Health Condition 1: P84- Other problems with newborn
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Neonates 2) Attained a weight of at least 4.5 kg 3) Readiness for semi solid food as assessed by partial neck holding, hand to mouth behaviour , lip locking, absence of extrusion reflex, chewing.(any 2-3).
Exclusion criteria
Exclusion criteria: 1) Infants with suspected or proven TORCH infection 2) Newborns with chronic diseases which will hinder growth and developments a. Congenital heart disease requiring diuretics or on fluid restriction for control of congestive cardiac failure b. Cholestatic jaundice and suspected liver disease c. Suspected or diagnosed renal tubular acidosis d. Suspected or diagnosed inborn errors of metabolism e. Suspected or proven syndromic babies 3) Infants who have already been given a trial of semisolids prior to enrolment 4) Infants whose parents will not be able to come for frequent follow ups 5) Infants whose parents will be unable to maintain a daily dietary record due to lack of understanding or education as assessed by the primary investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes 1.Z scores of Weight, length and HC at 12 months chronological age and corrected age 2.Proportion of underweight, stunting and wasting at CA 12 months Secondary outcomes 3. S. Calcium, S.phosphorous, alkaline phosphatase levels and proportion of Vitamin D deficiency at 12 months of chronological age in 2 groups . 4. Proportion of iron deficiency ( based on Hb, RBC indices, serum ferritin) at 12 months of chronological age in 2 groups 5.MeDQ and MoDQ as per DASII scores at 18 months corrected age. 6. Neurodevelopment impairment (NDI) at 12 months of corrected age 7.Total episodes of diarrhoea, wheezing ,skin atopy or other causes of admission during the study period 8.All cause mortality at 1 year Timepoint: 18 months corrected age | — |
Secondary
| Measure | Time frame |
|---|---|
| serum biochemical profile , vitamin D , IRON status, DASII scoresTimepoint: 18 months corrected age | — |
Countries
India
Contacts
Professor, Neonatal unit, Dept of Pediatrics, PGIMER,Chandigarh