Nutritive Sucking Patterns in Premature Infants
- Conditions
- PrematureLight-For-Dates Without Mention of Fetal Malnutrition, UnspecifiedFeeding Patterns
- Interventions
- Diagnostic Test: ControlDiagnostic Test: Reporting of sucking patterns captured by Instrumented Bottle
- Registration Number
- NCT04561700
- Lead Sponsor
- University of Alabama at Birmingham
- Brief Summary
In this pilot trial, the investigators will determine the feasibility of monitoring nutritive sucking patterns to facilitate the transition from tube to oral feeding in extremely-low-birth weight (ELBW) infants
- Detailed Description
In this parallel-group randomized controlled trial, ELBW infants (birthweight \< 1000 grams) will be randomly assigned in a 1:1 ratio to either weekly reporting on objective measurements of sucking activity during oral feeding (intervention group) or usual care without information on sucking activity (control group).
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Birthweight < 1000 grams
- Gestational age < 32 weeks of gestation
- Full enteral feeding established before or on postnatal day 21
- Oral feeding initiated before or at 33 weeks of postmenstrual age
- Major congenital/chromosomal anomalies
- Patent ductus arteriosus causing significant cardiovascular symptoms
- History of necrotizing enterocolitis stage 2 or greater
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Control Control Weekly reporting on traditional measurements of sucking activity during oral feeding (no objective measurements reported) Reporting of sucking patterns captured by Instrumented Bottle Reporting of sucking patterns captured by Instrumented Bottle Weekly reporting on objective measurements of sucking activity during oral feeding
- Primary Outcome Measures
Name Time Method Time to independent oral feeding Birth to 120 days Time interval in days from introduction of oral feeding to full independent oral feeding
- Secondary Outcome Measures
Name Time Method Length of hospital stay Birth to 120 days Total number of hospitalization days
Postnatal age at discharge Birth to 120 days Age in days at the time of hospital discharge
Growth rate during the transition from tube to oral feeding Birth to 120 days Weekly weight gain in g/kg/day
Tube feeding events per day during the transition from tube to oral feeding. Birth to 120 days Daily count of tube feeding events