Feeding Success Research Articles

Peripheral venous vs. capillary microfilariaemia in a dog co-infected with Dirofilaria repens and D. immitis: A comparative approach using triatomine bugs for blood collection

Dirofilaria immitis and D. repens are mosquito-borne nematodes, primarily infecting dogs, but also other species of carnivores and even humans. Given their impact on animal and human health, the transmission of these filarioids has been widely studied. The microfilariaemia has been shown to have a circadian variation for both Dirofilaria species infecting dogs. Due to methodological difficulties, the periodicity was only studied using venous blood samples, while the mosquitoes feed, in fact, on capillary blood. In this context, the present study aimed to test the feasibility of using triatomine bugs for the collection of capillary blood and to comparatively evaluate the level of microfilariaemia and its circadian variation in capillary blood vs. peripheral venous blood in a dog naturally co-infected with D. immitis and D. repens. The results showed a feeding success of 50%, with variations in the blood meal volume that the bugs ingested. The relative values of microfilariaemia (mf/bug) were strongly correlated with the volume of blood recovered: the more blood recovered from each bug, the higher values of microfilariaemia in the evening samples while the opposite results were obtained for the morning samples. The counting of microfilariae revealed a dominance of D. immitis in all the samples, but with significantly higher microfilariaemia in the venous blood. Meanwhile, for D. repens, the situation was opposite, with higher counts in the capillary blood samples. Our study showed that triatomine bugs can be used as a model for the collection and study of microfilariaemia in the capillary blood in mammals.

Effects of capture surface morphology on feeding success of scyphomedusae: a comparative study

Effects of capture surface morphology on feeding success of scyphomedusae: a comparative study

Foraging and feeding ecology of Platanista: an integrative review

Abstract Limited visual perception in aquatic environments has driven the evolution of diverse sensory modalities in aquatic mammals. Dolphins largely use echolocation for prey capture in the face of limited visual and olfactory cues. Multiple foraging modes exist, although an understanding of how sensory systems are adapted to environmental and prey characteristics is limited. This is especially true for animals with extreme sensory specialisation, such as South Asian river dolphins of the genus Platanista. This taxon is effectively blind and retains plesiomorphic traits from its once‐diverse ancestors. Distributed in murky rivers of the Indus‐Ganga‐Brahmaputra basins, it is thought to use mainly echolocation for feeding on fish and shrimp. We hypothesised that foraging modes used by Platanista differ according to prey position in the water column (at the river surface, mid‐column, and bottom) and are mediated by ecomorphology, acoustics, prey characteristics, and habitat features. To test this, we combined a detailed review of the literature (anatomy–physiology–morphology studies, observations in captivity) with preliminary field observations and acoustics studies to investigate foraging mode selection. Platanista displays peculiar foraging and feeding behaviours, including side swimming, rotational feeding, and grasp‐suction feeding. Feeding is restricted to small prey with low body depth. At the river surface and bottom, echolocation‐based foraging may not be efficient due to acoustic reflection or reverberation effects. Platanista uses echolocation clicks to scan and detect prey at distances of about 20 m across the river mid‐column, possibly switching to passive listening at the surface, and electroreception at the bottom, to maximise prey capture rate and feeding success. Platanista is remarkable for its ability to persist in some of the most intensively used and abused river basins of the world. Using echolocation, electroreception, and passive listening might reduce overall foraging costs and contribute to the adaptability of the taxon.

Hellbender Prey Preference Is Superseded by Native and Nonnative Prey Behavior

Abstract Long-term interactions often shape predator–prey relationships in the form of a co-evolutionary “arms race.” The arrival of nonnative species may disrupt these relationships by introducing novel behaviors that shift interactions in favor of one of the participants. Here we investigated the response of an imperiled native predator, the Eastern Hellbender (Cryptobranchus alleganiensis), to nonnative and native crayfish prey. Crayfish constitute an important prey item for hellbenders, and in the northern portion of its range where this research was conducted, the nonnative Rusty Crayfish (Orconectes rusticus) has become the dominant crayfish. The objective of this study was to determine prey choice and feeding success of hellbenders presented with native (Allegheny Crayfish; Orconectes obscurus) and nonnative (Rusty Crayfish) crayfish prey. We tested hellbender chemoreception in discriminating between the native and nonnative prey, analyzed behavioral interactions between hellbenders and crayfish du...

