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Routine versus no assessment of gastric residual volume in preterm infants and time to reach full feeds

Not Applicable
Conditions
Health Condition 1: P073- Preterm [premature] newborn [other]
Registration Number
CTRI/2021/01/030628
Lead Sponsor
SMGS Hospital GMC Jammu
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1.Tube fed preterm infants.

2.Gestational age <34 weeks (1000 - 1499 grams).

3.Enrolled within 48 hours of birth.

Exclusion Criteria

1.Major congenital malformations.

2.Interventricular haemorrhage.

3.Antenatal USG documented REDF (reversed end-diastolic flow) and AEDF (Absent end-diastolic flow).

4.Severe birth asphyxia. (APGAR score <3 at 5 minutes).

5.Infants with invasive ventilatory support.

6.Requirement of vasopressor support to maintain blood pressure at the time of initiation of feeds.

7.Infants requiring venous or arterial umbilical catheterization at the time of enrolment into the study.

8.Infants not fit for enteral nutrition (abdominal distension, vomiting, poor or exaggerated bowel sounds, gastrointestinal bleeding).

9.Respiratory distress (respiratory rate >60 per minute at the time of initiation of feeds and enrolment). Infants were enrolled and feeds initiated only after subsidence of respiratory distress. Respiratory distress lasting more than 5 days was however, an absolute exclusion criterion.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Time taken to reach full enteral feedings (180mL/kg/day) in two groups.Timepoint: Day on which full feeds is attained.
Secondary Outcome Measures
NameTimeMethod
Anthropometry.Timepoint: At time of discharge.;Duration of intravenous fluids.Timepoint: Till discharge.;Hemoglobin levels.Timepoint: At time of discharge.;Incidence of necrotizing enterocolitis.Timepoint: Till discharge.;Incidence of osteopenia.Timepoint: Till discharge.;Incidence of ROP.Timepoint: Till discharge.;Incidence of sepsis.Timepoint: Till discharge.;Number of deaths.Timepoint: Till discharge.;Number of episodes of feeding intolerance in two groups.Timepoint: Till discharge.;Number of infants requiring blood transfusion.Timepoint: Till discharge.;Time to regain birth weight.Timepoint: Day on which birth weight is attained.
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