The transition from tube to full oral feeding (breast or bottle) – A cue-based developmental approach

There is a growing body of evidence that strongly suggests that the optimal approach to a preterm infant's oral feeding journey should be based on their maturing behavioural cues rather than just their gestational age. This article describes attempts to introduce and develop this cue-based approach onto a level 3 neonatal unit in the West Midlands. The article discusses the research-base, staff and parent education as well as the challenges of implementing such a new approach to the oral feeding of preterm babies. It invites more research into the aspects of this approach that create the greatest challenges.