Effect of Cradle Position During Orogastric Tube Feeding on Comfort, Physiological Parameters and Vomiting

Not Applicable

Completed

• Conditions: Position Differences; Nutrition; Nursing Care

• Registration Number: NCT06759285
• Lead Sponsor: Selcuk University

Brief Summary

The study was planned to determine the effect of the cradle position applied during orogastric tube feeding in premature newborns on comfort, physiological parameters and vomiting frequency.

Hypotheses of the Study H1: The cradle position applied to premature newborns during orogastric tube feeding; H1a: It affects the comfort level compared to the control group. H1b: It affects physiological parameters compared to the control group. H1c: It affects the vomiting frequency compared to the control group.

Detailed Description

It is reported that the cradle position is the most preferred position by mothers during the breastfeeding process. The cradle position is a position where the mother holds the baby in her arms, the baby's head is placed on the inside of the mother's arm-elbow area, the baby's whole body is turned towards the mother, the baby's head is in line with the mother's breast, and the mother and the baby are in intense interaction. Although it is the most preferred position for breastfeeding, no study has been found in the literature evaluating the effect of the cradle position given during OGT feeding on the comfort level, physiological parameters and vomiting frequency of premature babies. For this reason, it is thought that it can be a supportive position that can be used by both neonatal nurses and mothers who are with their babies during the OGT feeding process for newborns preparing for the breastfeeding process in NICUs. It is thought that the study results will guide health workers and researchers regarding the supportive positions that should be given during newborn feeding.

Study Timeline

• Study Start: 2024-01-15
• Primary Completion: 2024-09-15
• Status Verified: 2024-12
• Study Completion: 2024-12-10
• Study First Submitted: 2024-12-22
• Study First Submitted QC: 2024-12-28
• Last Update Submitted: 2024-12-28
• Study First Posted: 2025-01-06
• Last Update Posted: 2025-01-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 48

Inclusion Criteria

• Having a feeding frequency of every 3 hours,
• Having a birth weight of 1000 grams and above,
• Having an indication for intermittent feeding (bolus) with OGT,
• Being placed in a bed,
• Not having a condition that prevents giving the cradle position (having undergone surgery, having a congenital anomaly, etc.)
• Having stable physiological parameters,
• Babies whose mothers were not with them during feeding (having undergone surgery, receiving inpatient treatment, being discharged and out of town, not wanting to be held during feeding, etc.) were included in the study.

Exclusion Criteria

• • Continuous infusion, slow bolus feeding or parenteral nutrition method used for feeding,

  • Switching to full oral feeding,
  • Having nasal obstruction,
  • Receiving oxygen therapy, mechanical ventilation/CPAP support during the study period,
  • Receiving medication affecting gastrointestinal function during the study period (drugs that increase gastrointestinal tract motility and facilitate gastric emptying and gastrointestinal passage of nutrients, and drugs that decrease gastrointestinal tract motility).
  • Any medical diagnosis determined other than prematurity (Congenital anomaly, metabolic disease, asphyxia, sepsis, hyperbilirubinemia, intracranial hemorrhage and gastrointestinal hemorrhage, anatomic gastrointestinal anomaly, gastrointestinal disease, infection, frequent vomiting, distension).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Newborn Information Form	First measurement:After admission in NICU 30th minutes	This form was created by the researcher in accordance with the literature. The baby's gender, gestational week, birth weight, 1st and 5th APGAR Scores, postnatal day of study, corrected week, weight, amount of food and type of food were questioned.
Physiological Parameter Follow-up Form (Heart rate-min)	First feeding first measurement: 1 min before feeding	The heart rate was measured after the baby was picked up and placed in the cradle position, just before orogastric tube feeding.
Physiological Parameter Follow-up Form (Respiration rate- min)	First feeding first measurement: 1 min before feeding	Respiration rate was measured after the baby was picked up and placed in the cradle position, just before orogastric tube feeding.
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)	First feeding first measurement: 1 min before feeding	Oxygen saturation was measured after the baby was picked up and placed in the cradle position, just before orogastric tube feeding.
Vomiting frequency tracking form	First feeding first measurement: 1 min before feeding	The frequency of the baby's vomiting was recorded.
Stool amount tracking form	First feeding first measurement: 1 min before feeding	The baby's stool volume was recorded.
Physiological Parameter Follow-up Form (Body temperature- 0C)	First feeding first measurement: 1 min before feeding	Body temperature was measured after the baby was picked up and placed in the cradle position, just before orogastric tube feeding.
Abdominal Circumference Follow-up Form	First feeding first measurement: 1 min before feeding	Abdominal circumference was measured while the baby was in bed, before the first feeding, and just before the nurse picked her/his up.
Neonatal Comfort Behavior Scale	First feeding first measurement: 1 min before feeding	The first measurement was taken after the baby was picked up and just before starting to feed.

Secondary Outcome Measures

Name	Time	Method
Physiological Parameter Follow-up Form (Heart rate-min)	Third feeding third measurement: 15 min after feeding	Heart rate was measured third time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Physiological Parameter Follow-up Form (Respiration rate- min)	Third feeding third measurement: 15 min after feeding	was measured third time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)	Third feeding second measurement: 1 min after feeding	Oxygen saturation was measured second time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Physiological Parameter Follow-up Form (Body temperature- 0C)	Third feeding third measurement: 15 min after feeding	Body temperature was measured third time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Neonatal Comfort Behavior Scale	Third feeding third measurement: 15 min after feeding	The third measurement was taken immediately after the third feeding with the baby in the cradle position in the second feeding.
Vomiting frequency tracking form	Third feeding first measurement: 1 min before feeding	The frequency of the baby's vomiting was recorded.
Stool amount tracking form	Third feeding first measurement: 1 min before feeding	The baby's stool volume was recorded.
Abdominal Circumference Follow-up Form	Third feeding first measurement: 1 min before feeding	Abdominal circumference was measured while the baby was in bed, before the third feeding, and just before being picked up by the nurse.
Physiological Parameter Follow-up Form (Oxygen saturation -SpO2%)	Third feeding third measurement: 15 min after feeding	Respiration rate was measured third time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

Trial Locations

Locations (2)

Sibel Küçükoğlu; 🇹🇷 Selçuklu, Akademi Mahallesi, Turkey

Sibel Kucukoglu; 🇹🇷 Konya, Turkey