Background. The purpose of this study of preterm infants was to test the effect of four approaches to the time of transition from\ngavage to full oral feedings, time to discharge, and weight gain during the transition. Methods. A randomized experimental design\nwas used with four intervention groups: early start (32 weeks� postmenstrual age)/slow progressing experience (gradually increasing\noral feedings offered per day); early start/maximum experience (oral feedings offered at every feeding opportunity); late start (34\nweeks� postmenstrual age)/slow progressing experience; and late start/maximum experience. Results. The analysis included 86\npreterm infants. Once oral feedings were initiated, infants in the late start/maximum experience group achieved full oral feeding\nand were discharged to home significantly sooner than infants in either early start group. Although not significantly different,\nthese infants also achieved these outcomes sooner than infants in the late start/slow progressing experience group. There were\nno differences in weight gain across groups. Conclusions. Results suggest starting oral feedings later in preterm infants may result\nin more rapid transition to full oral feedings and discharge although not at early postnatal ages. Provision of a more consistent\napproach to oral feeding may support infant neurodevelopment and reduce length of hospitalization.
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