What does this research mean for the field?

Implementing a breastfeeding-supportive cue-based feeding approach in preterm infants significantly increases the likelihood of direct breastfeeding at discharge and reduces the length of hospitalization compared to traditional feeding. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To assess whether a breastfeeding-supportive cue-based feeding approach improves direct breastfeeding rates at discharge and affects clinical outcomes in preterm infants compared with traditional feeding.

August 22, 2026Breastfeeding Medicine

Breastfeeding-Supportive Cue-Based Feeding and Clinical Outcomes in Preterm Infants: A Retrospective Cohort Study

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Authors

IMIris MoragTel Aviv University MAMichal AmarAriel University RSRasha Zoabi SafadiBnai Zion Medical Center

Discussion

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Implication

Cohort study reveals increased direct breastfeeding and reduced hospital stay in preterm infants with cue-based feeding, suggesting improved feeding transitions in intensive care.

Key Points

To assess whether a breastfeeding-supportive cue-based feeding approach improves direct breastfeeding rates at discharge and affects clinical outcomes in preterm infants compared with traditional feeding.
Conducted a retrospective cohort study of preterm infants born between 27 + 0 and 33 + 6 weeks' gestation (N = 135) in a single tertiary neonatal intensive care unit.
Compared two feeding epochs separated by a washout period: traditional feeding (n = 69) and a breastfeeding-supportive cue-based feeding approach (n = 66).
Analyzed the primary outcome of direct breastfeeding at discharge (at least once daily) and secondary outcomes of postmenstrual age, length of stay, and growth z-scores using multivariable logistic regression.
Direct breastfeeding at discharge occurred in 48.5% of infants in the cue-based feeding group compared to 23.2% in the traditional feeding group (p = 0.002).
Cue-based feeding was independently associated with any direct breastfeeding at discharge after adjusting for maternal age and mode of delivery (OR 5.09; 95% CI 2.02–12.82).
Infants managed with cue-based feeding achieved discharge at a lower postmenstrual age and shorter hospital stay, with no differences in discharge weight and head circumference z-scores between groups despite greater in-hospital z-score declines in the cue-based group.

Cite This Study

Morag et al. (2026) studied this question.

synapsesocial.com/papers/6a895fe4ca7ade938187ee44 https://doi.org/10.1177/15568253261480488

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Implication

Cohort study reveals increased direct breastfeeding and reduced hospital stay in preterm infants with cue-based feeding, suggesting improved feeding transitions in intensive care.

Breastfeeding-Supportive Cue-Based Feeding and Clinical Outcomes in Preterm Infants: A Retrospective Cohort Study

Discussion

Member takes

Implication

Key Points

Cite This Study

Breastfeeding-Supportive Cue-Based Feeding and Clinical Outcomes in Preterm Infants: A Retrospective Cohort Study

Discussion

Member takes

Implication

Key Points

Cite This Study

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