Evaluation of a simple polytetrafluoroethylene (PTFE)-based membrane for blood-feeding of malaria and dengue fever vectors in the laboratory

BackgroundControlled blood-feeding is essential for maintaining laboratory colonies of disease-transmitting mosquitoes and investigating pathogen transmission. We evaluated a low-cost artificial feeding (AF) method, as an alternative to direct human feeding (DHF), commonly used in mosquito laboratories.MethodsWe applied thinly-stretched pieces of polytetrafluoroethylene (PTFE) membranes cut from locally available seal tape (i.e. plumbers tape, commonly used for sealing pipe threads in gasworks or waterworks). Approximately 4 ml of bovine blood was placed on the bottom surfaces of inverted Styrofoam cups and then the PTFE membranes were thinly stretched over the surfaces. The cups were filled with boiled water to keep the blood warm (~37 °C), and held over netting cages containing 3–4 day-old inseminated adults of female Aedes aegypti, Anopheles gambiae (s.s.) or Anopheles arabiensis. Blood-feeding success, fecundity and survival of mosquitoes maintained by this system were compared against DHF.ResultsAedes aegypti achieved 100% feeding success on both AF and DHF, and also similar fecundity rates (13.1 ± 1.7 and 12.8 ± 1.0 eggs/mosquito respectively; P > 0.05). An. arabiensis had slightly lower feeding success on AF (85.83 ± 16.28%) than DHF (98.83 ± 2.29%) though these were not statistically different (P > 0.05), and also comparable fecundity between AF (8.82 ± 7.02) and DHF (8.02 ± 5.81). Similarly, for An. gambiae (s.s.), we observed a marginal difference in feeding success between AF (86.00 ± 10.86%) and DHF (98.92 ± 2.65%), but similar fecundity by either method. Compared to DHF, mosquitoes fed using AF survived a similar number of days [Hazard Ratios (HR) for Ae. aegypti = 0.99 (0.75–1.34), P > 0.05; An. arabiensis = 0.96 (0.75–1.22), P > 0.05; and An. gambiae (s.s.) = 1.03 (0.79–1.35), P > 0.05].ConclusionsMosquitoes fed via this simple AF method had similar feeding success, fecundity and longevity. The method could potentially be used for laboratory colonization of mosquitoes, where DHF is unfeasible. If improved (e.g. minimizing temperature fluctuations), the approach could possibly also support studies where vectors are artificially infected with blood-borne pathogens.

Appraisal of Warm-Temperate South African Mangrove Estuaries as Habitats to Enhance Larval Nutritional Condition and Growth of Gilchristella aestuaria (Family Clupeidae) Using RNA:DNA Ratios

Estuaries are highly dynamic systems that serve as nursery areas to fishes and are likely to vary in nursery function, mostly due to habitat quality and food availability. Mangroves are thought to be good nurseries as they enhance food availability and protection, improving growth and survival of juvenile fishes. Food quantity and quality may be reflected in nutritional condition, which may in turn be a useful proxy for growth and survival of larval fishes. This study compared the nutritional condition and growth rate of 793 late stage larvae of estuarine roundherring, Gilchristella aestuaria, by using RNA:DNA indices to indirectly compare the feeding environment among similar warm-temperate mangrove and non-mangrove estuaries in South Africa during January 2015 and 2016. Results indicated that G. aestuaria larvae had differing nutritional conditions within the sampling years and within the estuaries. The standardised RNA:DNA (sRD) as well as the RNA residual index values were higher within mangrove estuaries only in 2016. The instantaneous growth rates (Gi) of larvae in mangrove and non-mangrove estuaries were similar; however, post-flexion larvae were found to have a higher Gi and sRD in mangrove estuaries. Turbidity was the major factor influencing the nutritional condition of G. aestuaria larvae. Mangroves have been found to act as sediment sinks and thus may provide advantages that increase feeding success for post-flexion larvae; however, more is yet to be understood in terms of feeding environment dynamics and how habitat quality influences the survival of larval fishes.

