The Impact of Nasogastric Indwelling Versus Oral Intermittent Tube Feeding Methods on Premature Infants

Not Applicable

Completed

• Conditions: Premature Infants
• Interventions: Procedure: Indwelling nasogastric tube placement; Procedure: Intermittent orogastric tube placement; Device: Nasogastric tube; Device: Oral gastric tube

• Registration Number: NCT00798824
• Lead Sponsor: University of Manitoba

Brief Summary

This clinical pilot trial is being conducted to learn more about the infant's feeding behavior while being fed by indwelling nasogastric tube placement or by intermittent oral tube placement.

Healthy preterm infants who are transitioning from gavage to oral feedings via oral intermittent tube insertion may achieve full oral feeds by bottle/breast at an earlier gestational age than infants feeding with indwelling tubes and may be ready for earlier discharge.

Detailed Description

Independent feeding is often one of the last competencies that the premature infant must accomplish prior to discharge from hospital. Feeding is a complex task for the premature infant to accomplish and it often takes many weeks for the infant to learn how to feed. Therefore, tube feeding is required for the infant to ingest adequate nutrition during the transition from gavage feeding to oral feeding. Both intermittent oral gavage tube placement and indwelling nasogastric tube placement are acceptable methods for feeding preterm infants. However, it is not known which tube feeding method will support an expedited transition to oral feeding. The choice of using one method over the other is currently based on the individual health care provider's opinion or historical institutional practices and insufficient evidence is available to guide tube feeding practices.

Study Timeline

• Study Start: 2008-08
• Study First Submitted: 2008-09-12
• Study First Submitted QC: 2008-11-25
• Study First Posted: 2008-11-26
• Primary Completion: 2009-12
• Study Completion: 2009-12
• Status Verified: 2010-10
• Last Update Submitted: 2010-10-12
• Last Update Posted: 2010-10-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

• Premature infants born between 30-33 and 6/7th weeks gestation are an appropriate size for gestational age, are not on Oxygen are of any race, sex and require tube feeding and are less than 34 and 3/7th weeks gestation.

Exclusion Criteria

• infants with neurological abnormalities or insults, IVH greater than a grade of two, PVL, birth asphyxia, seizures, cord has less than 7.0 ph, chest compressions, infants who require abstinence scoring, infants with major congenital anomalies or major genetic anomalies that impact feeding ability such as diaphragmatic hernia and cleft palate, major cardiac defects, infants who develop necrotizing enterocolitis, infants who received more than 14 days of intubation or CPAP or oxygen by nasal prongs and infants of diabetic or alcoholic mothers.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Indwelling nasogastric tube placement	Indwelling nasogastric tube placement	-
Indwelling nasogastric tube placement	Nasogastric tube	-
Intermittent orogastric tube placement	Intermittent orogastric tube placement	-
Intermittent orogastric tube placement	Oral gastric tube	-

Primary Outcome Measures

Name	Time	Method
Gestational age of the last required tube feed.	Last required tube feed

Secondary Outcome Measures

Name	Time	Method
Discharge date	Discharge date
The amount suckled per day	Discharge date

Trial Locations

Locations (1)

Intermediate Care Unit, Health Sciences Centre; 🇨🇦 Winnipeg, Manitoba, Canada