Abstract

Some infants surviving long term care in an intensive care nursery may develop physical and behavioral problems which disrupt feeding and result in chronic eating disorders. A pilot project was initiated to provide nutritional/behavioral management and mutual problem solving, with the goal of attaining normal oral intake while maintaining growth. Six children ages 12-27 months(M) and their families were included. Four children were recovering from bronchopulmonary dysplasia, one had craniofacial anomalies, and one had an undefined neuromuscular disorder. Group meetings were held for 10 months. Changes in feeding method: tube(T), oral(O); food type: strained(S), soft (Sf), table(Tb); and weight velocity(WV) in grams/day are shown: Positive changes in feeding method, food type, or weight velocity were made with each child. The results suggest interaction of parents/professionals in a group support/outpatient format may be an effective approach to early eating disorders.

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