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Evidence-Based Care

Feeding challenges can feel overwhelming

You Are Not Alone

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Trusted experts and research
Evidence based guidance
Practical tools for families & professionals

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Resources - Greater Understanding,

Confidence & Connection to Feeding

FirstSTAGES Resource Bibliography

Evidence-Based Practice 

​The Nurtured Feeding Approach™ integrates current research, established pediatric guidance, and 27+ years of clinical feeding experience. Our work is informed by research across infant and pediatric feeding, growth and intake, responsive feeding, parent and child feeding relationships, bottle and nipple flow, suck swallow breathe coordination, oral motor and swallowing development, airway considerations, reflux and GI comfort, and developmental feeding skills. 

 

These selected resources provide additional reading for families, clinicians, and physicians interested in the evidence and clinical principles informing our approach.

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Feeding Relationships, Responsive Feeding & Feeding Challenges

Chatoor, I. (2012). When Your Child Won’t Eat or Eats Too Much: A Parents’ Guide for the Prevention and Treatment of Feeding Problems in Young Children.

 

Klein, M. D. (2019). Anxious Eaters, Anxious Mealtimes: Practical and Compassionate Strategies for Mealtime Peace.

 

MacNamara, D. (2023). Nourished: Connection, Food, and Caring for Our Kids (and Everyone Else We Love).

 

Rowell, K., & McGlothlin, J. (2015). Helping Your Child with Extreme Picky Eating.

 

Satter, E. (1986). The feeding relationship. Journal of the American Dietetic Association, 86(3), 352–356.

 

Satter, E. (1990). The feeding relationship: Problems and interventions. The Journal of Pediatrics, 117(2), S181–S189.

 

Satter, E. (2000). Child of Mine: Feeding with Love and Good Sense. Bull Publishing.

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Infant Feeding, Bottle Feeding & Parent Experience

Bahr, D. (2010). Nobody Ever Told Me (or My Mother) That!: Everything from Bottles and Breathing to Healthy Speech Development.

 

Bennett, R. (2017). Your Baby’s Bottle Feeding Aversion: Reasons and Solutions.

 

Estrem, H. H., Pados, B. F., Thoyre, S., Knafl, K., McComish, C., & Park, J. (2016). Concept of pediatric feeding problems from the parent perspective. MCN: The American Journal of Maternal/Child Nursing, 41(4), 212–220.

 

Fuhrman, L., & Ross, E. S. (2020). Parental concerns about newborn feeding post hospital discharge. MCN: The American Journal of Maternal/Child Nursing, 45(1), 34–40.

 

Pados, B. F., Park, J., Thoyre, S. M., Estrem, H. H., & Nix, W. B. (2015). Milk flow rates from bottle nipples used for feeding infants who are hospitalized. American Journal of Speech Language Pathology, 24(4), 671–679.

 

Park, J., Pados, B. F., & Thoyre, S. M. (2018). Systematic review: What is the evidence for the side lying position for feeding preterm infants? Advances in Neonatal Care, 18(4), 285–294.

 

Park, J., Thoyre, S., Estrem, H., Pados, B. F., Knafl, G. J., & Brandon, D. (2016). Mothers’ psychological distress and feeding of their preterm infants. MCN: The American Journal of Maternal/Child Nursing, 41(4), 221–229.

 

Thoyre, S. M., Holditch Davis, D., Schwartz, T. A., Melendez Roman, C. R., & Nix, W. (2012). Coregulated approach to feeding preterm infants with lung disease: Effects during feeding. Nursing Research, 61(4), 242–251.

 

Infant Guided & NICU Feeding

Dumpa, V., Kamity, R., Ferrara, L., Akerman, M., & Hanna, N. (2020). The effects of oral feeding while on nasal continuous positive airway pressure (NCPAP) in preterm infants. Journal of Perinatology, 40, 909–915.

 

Philbin, M. K., & Ross, E. S. (2011). The SOFFI Reference Guide: Text, algorithms, and appendices: A manualized method for quality bottle feedings. Journal of Perinatal & Neonatal Nursing, 25(4), 360–380.

 

Shaker, C. S. (2010). Improving feeding outcomes in the NICU: Moving from volume driven to infant driven feeding. Perspectives on Swallowing and Swallowing Disorders, 19(3), 68–74.

