Finger Feeding as a Method of HMF Supplementation After Discharge
- Conditions
- Low-Birth-Weight InfantBreast Feeding
- Interventions
- Other: Finger feeding
- Registration Number
- NCT04036240
- Lead Sponsor
- Fakultas Kedokteran Universitas Indonesia
- Brief Summary
Human Milk Fortifier (HMF) is designed to supply additional calories, protein, vitamins and minerals to infants less than 37 weeks gestation or those less than 1500 g at birth. Liquid and powder types of HMF are available in the commercial market. Usually, one packet of powdered HMF is mixed to 25-50 cc expressed breast milk. Fortification of human milk is technically difficult in fully breastfed infants and artificial teats such as bottle feedings are common used. A study reported lower breastfeeding rate in intervention group who used HMF in comparison with control. Finger feeding method is associated with a better breastfeeding rate in hospital use. A feasibility study in Vienna reports finger feeding method as a way to provide fortification at home was acceptable.We hypothesize that finger feeding is an easy way for HMF supplementation after discharge to increase successful breastfeeding and improve growth in preterm and or low birth weight infants.
- Detailed Description
For infants with very low birth weight (\<1500 g) convincing evidence indicates that providing multi-nutrients fortification including protein, long-chain polyunsaturated fatty acid, and micro-nutrients improves infant growth during hospitalization and health outcomes. A study of predominantly breastfed preterm infants with fortification after discharge shows better growth than unsupplemented counterparts at 3 months corrected age. Another study showed that post discharged growth of \< 1800 g infants with human milk fortifier (HMF) supplementation until 48 weeks gestational age improved. But without the intensive lactation counselling the breast milk in HMF group were lower than control group if artificial teats were used. 4. Finger feeding is an alternative method to feed infants to increase successful breastfeeding, but unpopular in Indonesia. Study on finger feeding are still limited and most study of them are not randomized trial. We evaluate the method of supplementation on breastfeeding rate, growth and safety. We also do in depth interview with those who have high or low compliance.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 78
- birth weight < 2500 g
- need HMF supplementation after discharge
- predominantly breastfed
- live in Jakarta city and its surrounding
- parents agree to follow study procedure with signed informed consent
- major congenital anomaly or other conditions interfere with normal growth and oral feeding
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Finger feeder Finger feeding HMF supplementation will be given by finger feeder
- Primary Outcome Measures
Name Time Method Breastfeeding rate 28 days Formula used (ml/kg/day)
- Secondary Outcome Measures
Name Time Method Infections up to 1 month Fever or other acute illness episode
Stool consistency up to 1 month Diapered infant stool scale (1-5B)
Stool frequency up to 1 month Number of stool per day
Growth 28 days mean difference in weight, length, head circumference; skin fol thickness (mm)
Compliance 28 days Number of supplementation per day
Vomiting 4 weeks number per day
Choking up to 1 month Number per day
Trial Locations
- Locations (4)
RS Hermina Jatinegara
🇮🇩Jakarta, Indonesia
RS Hermina Bekasi
🇮🇩Bekasi, Jawa Barat, Indonesia
Budi Kemuliaan Hospital
🇮🇩Jakarta Pusat, Jakarta, Indonesia
Koja District Hospital
🇮🇩Jakarta, Indonesia