Growth in Premature Infants
Conditions
Brief summary
We hypothesize that premature infants who receive their mothers' expressed breast milk supplemented with liquid protein early in their hospitalization will have a growth velocity in the first 28 days of life that is 20% greater than the growth velocity of premature infants that do not receive protein fortification.
Interventions
The liquid protein supplement is already in use. The purpose of this study is to determine whether using the supplement earlier will lead to improved growth.
Sponsors
Study design
Eligibility
Inclusion criteria
* inborn at Mount Sinai Medical Center * gestational age between 26 0/7 weeks and 32 6/7 weeks gestation * plan by family for their infant to receive human milk feeds
Exclusion criteria
* outborn infants * gestational age \< 26 0/7 weeks or \> 33 0/7 weeks * major congenital anomalies including cardiac disease, inborn errors of metabolism etc. * sepsis and/or other serious clinical complication precluding initiation of enteral feeds * plan by family for their infant to receive primarily preterm infant formula.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Growth velocity | up to 28 days | Growth velocity over the first 28 days of life - Daily weight measurements for the first 28 days of life |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| weight | average 11 weeks | Extrauterine growth from birth until discharge from the NICU - Weekly weight measurements until discharge from the NICU |
| Length | average 11 weeks | Extrauterine growth from birth until discharge from the NICU - Weekly length measurements until discharge from the NICU |
| head circumference | average 11 weeks | Extrauterine growth from birth until discharge from the NICU - Weekly head circumference measurements until discharge from the NICU |
Countries
United States