000			02731nab a22002657a 4500
003			PILC
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022			_a0361-929X
040			_cMANILA TYTANA COLLEGES LIBRARY
100			_aThoyre, Suzanne M.
245		0	_aImplementing co-regulated feeding with mothers of preterm infants / _cSuzanne M. Thoyre, Carol Hubbard, Jinhee Park, Karen Pridham, Anne McKechnie
260			_cJuly/August 2016.
336			_atext
337			_aunmediated
338			_avolume
440			_aMCN : The American Journal of Maternal/Child Nursing _n41 : 4 page 204-211
520			_aPurpose: The purpose of this study is to describe implementation of the Co-Regulated Feeding Intervention (CoReg), when provided by mothers and guided by intervention nurses trained in methods of guided participation (GP). Co-regulated feeding intervention aims to prevent stress during feeding and ease the challenge very preterm (VP) infants experience coordinating breathing and swallowing during the early months. Guided participation is a participatory learning method to guide the complex learning required for mothers. Study Design and Methods: Sixteen mothers of 17 VP infants participated. Each mother received a median of five intervention sessions during the infant's transition to oral feeding. Intervention field notes, audio recordings of the sessions, and video recordings of the nurse-guided feedings were reviewed, organized, and content analyzed to evaluate implementation. Results: The co-regulated feeding intervention was well received by mothers; enrollment, participation, and retention rates were high. Most mothers chose to spread out the intervention sessions across the transition period. Scheduling sessions was the greatest barrier. Mothers had competing demands and infant readiness to eat could not be predicted. The top five issues identified as needing attention by the mother or nurse included reading cues, coregulating breathing, providing motoric stability, regulating milk flow, and providing rest periods. Main GP strategies included joint attention with the mother to the dyad's feeding challenges, auditory assessment of breathing and swallowing, and reflection with planning for future feedings using video playback. Clinical Implications: Nurse presence while mothers feed affords rich opportunities to guide coregulated, cue-based feeding. Co-regulated feeding intervention would be enhanced if mothers are guided by the bedside nurse.
521			_aNursing
650			_aMaternal health services.
650			_aPremature infants.
650			_aPremature infants-Nutrition-Requirements.
942			_cA _2lcc
998			_c79263 _d137626
999			_c76281 _d76281