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Cue Based Feeding in the NICU - Texas Children's Hospital

Cue Based Feeding in the NICUANNA ELSENBROCK, MS, OTR/L, CPST, CNTLAURA LUCAS, MS, RD, CSP, LDALLISON PARKER, MS, CCC-SLP, CNTO bjectives:uUnderstand what cue- Based Feeding isuProvide overview to protocols/research on cue- Based feedinguBe able to recognize readiness cues and signs of disengagement as well as when to end a bottle feed Based upon cuesuIdeas for implementing cue- Based Feeding in your settingDifferentapproaches to oral feedinguScheduled: q3, PO q/day, BID, TIDuThis is the more traditional approach to Feeding uMay also hear it referred to as staff-led feedinguCue Based : offering oral Feeding Based on infant readinessuMay also hear it referred to as infant -driven or infant -led feedinguOn Demand/ Ad Lib: feed when awake with cues no specified time or volumeWhat is cue- Based Feeding ?What is cue- Based Feeding ? A culture that is infant -drivenvs. volume-driven: The aim of an infant -driven approach is to help infants learn to feed, not to get them to eat or get it all in.

Early feeding experiences impact later feeding skills and behaviors: u 55% of preterm infants have feeding problems by 6-18 months of age u Although less than 1% of preterm infants required tube feedings at discharge, over 50% of parents reported problematic feeding behaviors at 18 & 24 months u Parents of NICU graduates reported disorganized ...

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  Infant, Hospital, Texas, Children, Feeding, Texas children s hospital

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