Home-grown school feeding: promoting local production systems diversification through nutrition sensitive agriculture

The consumption of some non-staple crops such as legumes and dark, green leafy vegetables can address common deficiencies in key nutrients such as vitamin A and iron; however, limited markets and supply chain development impede their production and accessibility to consumers. This study investigates the pathways to promote agricultural production and dietary diversity for a local market intervention called Home-Grown School Feeding (HGSF). School feeding menus from 24 districts across 10 regions in Ghana during the 2014–15 school year were analysed in terms of food groups and several individual foods. The menus were then compared with food groups produced by households during the past year or consumed in the past seven days using data collected from a household survey. Greater inter-food group diversity in the menus was associated with higher production levels for tubers and dark, leafy green vegetables in the South and cereals in the North. A correspondence between the frequency in which a food group appeared in a menu and the share of households who consumed foods from the food group was also noted. Key issues, such as optimizing supply chains, enabling farm linkages and supporting diverse nutrient rich food groups, that underlie the success of Home-Grown School Feeding and other agricultural policies with similar goals of promoting production and dietary diversity are highlighted through commodity specific examples. The findings of this study may help strengthen operational linkages between agriculture production and nutrition for HGSF and other similar interventions.

Experimental whole-lake dissolved organic carbon increase alters fish diet and density but not growth or productivity

Negative relationships between dissolved organic carbon (DOC) concentration and fish productivity have been reported from correlative studies across lakes, but to date there have not been experimental tests of these relationships. We increased the DOC concentration in a lake by 3.4 mg·L−1, using a before–after control–impact design, to quantify the effects on the productivity and population structure of largemouth bass (Micropterus salmoides). Greater DOC reduced the volume of the epilimnion, the preferred habitat of largemouth bass, resulting in increased bass density. The likelihood that adult bass had empty diets decreased despite this increase in bass density; diet composition also changed. There was no apparent change in bass growth or condition. Overall, there was no net change in largemouth bass productivity. However, changes in young of year and juvenile recruitment and feeding success suggest the possibility that future effects could occur. Our results are the first to examine the effects of an increase in DOC on fish productivity through a 5-year temporal lens, which demonstrates that the relationship between DOC and fish productivity is multidimensional and complex.

Usefulness of multiple chalk-based food colorings for inducing better gene silencing by feeding RNA interference in planarians.

Planarians have become widely recognized as one of the major animal models for regeneration studies in invertebrates. To induce RNA interference (RNAi) by feeding in planarians, the widely accepted protocol is one in which animals undergo two or three feedings of food containing double-stranded RNA (dsRNA) plus visible food coloring (e.g., blood) for confirmation of feeding by individual animals. However, one possible problem is that incorporated food coloring is often retained within the gut for several days, which makes it difficult to confirm the success of each round of dsRNA feeding based on the difference of the color density within the gut before and after feeding. As a consequence, the difference of appetite levels among individuals undergoing dsRNA feeding leads to phenotypic variability among them due to insufficient knockdown. In our attempts to overcome this problem, we have developed a novel method for achieving robust confirmation of the success of dsRNA feeding in individuals fed multiple times by means of including a combination of three different colored chalks (pink, yellow and blue) as food coloring. Notably, we found that this method is superior to the conventional method for positively marking individuals that actively consumed the dsRNA-containing food during four times of once-daily feeding. Using these selected animals, we obtained stable and sufficiently strong RNAi-induced phenotypes. We termed this improved multi-colored chalk-spiked method of feeding RNAi "Candi" and propose its benefits for gene function analysis in planarians.

Development of a Rapid Salivary Proteomic Platform for Oral Feeding Readiness in the Preterm Newborn.

Oral feeding competency is a major determinant of length of stay in the neonatal intensive care unit. An infant must be able to consistently demonstrate the ability to take all required enteral nutrition by mouth before discharge home. Most infants born prematurely (<37 weeks) will require days, if not weeks, to master this oral feeding competency skill. Inappropriately timed feeding attempts can lead to acute and long-term morbidities, prolonged hospitalizations, and increased health-care costs. Previously, a panel of five genes involved in essential developmental pathways including sensory integration (nephronophthisis 4, Plexin A1), hunger signaling [neuropeptide Y2 receptor (NPY2R), adenosine-monophosphate-activated protein kinase (AMPK)], and facial development (wingless-type MMTV integration site family, member 3) required for oral feeding success were identified in neonatal saliva. This study aimed to translate these five transcriptomic biomarkers into a rapid proteomic platform to provide objective, real-time assessment of oral feeding skills, to better inform care, and to improve neonatal outcomes. Total protein was extracted from saliva of 10 feeding-successful and 10 feeding-unsuccessful infants matched for age, sex, and post-conceptional age. Development of immunoassays was attempted for five oral feeding biomarkers and two reference biomarkers (GAPDH and YWHAZ) to normalize for starting protein concentrations. Normalized protein concentrations were correlated to both feeding status at time of sample collection and previously described gene expression profiles. Only the reference proteins and those involved in hunger signaling were detected in neonatal saliva at measurable levels. Expression patterns for NPY2R and AMPK correlated with the gene expression patterns previously seen between successful and unsuccessful feeders and predicted feeding outcome. Salivary proteins associated with hunger signaling are readily quantifiable in neonatal saliva and may be utilized to assess oral feeding readiness in the newborn. This study lays the foundation for the development of an informative, rapid, proteomic platform to assess neonatal oral feeding maturation.

