The Preterm Infants Cues during Breastfeeding: A Scoping Review
Haryatiningsih Purwandari1)*, Wastu Adi Mulyono1)

1)Faculty, Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University, Indonesia (email:haryatiningsih.purwandari[at]unsoed.ac.id)

Abstract

Background: Preterm infants cues are preterm infants signals to communicate their needs. Current literature reported the infant cues mostly were generated from bottle feeding. Otherwise, preterm infants cues from breastfeeding event were rarely reported.
Purpose: The review was intended to investigate the description behavior of the preterm infants cues during breastfeeding session and to find the appropriate instruments to observe the preterm infants cues.
Methods: A scoping review was conducted. The published articles from CINAHL complete, CINAHL Plus with Full Text, E-Journals, ERIC, MEDLINE, Psychology and Behavioral Sciences Collection were searched from inception to January 2020. Key search terms were preterm infants, cues, and breastfeeding. The critical appraisal used the Joanna Briggs Institute critical appraisal tool. Data were analyzed by a thematic analyzes method. The initial search resulted 89 articles, and three articles met the criteria.
Results: The review found that the preterm infants cues were categorized as hunger, self-regulation, stress, and satiation cues. The PFCCS is one instrument that can be used to observe preterm infants cues using a secondary analysis from breastfeeding videotaped. The PFCCS was supported by good inter- and intra-rater reliability. Although the methodology quality of three studies was not strong, the studies described detail the description of the infants behavior during breastfeeding.
Conclusion: The characteristic of the preterm infants cues during breastfeeding covers hunger, self-regulation, stress, and satiation cues. The appropriate instrument to observe the preterm infants cues during breastfeeding should exist from the breastfeeding studies. Since only three studies meet the review criteria, the future investigation about this issue is in demand.

Keywords: Breastfeeding, Cues, Preterm Infants

Topic: Maternity and Pediatric Nursing