Assessment of the Comfort of Preterm Newborns During Feeding, Comparison of Different Methods of Milk Administration With Gastric Tube
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Premature Birth
- Sponsor
- University Hospital, Strasbourg, France
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Comparing the tolerance of these different types of food (gravity versus pushing the seringue), based on the child's behavioral and physiological signs of well-being.
- Status
- Not yet recruiting
- Last Updated
- last year
Overview
Brief Summary
Preterm infants need aims of a tube named oral or naso gastric to grow until they acquire autonomy in suction-swallowing.
In fact, several modes feed by a gastric tube exist : using an electric syringe pump (continuous administration), or manual and individualization administration. In this second case, milk can be delivered by gravity, depending on the height the syringe is placed above the infant, or by manually pushing on the syringe. Milk can be administrated by nurses or by the parents after a learning period.
In this observational study, we would like to compare the preterm infants' behavioral during these different naso or oro gastric feeding modes by observing well-being signs and withdrawal signs (Dsilna grid) on video settings.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Hospitalized at the University Hospitals of Strasbourg during October 2024 and October 2025
- •Needing nasogastric tube feeding during at least 4 days
- •With parents (legal representants) having expressed their agreement with the use of video recording in the framework of the current study
Exclusion Criteria
- •ORL malformations
- •Neurological dysfunction
- •Sedated infant
Outcomes
Primary Outcomes
Comparing the tolerance of these different types of food (gravity versus pushing the seringue), based on the child's behavioral and physiological signs of well-being.
Time Frame: 6 months
Observation of preterm infants during and after naso/oro gastric tube feeding on videos to record well-being and withdrawal signs like classified in the Dsilna grid every 4 minutes.
Secondary Outcomes
- - Well-being and withdrawal signs by the Dsilna grid : comparison of manual methods versus electric syringe administration(6 monts)
- - Well-being and withdrawal signs by the Dsilna grid : comparison during administration by parents or nurses(6 monts)