Metagenomic Analysis of the Gut Microbiome of the Common Black Slug Arion ater in Search of Novel Lignocellulose Degrading Enzymes.

Some eukaryotes are able to gain access to well-protected carbon sources in plant biomass by exploiting microorganisms in the environment or harbored in their digestive system. One is the land pulmonate Arion ater, which takes advantage of a gut microbial consortium that can break down the widely available, but difficult to digest, carbohydrate polymers in lignocellulose, enabling them to digest a broad range of fresh and partially degraded plant material efficiently. This ability is considered one of the major factors that have enabled A. ater to become one of the most widespread plant pest species in Western Europe and North America. Using metagenomic techniques we have characterized the bacterial diversity and functional capability of the gut microbiome of this notorious agricultural pest. Analysis of gut metagenomic community sequences identified abundant populations of known lignocellulose-degrading bacteria, along with well-characterized bacterial plant pathogens. This also revealed a repertoire of more than 3,383 carbohydrate active enzymes (CAZymes) including multiple enzymes associated with lignin degradation, demonstrating a microbial consortium capable of degradation of all components of lignocellulose. This would allow A. ater to make extensive use of plant biomass as a source of nutrients through exploitation of the enzymatic capabilities of the gut microbial consortia. From this metagenome assembly we also demonstrate the successful amplification of multiple predicted gene sequences from metagenomic DNA subjected to whole genome amplification and expression of functional proteins, facilitating the low cost acquisition and biochemical testing of the many thousands of novel genes identified in metagenomics studies. These findings demonstrate the importance of studying Gastropod microbial communities. Firstly, with respect to understanding links between feeding and evolutionary success and, secondly, as sources of novel enzymes with biotechnological potential, such as, CAZYmes that could be used in the production of biofuel.

Positive Interactions among Foraging Seabirds, Marine Mammals and Fishes and Implications for Their Conservation

There is increasing recognition of the importance of “positive interactions” among species in structuring communities. For seabirds, an important kind of positive interaction is the use of birds of the same species, birds of other species, and other marine predators such as cetaceans, seals and fishes as cues to the presence of prey. The process by which a single bird uses, say, a feeding flock of birds as a cue to the presence of prey is called “local enhancement” or “facilitation”. There are subtly different uses of each of these terms, but the issue we address here is the ubiquity of positive interactions between seabirds and other marine predators when foraging at sea, and whether as a result of their associations the feeding success, and therefore presumably the fitness, of individual seabirds is increased. If this contention is true, then it implies that conservation of any one species of seabird must take into consideration the status and possible conservation of those species that the focal species uses as a cue while foraging. For example, conservation of great shearwaters (Ardenna gravis), which often feed over tuna (e.g. Thunnus) schools, should take in to consideration conservation of tuna. Ecosystem management depends on understanding the importance of such processes; the loss of biodiversity, and the consequent threat to foraging success, may be a substantial threat to the stability of marine ecosystems.

