Neonatal Hypoglycemia
Conditions
Keywords
neonatal, newborn, hypoglycemia, human milk, breastfed, donor milk
Brief summary
The purpose of this study is to compare if newborn infant hypoglycemia can be improved with bottle supplementation of commercially-sterilized donor human milk compared to standard infant formula. Hypothesis is that supplementation with commercially-sterilized donor human milk will improve hypoglycemia and limit formula use in exclusively breastfed infants.
Detailed description
Enrolled infant participants will receive a maximum of two bottle feeding supplementations (of their designated treatment arm for either 20 calorie-per-ounce commercially-sterilized donor human milk OR 20-calorie-per-ounce standard infant formula) as treatment if they meet hypoglycemia criteria. Infant participants will complete the study if 1) they have received two bottle feeding supplementations for treatment of hypoglycemia, 2) they only received one bottle supplementation and hypoglycemia resolved, 3) if the medical teams deems the infants requires a higher level of care for their hypoglycemia (example: admission to the newborn intensive care unit for intravenous fluids with dextrose).
Interventions
DIETARY_SUPPLEMENTBottle Supplementation--Commercially-Sterilized Donor Human Milk
Supplementation by bottle with 20-calorie-per-ounce commercially-sterilized donor human milk (up to 15 ml, up to two times) for infants meeting hypoglycemia criteria and randomized to this treatment arm.
DIETARY_SUPPLEMENTBottle Supplementation--Standard Infant Formula
Supplementation by bottle with 20-calorie-per-ounce standard infant formula (up to 15 ml, up to two times) for infants meeting hypoglycemia criteria and randomized to this treatment arm.
Sponsors
University of Nebraska
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Minutes to 72 Hours
Healthy volunteers
Yes
Inclusion criteria
Mother-infant pairs will be consented for participation via informed written consent. Inclusion Criteria: * Mother/infant dyads deliverying at Nebraska Medicine hospital (Omaha, NE, USA). * Infant in the normal newborn nursery, born greater than or equal to 36 weeks gestational age. * Infant with blood glucose after delivery of \< 40 milligrams/deciliter within the first four hours of life OR blood glucose levels less than 45 milligrams/deciliter after four hours of life * Deliverying mother plans to exclusively breastfeed.
Exclusion criteria
* Infants born and directly admitted to the newborn intensive care unit * Infants with known congenital abnormality or known inborn error of metabolism that influences growth and metabolic outcomes * Infants deemed ward of state * Mothers who do not plan to exclusively breastfeed at time of delivery * Mothers less than 19 years of age
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness of Resolving Neonatal Hypoglycemia: Blood glucose levels | Blood glucose levels will be monitored within 60 minutes of initiating a feeding. Overall outcomes for each treatment arm will be compared at the completion of the study for all enrolled participants. | To compare the effectiveness of commercially-sterilized donor human milk bottle supplementation for the treatment of hypoglycemia in the breastfed infant in the normal newborn nursery compared to bottle supplementation with standard infant formula. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Exclusive Breastfeeding Duration | Families of consented participants will be contacted when the enrolled infant is 6 months old. | To assess if donor human milk supplementation (when compared to formula supplementation) impacts rate of exclusive breastfeeding during the first 6 months of life. |
| Parenteral Satisfaction of Infant Feeding: Parenteral satisfaction surveys | Parenteral satisfaction surveys will be completed prior to mother's hospital discharge (within 72 hours following delivery). | To compare if donor human milk supplementation (when compared to formula supplementation) improves parental satisfaction related to infant feeding during post-partum hospitalization. |
Countries
United States
Outcome results
None listed