Health Condition 1: null- Preterm very low birth weight neonates Health Condition 2: P073- Preterm [premature] newborn [other] Health Condition 3: P073- Preterm [premature] newborn [other]
Conditions
Interventions
Intervention1: Mother Milk: â?¢Intervention for Oral Minimal Enteral Nutrition (OMEN) group: Oral minimal enteral nutrition (3 ml/kg/day) by either babyâ??s own motherâ??s milk or donor breast milk wi
either until infants were judged to be ready to tolerate feeds (defined as absence of following any two findings - greenish or altered aspirates, abdominal distention (increase in abdominal girth by 2
either until infants were judged to be ready to tolerate feeds(defined as abse
Sponsors
Deenanath Mangeshkar Hospital and research center
Eligibility
Inclusion criteria
Inclusion criteria: 1.Preterm ( 2.Very Low Birth Weight Infants (Birth Weight <=1500 g)
Exclusion criteria
Exclusion criteria: 1. Syndromic babies (e.g. Downs syndrome) 2. Gastrointestinal Malformations (e.g. Easophageal atresia, intestinal atresia etc.) 3. Post gastrointestinal or cardiac surgery Inborn Errors of Metabolism 4. Oro Facial Malformation (e.g. Cleft Lip and Palate, Micrognathia / Retrognathia)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to reach full tube enteral feeds (in days)Timepoint: Till Discharge from NICU | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of invasive infection (as determined by culture of bacteria or fungus from bloodTimepoint: Till Discharge from NICU;cerebrospinal fluid, urine or from a normally sterile body space)Timepoint: Till Discharge from NICU;Duration of hospital stay in days (As per DMH NICU policy infants who satisfy following criteria are discharged from NICU (Infants is medically stable on room air for 48 hours with weight 1500 g,consistent weight gain 15 to 20 g/day for 2 consecutive days on oral feeds and mother is confident)Timepoint: Till Discharge from NICU;Growth (Time to regain birth weight and rates of weight gain, linear growth, head growth during hospital stay)Timepoint: Till Discharge from NICU;Necrotizing enterocolitis (confirmed by at least two of the following features: Abdominal radiograph showing pneumatosis intestinalis or gas in the portal venous system or free air in the abdomen or Diagnosis of NEC confirmed at surgery as per current standard protocol in NICU)Timepoint: Till Discharge from NICU | — |
Countries
India
Contacts
Public ContactDr Shilpa Umesh Kalane
Deenanath Mangeshkar Hospital
Outcome results
None listed