The Beginning – Feeding Outcome Measures in Neonates
Tracks
4
Acute care – paediatric
Assessment
Infant feeding
Neonatal care
Paediatric/Infant
Swallowing
| Friday, June 13, 2025 |
| 11:20 AM - 11:30 AM |
Overview
Kathryn McHugh and Pari Kulkarni
Details
⏫ In-practice
⏲️ 11.20am - 11.40am
⌛ 20-minutes
📚 Assumed knowledge of attendees: Intermediate (Some previous learning/working knowledge of topic e.g. treated a few cases)
⏲️ 11.20am - 11.40am
⌛ 20-minutes
📚 Assumed knowledge of attendees: Intermediate (Some previous learning/working knowledge of topic e.g. treated a few cases)
Presenter
Ms Kathryn McHugh
Monash Children's Hospital
The Beginning – Feeding Outcome Measures in Neonates
11:20 AM - 11:40 AMPresentation summary
Speech Pathology practice in Australia within the neonatal space remains in its infancy. Majority of the newborn services across Australia are still reliant only on informal clinical feeding evaluations (CFE) and do not use standardised feeding assessment tools within the Neonatal Intensive Care Unit (NICU) and the Special Care Nursery (SCN). This session aims to provide an overview of the process of introducing the – Neonatal Eating Outcome Assessment (NEO) – a novel, comprehensive, standardised assessment of feeding for preterm infants in the NICU/SCN at a tertiary as well and as at a secondary level newborn service across two major health networks in metropolitan Melbourne. We will explore the rationale, background, tool selection, literature review, benchmarking across other health networks, stakeholder identification and engagement, clinician training and inter-rater reliability, roll out methodology, ethical and cultural considerations, and challenges and limitations faced during this process.
Refrences
American Speech-Language-Hearing Association. (2005). Roles and responsibilities of speech language pathologists in the neonatal intensive care unit. ASHA Supplement.
https://www.asha.org/members/deskref-journals/deskref/default
American Speech-Language-Hearing Association. (2023). Pediatric feeding and swallowing
https://www.asha.org/practice-portal/clinical-topics/pediatric-feeding-andswallowing/#collapse_5
Edney, S., Jones, S., & Boaden, E. (2019). Screening for feeding difficulties in the neonatal unit: Sensitivity and specificity of gestational age vs medical history. Journal of Neonatal Nursing, 25,
116-120. https://doi.org/10.1016/j.jnn.2018.10.004
Edney, S. K., & McHugh, G. (2021). Parental participation in NICU-based occupational therapy, physiotherapy, and speech and language therapy: A qualitative study. Advances in Neonatal Care, 25, https://doi.org/10.1097/ANC.0000000000000830
Ermarth, A., Brinker, K., & Ostrander, B. (2023). Feeding dysfunction in NICU patients with cramped synchronized movements. Early Human Development, 187, 105879.
https://doi.org/10.1016/j.earlhumdev.2023.10587
Pineda, R., Harris, R., Foci, F., Roussin, J., & Wallendorf, M. (2018). Neonatal Eating Outcome Assessment: Tool development and inter-rater reliability. Acta Paediatrica, 107(3), 414-424. https://doi.org/10.1111/apa.14128
Pineda, R., Prince, D., Reynolds, J., Grabill, M., & Smith, J. (2020). Preterm infant feeding performance at term equivalent age differs from that of full-term infants. Journal of Perinatology, 40(4), 646-654. https://doi.org/10.1038/s41372-020-0616-2
Ross, E. (2022). Supporting Oral Feeding in Fragile Infants: Introduction to SOFFI®. Developmental Observer, 10. https://doi.org/14434/DO.V15I2.34364
Ross, E., Arvedson, J., & McGrath, J. (2020). Recommendations for best practices for feeding, eating and nutrition delivery. Report of the first consensus conference on standards, competencies, and best practices for infant and family centered care in the intensive care unit.
https://nicudesign.nd.edu/nicu-care-standards/ifcdc--recommendations-for-best-practicesforfeeding-
eating-and-nutrition-delivery/
Ross, E., & Browne, J. (2003). Developmental progression of feeding skills: An approach to supporting feeding in preterm infants. Seminars In Neonatology, 7(6).
Ross, E., & Fuhrman, L. (2015). Supporting oral feeding skills through bottle selection. Perspectives on Swallowing and Swallowing Disorders (dysphagia), 24, 50-57.
Ross, E., Joy, V., & Browne, J. (2013). Feeding outcomes in preterm infants after discharge from the neonatal intensive care unit (NICU): A systematic review. Newborn & Infant Nursing Reviews,
87-93. http:// doi.org/10.1053/j.nainr.2013.04.003
Ross, E., & Philbin, M. (2011). SOFFI: An evidence-based method for quality bottle-feedings of preterm, ill and medically fragile infants. Journal of Perinatal and Neonatal Nursing, 25(4), 349- 359. https://doi.org/10.1097%2FJPN.0b013e318234ac7a
Ross, K., Heiny, E., Conner, S., Spener, P., & Pineda, R. (2017). Occupational therapy, physical therapy and speech-language pathology in the neonatal intensive care unit: Patterns of therapy usage in a level IV NICU. Research in Developmental Disabilities, 64, 108-117
Shaker, C. (2012). Feed me only when I’m cueing: Moving away from a volume-driven culture in the NICU. Neonatal Intensive Care, 25, 27-32.
