Early Enteral Feeding Advancement, Nutrition, Preterm Infants
Conditions
Brief summary
Checking of gastric residuals prior to the continuation/increase of enteral feeding prolongs the time to establish full gastric feeding in the early postnatal period.
Interventions
Discontinuation of gastric feeding and its advancement will be based on clinical examination of the abdomen and gastric aspirates containing blood or significant vomiting.
Discontinuation of gastric feeding and its advancement will be based on current practice of clinical examination of the abdomen and checking residual before every feed. Volume and color of gastric residual will be considered according to the current guideline.
Sponsors
Study design
Eligibility
Inclusion criteria
* Infants with a birth weight ≥ 1500g and \< 2000g * Age ≤48 hours of life * Informed, written parental consent
Exclusion criteria
* Antenatally recognized gastrointestinal malformation * Major congenital anomaly * Chromosomal anomaly * NEC stage II * Severe acidosis, asphyxia (pH \<7.0) * Severe growth restriction below 3rd percentile
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to reach full enteral feeding | from inclusion (during first 48h of life) until 1 month | Full enteral feeding is defned as an milk intake of equal or more than 120 ml/kg/d. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| growth, tolerance, morbidity | from inclusion (during first 48h of life) until one month | Time to regain birth weight and maintain weight gain. Incidence of sepsis from birth until 48 hours after parenteral nutrition was administered. Use of antibiotics. Incidence of feeding intolerance and necrotizing enterocolitis. |
Countries
Canada