West\xa0Nile virus host-vector-pathogen interactions in a colonial raptor

BackgroundAvian host species have different roles in the amplification and maintenance of West Nile virus (WNV), therefore identifying key taxa is vital in understanding WNV epidemics. Here, we present a comprehensive case study conducted on red-footed falcons, where host-vector, vector-virus and host-virus interactions were simultaneously studied to evaluate host species contribution to WNV circulation qualitatively.ResultsMosquitoes were trapped inside red-footed falcon nest-boxes by a method originally developed for the capture of blackflies and midges. We showed that this approach is also efficient for trapping mosquitoes and that the number of trapped vectors is a function of host attraction. Brood size and nestling age had a positive effect on the number of attracted Culex pipiens individuals while the blood-feeding success rate of both dominant Culex species (Culex pipiens and Culex modestus) markedly decreased after the nestlings reached 14 days of age. Using RT-PCR, we showed that WNV was present in these mosquitoes with 4.2% (CI: 0.9–7.5%) prevalence. We did not detect WNV in any of the nestling blood samples. However, a relatively high seroprevalence (25.4% CI: 18.8–33.2%) was detected with an enzyme-linked immunoabsorbent assay (ELISA). Using the ELISA OD ratios as a proxy to antibody titers, we showed that older seropositive nestlings have lower antibody levels than their younger conspecifics and that hatching order negatively influences antibody levels in broods with seropositive nestlings.ConclusionsRed-footed falcons in the studied system are exposed to a local sylvatic WNV circulation, and the risk of infection is higher for younger nestlings. However, the lack of individuals with viremia and the high WNV seroprevalence, indicate that either host has a very short viremic period or that a large percentage of nestlings in the population receive maternal antibodies. This latter assumption is supported by the age and hatching order dependence of antibody levels found for seropositive nestlings. Considering the temporal pattern in mosquito feeding success, maternal immunity may be effective in protecting progeny against WNV infection despite the short antibody half-life measured in various other species. We conclude that red-footed falcons seem to have low WNV host competence and are unlikely to be effective virus reservoirs in the studied region.

In vitro feeding of Hyalomma lusitanicum ticks on artificial membranes.

In vitro feeding of ticks (Acari: Ixodidae) is an important means to study the biology of ticks and their vectorial capacity. Here, we have adapted the tick Hyalomma lusitanicum Koch to previously published silicone-based membranes for in vitro feeding. For comparison purposes data on pre-oviposition, oviposition and hatching from females engorged on animals were used. A total of 68 engorged females out of 169 were obtained; feeding duration and feeding behaviour were similar to that of ticks on live host animals, although the final weight achieved for membrane-fed ticks was lower than that of their animal-fed counterparts. Comparison of the time taken for egg production and hatching showed that pre-oviposition was faster for membrane-fed ticks (16days) than for animal-fed ticks (36days), whereas the duration of oviposition-hatching was the same for the two feeding methods (34days). We also observed that seasonality has an influence on tick feeding success: the conditions in Spring/Summer accelerated the tick life cycle. It is concluded that relatively large numbers of homogeneous laboratory-raised Hyalomma ticks can be produced without feeding them on experimental animals.

Feeding habits and dietary overlap during the larval development of two sandperches (Pisces: Pinguipedidae)

Two species of sandperch (Pinguipedidae: Perciformes), Prolatilus jugularis and Pinguipes chilensis, inhabit the coastal waters of the South Pacific. Both species have pelagic larvae with similar morphology, but their diet preferences are unknown. Diet composition, feeding success, trophic niche breadth and dietary overlap were described during larval stages for both species. In the austral spring, larval P. jugularis (3.83-10.80 mm standard length [SL]) and P. chilensis (3.49-7.71 mm SL) during their first month of life had a high feeding incidence ( &gt; 70%) and fed mostly on copepod nauplii ( &gt; 80% IRI), Rhincalanus nasutus metanauplii and Paracalanus indicus copepodites. The number of prey ingested was low (mean: 4-5 prey per gut) and independent of larval size; total prey volume and maximum prey width increased as larvae grew. Mouth opening and ingested prey were greater in larval P. jugularis than in P. chilensis, leading to significant differences in prey composition among larval species, in terms of prey number and volume. Pearre’s trophic niche breadth was narrow for both species (0.159±0.07 for P. jugularis; 0.156±0.03 for P. chilensis) and independent of larval size. Dietary overlap was high inter- and intra-species in larvae with a mouth gape &lt; 900 μm. These results suggest the relative importance of both larval species as primary consumers of the pelagic web in nearshore environments of rocky temperate areas.

Rearing Ixodes scapularis, the Black-legged Tick: Feeding Immature Stages on Mice.