Shaker, C. (2013). Cue-based co-regulated feeding in the neonatal intensive care unit: Supporting parents in learning to feed their preterm infant. Newborn & Infant Nursing Reviews, 13, 51-55.
http://doi.org/10.1053/j.nainr.2012.12.009
Slattery, J., Morgan, A., & Douglas, J. (2012). Early sucking and swallowing problems as predictors of neurodevelopmental outcome in children with neonatal brain injury: A systematic review. Developmental Medicine and Child Neurology, 54(9), 796-806. https://doi.org/10.1111/j.1469-
8749.2012.04318.x
Speech Pathology Australia. (2024). Speech Pathology in neonatal care
Speech Pathology Australia. (2024). Speech pathology practice in neonatal care: Supplementary evidence tables. The Speech Pathology Association of Australia Limited.
https://www.asha.org/members/deskref-journals/deskref/default
American Speech-Language-Hearing Association. (2023). Pediatric feeding and swallowing
https://www.asha.org/practice-portal/clinical-topics/pediatric-feeding-andswallowing/#collapse_5
Edney, S., Jones, S., & Boaden, E. (2019). Screening for feeding difficulties in the neonatal unit: Sensitivity and specificity of gestational age vs medical history. Journal of Neonatal Nursing, 25,
116-120. https://doi.org/10.1016/j.jnn.2018.10.004
Edney, S. K., & McHugh, G. (2021). Parental participation in NICU-based occupational therapy, physiotherapy, and speech and language therapy: A qualitative study. Advances in Neonatal Care, 25, https://doi.org/10.1097/ANC.0000000000000830
Ermarth, A., Brinker, K., & Ostrander, B. (2023). Feeding dysfunction in NICU patients with cramped synchronized movements. Early Human Development, 187, 105879.
https://doi.org/10.1016/j.earlhumdev.2023.10587
Pineda, R., Harris, R., Foci, F., Roussin, J., & Wallendorf, M. (2018). Neonatal Eating Outcome Assessment: Tool development and inter-rater reliability. Acta Paediatrica, 107(3), 414-424. https://doi.org/10.1111/apa.14128
Pineda, R., Prince, D., Reynolds, J., Grabill, M., & Smith, J. (2020). Preterm infant feeding performance at term equivalent age differs from that of full-term infants. Journal of Perinatology, 40(4), 646-654. https://doi.org/10.1038/s41372-020-0616-2
Ross, E. (2022). Supporting Oral Feeding in Fragile Infants: Introduction to SOFFI®. Developmental Observer, 10. https://doi.org/14434/DO.V15I2.34364
Ross, E., Arvedson, J., & McGrath, J. (2020). Recommendations for best practices for feeding, eating and nutrition delivery. Report of the first consensus conference on standards, competencies, and best practices for infant and family centered care in the intensive care unit.
https://nicudesign.nd.edu/nicu-care-standards/ifcdc--recommendations-for-best-practicesforfeeding-
eating-and-nutrition-delivery/
Ross, E., & Browne, J. (2003). Developmental progression of feeding skills: An approach to supporting feeding in preterm infants. Seminars In Neonatology, 7(6).
Ross, E., & Fuhrman, L. (2015). Supporting oral feeding skills through bottle selection. Perspectives on Swallowing and Swallowing Disorders (dysphagia), 24, 50-57.
Ross, E., Joy, V., & Browne, J. (2013). Feeding outcomes in preterm infants after discharge from the neonatal intensive care unit (NICU): A systematic review. Newborn & Infant Nursing Reviews,
87-93. http:// doi.org/10.1053/j.nainr.2013.04.003
Ross, E., & Philbin, M. (2011). SOFFI: An evidence-based method for quality bottle-feedings of preterm, ill and medically fragile infants. Journal of Perinatal and Neonatal Nursing, 25(4), 349- 359. https://doi.org/10.1097%2FJPN.0b013e318234ac7a
Ross, K., Heiny, E., Conner, S., Spener, P., & Pineda, R. (2017). Occupational therapy, physical therapy and speech-language pathology in the neonatal intensive care unit: Patterns of therapy usage in a level IV NICU. Research in Developmental Disabilities, 64, 108-117
Shaker, C. (2012). Feed me only when I’m cueing: Moving away from a volume-driven culture in the NICU. Neonatal Intensive Care, 25, 27-32.
Shaker, C. (2013). Cue-based co-regulated feeding in the neonatal intensive care unit: Supporting parents in learning to feed their preterm infant. Newborn & Infant Nursing Reviews, 13, 51-55.
http://doi.org/10.1053/j.nainr.2012.12.009
Slattery, J., Morgan, A., & Douglas, J. (2012). Early sucking and swallowing problems as predictors of neurodevelopmental outcome in children with neonatal brain injury: A systematic review. Developmental Medicine and Child Neurology, 54(9), 796-806. https://doi.org/10.1111/j.1469-
8749.2012.04318.x
Speech Pathology Australia. (2024). Speech Pathology in neonatal care
Speech Pathology Australia. (2024). Speech pathology practice in neonatal care: Supplementary evidence tables. The Speech Pathology Association of Australia Limited.
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Kathryn graduated as a Speech Pathologist from Flinders University in 2016 and throughout her career she has worked across the continuum of care with adult and paediatric clients within the public health sector. She has a wealth of experience working across community health and tertiary acute settings in both rural and metropolitan health services. Kathryn's passion for working with families holistically lead her to specialise in paediatrics and infant feeding; specifically within the neonatal population. While working at Monash Children's Hospital she has developed a passion for speech pathology within the neonatal and paediatric intensive care units.
Pari Kulkarni
The Beginning – Feeding Outcome Measures in Neonates
11:20 AM - 11:40 AM**********
The information contained in this program is current at of the time of publishing but is subject to changes made without notice.
Disclaimer: © (2024) The Speech Pathology Association of Australia Limited. All rights reserved.
Important Notice, please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited ("the Association"). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this presentation. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this presentation including in any of the materials referred to or otherwise incorporated into this presentation.
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