Health Condition 1: P073- Preterm [premature] newborn [other]
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All inborn preterm neonates with gestation age between 28 to 34 weeks of gestation and admitted to Nursery and NN ward of Lady Hardinge medical college with no contraindications for enteral feeding from admission and without any conditions mentioned in exclusion criteria.
Exclusion criteria
Exclusion criteria: 1.Babies born less than 28 weeks and more than 34 weeks 2.Severe Birth Asphyxia 3.Respiratory distress severe enough requiring Invasive mechanical ventilation 4.Shock ( Hemodynamic instability at admission) 5.Absent end diastolic flow (AEDF) or Reversed end diastolic flow ( REDF) in umbilical artery Doppler flow study antenatally. 6.major congenital anomalies or birth defects 7.Antenatally diagnosed or suspected congenital infection TORCH [toxoplasma- sis, other (syphilis, varicella-zoster, parvovirus B19), rubella, cytomegalovirus, and herpes infection]) 8.Babies born at the time when Pasteurized donor human milk or preterm formula feeds cannot be provided 9.Refusal to give consent for participation in to the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Babies will be assessed for any symptoms and signs of feed intolerance or NEC 2.Babies will be assessed for Clinical sepsis/ culture proven sepsis 3.All cause mortality Timepoint: From admission till discharge of the neonate from Neonatal ward or Nursery | — |
Secondary
| Measure | Time frame |
|---|---|
| â?¢To compare the proportion of babies with rehospitalisation from all causes . Timepoint: from discharge till 3 months of chronological age;To compare growth in terms of weight length and OFC in babies receiving MOM plus PDHM vs MOM plus Formula feed until 3 months of chronological age. Timepoint: Weight is monitored once daily from admission till discharge, and then weekly till 3 months of chronological age at follow up. Length and OFC ( occipito-frontal circumference ) is measured at admission and then weekly till 3 months of chronological age;To compare the proportion of preterm babies with early comorbidities of prematurity i.e. anaemia of prematurity, osteopenia of prematurity, retinopathy of prematurity. Timepoint: At 4 weeks of chrological age (routinely )or earlier if symptoms and signs of anemia occur to screen for anemia of prematurity At 4 weeks of chrological age or earlier if symptoms and signs of ostopenia occur to screen for ostopenia of prematurity 3. All babies will under go ROP screening at 4 weeks of chronological age | — |
Countries
India
Contacts
Lady Hardinge Medical College