oslo, Norway : 1992) · 2018Review
- Sleep-Wake States and Feeding Progression in Preterm Infants.Nursing researchArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 2 countries.
Funding
Abstract
backgroundThe relationship between behavioral states (alert, sleep, drowsy, and crying) and oral feeding efficiency in preterm infants is not well understood. PURPOSE: To determine the relationship between behavioral states and feeding efficiency in preterm infants.
methodsThis correlational study was conducted as a secondary analysis from a randomized controlled trial. Medically stable preterm infants born between 29 and 34 weeks' gestational age participated. Baseline data from the randomized controlled trial (week 0), 1 minute prior to feeding, were used. Behavioral states were coded by 2 blinded coders. Oral feeding efficiency (mL/min) was calculated as the amount of intake over the first 10 minutes of feeding.
resultsData from 147 infants were included. The proportion of time spent in alert states (β = .76, F = 11.29, P ≤ .05), sleep states (β = -1.08, F = 25.26, P ≤ .05), and crying (β = 1.50, F = 12.51, P ≤ .05) uniquely predicted oral feeding efficiency. IMPLICATIONS FOR PRACTICE: Comprehensive assessment of behavioral states and infant characteristics for oral feeding readiness is crucial. Alert states are optimal for oral feeding. Forced oral feeding when infants are sleeping should be avoided. Infants in crying or drowsy states prior to feeding should be closely evaluated. Sleeping or drowsy infants may benefit from interventions (eg, oral sensory stimulation, nonnutritive sucking, or multisensory intervention) to support transition to alert states prior to feeding. IMPLICATIONS FOR RESEARCH: Future research should evaluate behavioral states prior to and during feeding and their relationship to oral feeding efficiency.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.