 

Shaker, C. S. (2013). Cue based feeding in the NICU: Using the infant’s communication as a guide. Neonatal Network, 32(6), 404–408.

 

Shaker, C. (2017). Infant guided, co regulated feeding in the NICU. Part I: Theoretical underpinnings for neuroprotection and safety. Seminars in Speech and Language, 38(2), 96–105.

 

Shaker, C. (2017). Infant guided, co regulated feeding in the NICU. Part II: Interventions to promote neuroprotection and safety. Seminars in Speech and Language, 38(2), 106–115.

 

Oral Motor, Swallowing, Airway & Tongue Function

Brooks, L., Evans, S., Alfonso, K., Lawrence, S., & Goudy, S. (2023). The role of dysphagia assessment in the identification of upper airway obstruction in infants. Dysphagia, 38(1), 491–494.

 

Brooks, L., Landry, A., Deshpande, A., Marchica, C., Cooley, A., & Raol, N. (2020). Posterior tongue tie, base of tongue movement, and pharyngeal dysphagia: What is the connection? Dysphagia, 35(1), 129–132.

 

Francis, D. O., Krishnaswami, S., & McPheeters, M. (2015). Treatment of ankyloglossia and breastfeeding outcomes: A systematic review. Pediatrics, 135(6), e1458–e1466.

 

Hill, R. R., Lee, C. S., & Pados, B. F. (2024). Quantitative impact of frenotomy on breastfeeding: A systematic review and meta analysis. Pediatric Research, 95, 34–42.

 

Morris, S. E., & Klein, M. D. Pre Feeding Skills: A Comprehensive Resource for Mealtime Development.

 

Thomas, J., et al. (2024). Identification and management of ankyloglossia and its effect on breastfeeding in infants: Clinical report. Pediatrics, 154(2), e2024067605.

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Growth, Gain, Intake & Reflux/GI Comfort

American Academy of Pediatrics. (2022). Pediatric Nutrition (8th ed.). American Academy of Pediatrics.

 

Butte, N. F. (2001). Energy Requirements of Infants. Background paper prepared for the Joint FAO/WHO/UNU Expert Consultation on Energy in Human Nutrition. Food and Agriculture Organization of the United Nations.

 

Butte, N. F., Wong, W. W., Hopkinson, J. M., Heinz, C. J., Mehta, N. R., & Smith, E. O. (2000). Energy requirements during the first 2 years of life. The American Journal of Clinical Nutrition, 72(6), 1558–1569.

 

Pados, B. F., & Davitt, E. S. (2020). Pathophysiology of gastroesophageal reflux disease in infants and nonpharmacologic strategies for symptom management. Nursing for Women’s Health, 24(2), 101–114.

 

Rosen, R., et al. (2018). Pediatric gastroesophageal reflux clinical practice guidelines: Joint recommendations of NASPGHAN and ESPGHAN. Journal of Pediatric Gastroenterology and Nutrition, 66(3), 516–554.
 

Stan, S. V., Grathwohl, D., O’Neill, L. M., Saavedra, J. M., Butte, N. F., & Cohen, S. S. (2021). Estimated energy requirements of infants and young children up to 24 months of age. Current Developments in Nutrition, 5(11), nzab122.

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World Health Organization. (2006). WHO Child Growth Standards.

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Podcast: Rosen, R. (2022). Gastroesophageal reflux disease in children [Audio podcast episode]. Bowel Sounds: The Pediatric GI Podcast. North American Society for Pediatric Gastroenterology, Hepatology and Nutrition.

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Transition to Solids & Feeding Development

American Academy of Pediatrics. Complementary feeding and developmental feeding guidance.

 

Rabin, J. (2019). Your Baby Can Self Feed, Too: Adapted Baby Led Weaning for Children with Developmental Delays or Other Feeding Challenges.

 

World Health Organization. Complementary feeding guidance and recommendations.

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For Professionals & Families

These selected resources are provided for clinicians, physicians, and families who would like to learn more about the research and clinical principles informing the Nurtured Feeding Approach™.

