Infant Directed Feeding

Infant directed feeding or cue-based feeding is a practice by which the care-provider utilizes infant communication through engagement cues to drive oral feeding readiness and disengagement cues to communicate completion. The goal is for infant communication to create a reciprocal feeding relationship with their care provider to drive infant feeding.

This presentation will also discuss the importance of infant maturation driving the initiation of scoring for feeding readiness rather than gestational age. We will also discuss how our focus needs to be on the quality of infant feeding versus the quantity of the feeding. Finally there will be discussion on infant feeding patterns and the process of cue-based/infant directed feeding.


1. Describe three pre-feeding techniques to facilitate the foundation for positive oral feeding skills.

2. Explain the importance of maturational age compared to gestational age in feeding readiness behaviors and oral feeding.

Total CE: 1.7

NCC Code: NNP 3 or 7

NCC Code: NIC 1 or 7

NCC Code: LRN 2 or 7

Rx = 0

Your Instructor

Liz Drake
Liz Drake

Liz Drake has been practicing in the NICU for 34 years. She received her Master’s Degree, Neonatal Nurse Practitioner and Clinical Nurse Specialist certification from UCLA. Quality Improvement, Neuro-protective Care and Family Partnered Care are her passions and expertise. She has a strong desire to teach the healthcare team about the uniqueness and language of the premature infant as every touch and experience can have impact. Through team building, education, academic thinking and direct patient care Liz has a tireless focus on excellence. Her vision for the future is to create passion and desire in others to practice with intention, purpose and to practically integrate evidence into the care provided to infants and families. Liz is a driver for quality improvement initiatives and actively involved with the VON, NICQ Collaborative.

Frequently Asked Questions

When does the course start and finish?
The course starts as soon as you enroll. You will have access to this course (videos) for two months. Please be sure to download lecture handouts for ongoing access to the content presented. You must complete and submit the Evaluation at the end of the course to receive CE.
How can I communicate any questions, comments, or feedback?
We would love to hear from you. Please e-mail us at: [email protected]

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