Ixodes scapularis, the vector of Lyme disease, is one of the most important disease vectors in the eastern and Midwestern United States. This species is a three host tick that requires a blood meal from a vertebrate host for each development stage, and the adult females require a blood meal for reproduction. Larval ticks attach to their host for 3 - 5 days for feeding and drop off the host when fully engorged. This dependency on several different hosts and the lengthy attachment time for engorgement complicates tick rearing in the laboratory setting. However, to understand tick biology and tick-pathogen interactions, the production of healthy, laboratory-reared ticks is essential. Here, we demonstrate a simple, cost-effective protocol for immature tick feeding on mice. We modified the existing protocols for decreased stress on mice and increased tick feeding success and survival by using disposable cages without mesh bottoms to avoid contact of ticks with water contaminated with mice urine and feces.

Hydrodynamic regime determines the feeding success of larval fish through the modulation of strike kinematics.

Larval fishes experience extreme mortality rates, with 99% of a cohort perishing within days after starting to actively feed. While recent evidence suggests that hydrodynamic factors contribute to constraining larval feeding during early ontogeny, feeding is a complex process that involves numerous interacting behavioural and biomechanical components. How these components change throughout ontogeny and how they contribute to feeding remain unclear. Using 339 observations of larval feeding attempts, we quantified the effects of morphological and behavioural traits on feeding success of Sparus aurata larvae during early ontogeny. Feeding success was determined using high-speed videography, under both natural and increased water viscosity treatments. Successful strikes were characterized by Reynolds numbers that were an order of magnitude higher than those of failed strikes. The pattern of increasing strike success with increasing age was driven by the ontogeny of traits that facilitate the transition to higher Reynolds numbers. Hence, the physical growth of a larva plays an important role in its transition to a hydrodynamic regime of higher Reynolds numbers, in which suction feeding is more effective.

Insecticide-induced leg loss does not eliminate biting and reproduction in Anopheles gambiae mosquitoes

Recent successes in malaria control have been largely attributable to the deployment of insecticide-based vector control tools such as bed nets and indoor residual spraying. Pyrethroid-treated bed nets are acutely neurotoxic to mosquitoes, inducing symptoms such as loss of coordination, paralysis, and violent spasms. One result of pyrethroid exposure often seen in laboratory tests is mosquito leg loss, a condition that has thus far been assumed to equate to mortality, as females are not expected to blood feed. However, whilst limb loss is unlikely to be adaptive, females with missing limbs may play a role in the propagation of both their species and pathogens. To test the hypothesis that leg loss inhibits mosquitoes from biting and reproducing, mosquitoes with one, two, or six legs were evaluated for their success in feeding upon a human. These experiments demonstrated that insecticide-induced leg loss had no significant effect upon blood feeding or egg laying success. We conclude that studies of pyrethroid efficacy should not discount mosquitoes that survive insecticide exposure with fewer than six legs, as they may still be capable of biting humans, reproducing, and contributing to malaria transmission.

Clinicians guide for cue-based transition to oral feeding in preterm infants: An easy-to-use clinical guide.

Rationale, aims and objectivesThis article aims to provide evidence to guide multidisciplinary clinical practitioners towards successful initiation and long‐term maintenance of oral feeding in preterm infants, directed by the individual infant maturity.MethodA comprehensive review of primary research, explorative work, existing guidelines, and evidence‐based opinions regarding the transition to oral feeding in preterm infants was studied to compile this document.ResultsCurrent clinical hospital practices are described and challenged and the principles of cue‐based feeding are explored. “Traditional” feeding regimes use criteria, such as the infant's weight, gestational age and being free of illness, and even caregiver intuition to initiate or delay oral feeding. However, these criteria could compromise the infant and increase anxiety levels and frustration for parents and caregivers. Cue‐based feeding, opposed to volume‐driven feeding, lead to improved feeding success, including increased weight gain, shorter hospital stay, fewer adverse events, without increasing staff workload while simultaneously improving parents' skills regarding infant feeding. Although research is available on cue‐based feeding, an easy‐to‐use clinical guide for practitioners could not be found. A cue‐based infant feeding regime, for clinical decision making on providing opportunities to support feeding success in preterm infants, is provided in this article as a framework for clinical reasoning.ConclusionsCue‐based feeding of preterm infants requires care providers who are trained in and sensitive to infant cues, to ensure optimal feeding success. An easy‐to‐use clinical guideline is presented for implementation by multidisciplinary team members. This evidence‐based guideline aims to improve feeding outcomes for the newborn infant and to facilitate the tasks of nurses and caregivers.

Effectiveness of KMC on Success of Breast feeding in Preterm Low Birth Weight Neonate

Effectiveness of KMC on Success of Breast feeding in Preterm Low Birth Weight Neonate