Feeding and Readiness: The Transition from Hospital-to-Home with a Late-Preterm Infant
Bibliographic record
Abstract
In comparison to full-term infants, late-preterm infants (34 0/7 and 36 6/7 weeks’ gestation) have a greater likelihood of morbidity and a three-fold increased risk for mortality. Parents of late-preterm infants have identified inadequate preparation to manage their newborn’s unique needs at home, yet little is known about their hospital discharge experience. This study aims to describe the perspectives of parents surrounding their transition from hospital-to-home with their late-preterm infant. Twelve parents, nine mothers and three fathers, were recruited from Calgary, Alberta, and shared their experiences through in-person interviews and one focus group. Interpretative description was used to guide the study, and data were analyzed through interpretive thematic analysis and description. Key themes from the parents’ experiences were revealed to be "Fed is best" and "Feeling ready". These two themes support parents’ “Transition from hospital-to-home with their late-preterm infant” and are influenced by contextual attributes, including "Previous parenting experience" and the "Discharge care setting". Parents described verbal approval from healthcare professionals, early community follow-up, and discharge teaching specific to the unique characteristics of a late-preterm infant to increase their feelings of readiness to transition home. Parents found the care of their late-preterm infant to be normalized, particularly on the postpartum unit. Feeding was found to be the most significant challenge parents’ experienced, and the parent participants expressed a “fed is best” stance indicating that breastmilk is nutritionally superior, yet they feel the most important thing for their newborn is to feed and grow. Mothers and fathers of late-preterm infants need support from healthcare providers to take care of themselves and to choose a feeding method that works best for them and their infant. In hopes of reducing feeding challenges, parents need education on the characteristics of their late-preterm infant before leaving hospital and to have teaching reinforced in the community.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".