Feeding Progression in Preterm Infants
Status: | Completed |
---|---|
Conditions: | Women's Studies |
Therapuetic Areas: | Reproductive |
Healthy: | No |
Age Range: | Any |
Updated: | 4/21/2016 |
Start Date: | July 2014 |
End Date: | April 2015 |
Preterm infants face many feeding challenges during hospitalization which can prolong
hospitalization, raise parental anxiety and can lead to medical instability. The Feeding
Progression study will randomize preterm infants to one of two currently accepted oral
feeding schedules; oral feed attempts every 3 hours or every 6 hours. The study will collect
data on oral feeding success, milk transfer, sucking strength, growth and medical
complications.
hospitalization, raise parental anxiety and can lead to medical instability. The Feeding
Progression study will randomize preterm infants to one of two currently accepted oral
feeding schedules; oral feed attempts every 3 hours or every 6 hours. The study will collect
data on oral feeding success, milk transfer, sucking strength, growth and medical
complications.
Preterm infants are at high risk for feeding issues. Feeding difficulties lead to prolonged
hospitalization, increase medical complications and raise parental anxiety. The transition
from tube feeding to oral feeding is an especially important step in a preterm infant's
early life. Currently, there is limited evidence to guide this transition. There are two
commonly used schedules for transitioning preterm infants to oral feeding: an every 6 hour
schedule and an every 3 hour schedule. However, there is currently no evidence to guide
providers in their choice of oral feeding schedule.
The primary objective of this study is to explore whether an every 6 (q6) hour oral feeding
schedule will improve time to full oral feedings as compared to an every 3 (q3) hour oral
feeding schedule. The secondary objectives are to test whether every 6 hour feeding allows
for improved medical stability and oral-motor coordination as compared to the other commonly
used q3 hour schedule. Each infant will be randomly assigned to a q6 hour or q3 hour oral
feeding schedule. Data on oral feeding progression, respiratory status and oral motor
proficiency will be collected and compared. The study will collect data on how long it takes
each infant to get to full oral feeds, respiratory status throughout their time of oral
feeding, whether there were any episodes of medical complications, measures of oral motor
feeding skills, and the time to discharge from the hospital. This study is a crucial first
step towards determining which feeding schedule is optimal for preterm infants to ensure
timely attainment of full oral feeds and hospital discharge without compromising medical
stability.
hospitalization, increase medical complications and raise parental anxiety. The transition
from tube feeding to oral feeding is an especially important step in a preterm infant's
early life. Currently, there is limited evidence to guide this transition. There are two
commonly used schedules for transitioning preterm infants to oral feeding: an every 6 hour
schedule and an every 3 hour schedule. However, there is currently no evidence to guide
providers in their choice of oral feeding schedule.
The primary objective of this study is to explore whether an every 6 (q6) hour oral feeding
schedule will improve time to full oral feedings as compared to an every 3 (q3) hour oral
feeding schedule. The secondary objectives are to test whether every 6 hour feeding allows
for improved medical stability and oral-motor coordination as compared to the other commonly
used q3 hour schedule. Each infant will be randomly assigned to a q6 hour or q3 hour oral
feeding schedule. Data on oral feeding progression, respiratory status and oral motor
proficiency will be collected and compared. The study will collect data on how long it takes
each infant to get to full oral feeds, respiratory status throughout their time of oral
feeding, whether there were any episodes of medical complications, measures of oral motor
feeding skills, and the time to discharge from the hospital. This study is a crucial first
step towards determining which feeding schedule is optimal for preterm infants to ensure
timely attainment of full oral feeds and hospital discharge without compromising medical
stability.
Inclusion Criteria:
- Gestational age between 23 0/7-33 0/7 weeks
- Eligible for oral (PO) feeding as determined by the attending Neonatologist
Exclusion Criteria:
- Infants with major congenital malformations
- Infants with chromosomal defects
- Diagnosis of Neonatal Abstinence Syndrome or opiate withdrawal
- Grade 3 or 4 Intraventricular Hemorrhage
We found this trial at
2
sites
Pennsylvania Hospital Pennsylvania Hospital, the nation's first hospital, has been a leader in patient care,...
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3400 Spruce St
Philadelphia, Pennsylvania 19104
Philadelphia, Pennsylvania 19104
(215) 662-4000
Hospital of the University of Pennsylvania The Hospital of the University of Pennsylvania (HUP) is...
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