Complete professional bibliographies and additional evidence based clinical resources are included within FirstSTAGES professional education and training.​​

Website Resources

www.shaker4swallowingandfeeding.com — Catherine Shaker, feeding & swallowing specialist and NICU expert

www.ellynsatterinstitute.org — Ellyn Satter, feeding expert & developer Satter Division of Responsibility in Feeding

www.infantfeedinglabs.care — Dr. Britt Pados, infant feeding researcher and leader in bottle nipple flow rate research

www.jillrabin.com — Jill Rabin, SLP & IBCLC, pediatric feeding specialist and developer of adapted baby led weaning

www.getpermissioninstitute.com — Marsha Dunn Klein, OT and responsive feeding expert

www.sosapproachtofeeding.com — Dr. Kay Toomey and the SOS Approach to Feeding

www.new-vis.com — Suzanne Evans Morris, feeding expert & pioneer in oral sensory motor & developmental feeding

www.agesandstages.net — Oral, sensory motor and developmental foundations for healthy feeding

www.drchatoor.com — Dr. Irene Chatoor, child psychiatrist and pediatric feeding disorders expert

feedingflock.web.unc.edu — Feeding research from Thoyre, Pados, Park and colleagues

www.feedingmatters.org — Pediatric feeding disorder education, advocacy and family support

www.feedingtubeawareness.org — Parent founded feeding tube education and family support

www.mymunchbug.com — Melanie Potock, SLP, practical feeding resources for families and professionals

www.pediatricfeedingnews.com — Krisi Brackett, SLP, pediatric feeding information and clinical resources

www.yourkidstable.com — Alisha Grogan, OT, practical feeding and sensory resources for families

www.kellymom.com — Evidence informed breastfeeding and lactation support

www.bfmed.org — Academy of Breastfeeding Medicine clinical protocols and breastfeeding guidance

www.healthychildren.org — American Academy of Pediatrics guidance on feeding, nutrition, growth and development

Resource Disclaimer

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Resources are provided for educational purposes and do not constitute medical advice. Inclusion does not imply endorsement of all content, methods, or recommendations provided by individual authors or organizations.

FirstSTAGES Feeding Specialists, LLC and the Nurtured Feeding Approach™ integrate evidence with individualized clinical assessment and professional judgment.

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© 2026 FirstSTAGES Feeding Specialists, LLC | Nurtured Feeding Approach™ | All Rights Reserved

Kitchen Counter Setup

Real Food & Blenderized Tube Feeding

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Research, Education & Practical Resources

These resources support conversations about whole-food & blenderized tube feeding, feeding development, and the child’s overall feeding experience

Explore them with the child’s medical team & RD

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Research: Rachel Rosen, Bridget Hron & Colleagues

  • Health Outcomes and Quality of Life — Hron et al., 2019

A pediatric observational study found associations between blenderized tube feeding, fewer hospital admissions, greater feeding satisfaction, and fewer gastrointestinal symptoms. These findings do not establish that blenderized feeding caused the improvements. https://pubmed.ncbi.nlm.nih.gov/31128885/

  • Viscosity of Commercial and Homemade Blends — Hron & Rosen, 2020

Examines differences in thickness among commercial and homemade blends, including changes with dilution and preparation. Helpful for understanding why consistency matters when planning tube feeds. https://pubmed.ncbi.nlm.nih.gov/32443040/

  • Added Water and Commercial Blends — Hirsch, Solari & Rosen, 2022

Examines thin-liquid exposure and clinical outcomes in children receiving commercial blends. Supports discussion of viscosity alongside individualized hydration needs. https://pubmed.ncbi.nlm.nih.gov/34560723/

  • Blenderized Feeds and Gastric Emptying — Hron et al., 2023

A retrospective study examining gastric emptying in children receiving blenderized feeds or conventional formula. Diet type did not predict delayed gastric emptying in this study.
https://pubmed.ncbi.nlm.nih.gov/37165611/

 

Feeding Development & Mealtime Participation

Homemade Blends: Recipe Planning

Consider the Whole Feeding Picture

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  • Check calorie concentration. For example, 1.0 kcal/mL provides approximately 30 kcal/oz, while 1.5 kcal/mL provides approximately 45 kcal/oz. Products are not interchangeable ounce for ounce.

  • Educational use only—not medical advice. This is not a complete list. Resources and products are examples for discussion with the child’s medical and nutrition team; inclusion does not imply endorsement. Develop and monitor the feeding plan collaboratively, allowing the child’s comfort, tolerance, and feeding response to guide reassessment.

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