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      Developing the Mansoura Early Feeding Skills Assessment Scale for Preterm Infants

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          Abstract

          Purpose

          This study aimed to develop a new bedside scoring system scale that assesses preterm infants’ oral feeding skills (OFS) in the neonatal intensive care unit (NICU).

          Methods

          A literature review and critical appraisal of available oral feeding assessment tools/scores were performed. Subsequently, we developed the “Mansoura Early Feeding Skills Assessment” (MEFSA) scale, an 85-item observational measure of oral feeding skills with three main sections. Forty-one preterm infants who did not receive oral feeding but were clinically stable enough to initiate oral feeding were included in the study. Next, we applied and interpreted the MEFSA to describe and score their feeding skills.

          Results

          Applying the MEFSA resulted in a smooth feeding transition, early start of oral feeding, full oral feeding, and discharge with a shorter period of tube feeding in preterm infants.

          Conclusion

          The MEFSA is a successful bedside scoring system that assesses the OFS of preterm infants in the NICU.

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          Most cited references46

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          LATCH:A Breastfeeding charting system and documentation Tool

          Sheila Wallace, Deborah B. Jensen, Patricia Kelsay (1994)
          Article 0 comments Cited 54 times – based on 0 reviews     Review now
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            Impact of a family-centered care initiative on NICU care, staff and families.

            Sarah Cooper, Stuart Gallagher, J. Gooding … (2007)
            Family-centered care is becoming a standard of care in neonatal intensive care units (NICUs). The purpose of this study was to evaluate the impact of a national program designed to promote family-centered care in NICUs and to provide information and comfort to families during the NICU hospitalization of their newborn. A quasi-experimental, post-only design was utilized, examining eight March of Dimes NICU Family Support((R)) (NFS) sites. Data were gathered via telephone interviews with NICU administrators and surveys of both NICU staff and NICU families. NICU administrators interviewed identified benefits of NFS, including culture change and additional support to families. Surveys of NICU staff showed that NFS enhances the overall quality of NICU care resulting in less stressed, more informed and confident parents. Surveys of NICU families showed that NFS both reduced their stress and made them feel more confident as their baby's parent. March of Dimes NFS has had a positive impact on the stress level, comfort level and parenting confidence of NICU families. In addition, it has enhanced the receptivity of staff to the presence and benefits of family-centered care.
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              A novel approach to assess oral feeding skills of preterm infants.

              C. Lau, E Smith (2011)
              There is no well-defined means to identify the level of oral feeding skills (OFS) in preterm infants. To determine whether OFS as reflected by the combination of proficiency (PRO, %ml taken during the first 5 min/ml prescribed) and rate of milk transfer (RT, ml/min) correlates with gestational age (GA), oral feeding performance (OT, %ml taken during a feeding/ml prescribed) and days from start to independent oral feeding (SOF-IOF). Our working premises are that PRO is reflective of infants' actual feeding skills when fatigue is minimal and RT, monitored over an entire feeding session, reflects their overall skills when fatigue comes into play. Infants (26-36 weeks GA) with prematurity as their principal diagnosis were recruited and monitored at their first oral feeding. GA was divided into 3 strata, 26-29, 30-33, and 34-36 weeks GA. OFS was divided into 4 levels delineated by PRO (≥ or <30%) and RT (≥ or <1.5 ml/min). ANOVA with post-hoc Bonferroni and multiple regression analyses were used. OFS levels were correlated with GA. OT, PRO, and days from SOF-IOF were associated with OFS and GA, whereas RT was only correlated with OFS levels. OFS is a novel objective indicator of infants' feeding ability that takes into account infants' skills and endurance. As a clinical tool, it can help caretakers monitor infants' skills as they transition to oral feeding and identify oral feeding issues arising from immature skills and/or poor endurance. Copyright © 2011 S. Karger AG, Basel.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Pediatr Gastroenterol Hepatol Nutr
                Journal ID (iso-abbrev): Pediatr Gastroenterol Hepatol Nutr
                Journal ID (publisher-id): PGHN
                Title: Pediatric Gastroenterology, Hepatology & Nutrition
                Publisher: The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
                ISSN (Print): 2234-8646
                ISSN (Electronic): 2234-8840
                Publication date (Print): November 2023
                Publication date (Electronic): 30 October 2023
                Volume: 26
                Issue: 6
                Pages: 320-337
                Affiliations
                [1 ]Department of Otorhinolaryngology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
                [2 ]Department of Pediatric, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
                Author notes
                Correspondence to Tamer Abou-Elsaad. Department of Otorhinolaryngology, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt. taboelsaad@ 123456hotmail.com
                Author information
                https://orcid.org/0009-0001-3710-1089
                https://orcid.org/0009-0004-1117-5313
                https://orcid.org/0000-0003-1908-9423
                https://orcid.org/0000-0002-8591-966X
                Article
                DOI: 10.5223/pghn.2023.26.6.320
                PMC ID: 10651360
                PubMed ID: 38025492
                SO-VID: a1b5da33-5638-4a72-b4f8-58c130280ac1
                Copyright © Copyright © 2023 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 20 November 2022
                Date revision received : 03 August 2023
                Date accepted : 21 August 2023
                Categories
                Subject: Original Article

                Keywords: preterm,infant feeding,infant development,enteral nutrition,neonatal intensive care unit, premature
                Data availability:
                Keywords: preterm, infant feeding, infant development, enteral nutrition, neonatal intensive care unit, premature

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