Necrotizing Enterocolitis
Conditions
Keywords
Feeding intolerance, Simulated amniotic fluid, Necrotizing enterocolitis
Brief summary
The human fetus swallows over 200 ml of amniotic fluid per kilogram of weight each day and such swallowing is essential for normal small bowel development.Growth factors found in the amniotic fluid have been shown to promote proliferation of fetal intestinal cells. As feeding intolerance is a common problem among premature neonates, the investigators will study the role of enteral administration of simulated amniotic fluid solution in prevention of feeding intolerance and NEC in premature neonates.
Detailed description
Very Low Birth Weight (VLBW) neonates. Participants will be followed for the duration of hospital stay until discharge or death.
Interventions
simulated amniotic fluid 20cc/kg/day enterally for a maximum of 7 days.
distilled water 20 ml/kg/day for maximum of 7 days.
Sponsors
Study design
Eligibility
Inclusion criteria
* Premature infants with birth weight 1.5 Kg
Exclusion criteria
* Congenital or acquired anomaly of the gastrointestinal tract (i.e., omphalocele, tracheoesophageal fistula, intestinal perforation). * Other major congenital anomalies (congenital heart disease, neural tube defect, congenital diaphragmatic hernia, trisomy, etc.).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Necrotizing enterocolitis by modified Bell criteria, mortality in percentage, hospital stay in days. The outcome measure will be assessed within 2 months | participants will be followed for the duration of hospital stay, an expected average of 4 weeks |
Countries
Egypt