cropped view of parents holding in their hands little baby feet, happy family concept

Feeding Fundamentals, LLC provides a variety of continuing education resources for the professional (nurses, speech/language pathologists, physical and occupational therapists, lactation consultants, physicians, and other professionals supporting infants and families who are working on establishing and maintaining enjoyable mealtimes.)  SOFFI®:  Supporting Oral Feeding in Fragile Infants 2-day training is now offered both in live locations as well as via a series of webinars.   Additional webinars are available to learn about the parent education program, “Home with SOFFI®”, which is offered for a licensing fee to hospital and inpatient settings who have at least one professional trained in the use of the SOFFI® Algorithm and/or the 2-day SOFFI® training. Upcoming continuing education offerings will include a certification in the use of the SOFFI® Algorithm.   We are also planning on offering the SOFFI® training as an online course for professionals who are not able to attend a live presentation, in response to requests from around the world.  To date, the training has been conducted in many countries, including Australia, New Zealand, the United Kingdom, Poland, France, Portugal, the Republic of Ireland, Singapore, Chile and India.   In 2014, the first international SOFFI® Training Center was opened in Brest, France.

What is SOFFI®?

SOFFI® is an integrated approach to supporting oral feeding in preterm and in medically complex infants, both in the NICU and in the Early Intervention setting.  The primary approach is offered in-person across 2 days, and provides the practitioner with evidence-based information regarding feeding development as well as assessment and intervention strategies.  SOFFI® is guided by the SOFFI® Algorithm, which is a clinical decision-making algorithm designed to ensure all feeders use the same critical thinking during feedings.  In 2013, the National Association of Neonatal Nurses highly recommended the use of the SOFFI Algorithm in conjunction with their  “Infant-Directed Oral Feeding for Premature and Critically Ill Hospitalized Infants:  Guideline for Practice” (Sables-Baus, S., et al., 2013.) “The SOFFI algorithm is grounded in similar principles as described in this guideline.” National Association of Neonatal Nurses

SOFFI® is the only intervention to date that followed infants both within the NICU setting AND after discharge, when parents were the primary feeders.  Additionally, it is the ONLY intervention to date that is designed for both premature infants, and infants with medical comorbidities - both preterm and term.


SOFFI® provides a framework, that is constructed using the following assumptions:

Feeding is an interactive process that requires an ongoing assessment of an infant’s physiology and behavior throughout the feeding

Feeders (professionals and parents) need to know how to observe the infant’s physiology and behaviors throughout a feeding, so that they can understand the communication of the infant during feeding.  Since every experience (both pleasant and unpleasant) is influencing the brain development (and therefore learning) of the infant, feeders must have a shared “vocabulary” of understanding the sometimes subtle indications related to how the feeding is going.  Research shows us that parents need professional guidance to know what to look for, and how to respond to help their infant in times of distress. (Thoyre, et al, 2016)  SOFFI® Method teaches professionals how to recognize, and how to teach parents to look for, infant behaviors that indicate a readiness to engage, or a need to provide a break and to provide additional supports, during a feeding.  The SOFFI® Algorithm provides a structured pathway to follow, to encourage the ongoing assessment of infant physiology and behaviors.

Conscious, knowledgeable decisions on the part of the feeder support immediate and long-term enjoyment of food

SOFFI® uses the SOFFI® Algorithm to identify the critical decision-points during a feeding that every feeder needs to consider.  This Algorithm connects the understanding of how to interpret infant physiology and behaviors to a consistent response from the caregivers.  This consistency is related to the final assumption.

Identification and implementation of evidence-based interventions to support skill development provides a consistent environment within which infant learning occurs

There are several interventions that are correlated with improved quality of feedings for infants in the hospital setting – both premature infants and infants with medical comorbidities.  The Algorithm identifies these interventions.  The goal of the SOFFI® training, as well as the Algorithm, is to decrease the variability in both recognizing and responding appropriately to infant behaviors.