Premature
Conditions
Keywords
Skin Contact, bresatfeeding, premature, oral feeding
Brief summary
Skin-to-skin combined with breastfeeding shortened the cycle of full-oral feeding in premature infants
Detailed description
This study is conducted at the level 3 NICU of the Children's Hospital of Fudan University, Shanghai, People's Republic of China, a tertiary medical center. Infants admitted to the NICU are all outborn infants. The study is approved by the Ethics Committee of the Children's Hospital of Fudan University. Signed parental consent is obtained before participants'entry into the study. The RCT is conducted to evaluate the effectiveness of skin-to-skin combined with breastfeeding reduce the transition time from tube feeding to independent oral feeding. The recruited infants are assigned to intervention group and control group. Data are presented as means ± sds for continuous variables with normal distribution and percentages (%) for categorical variables. One-way analysis of variance and Fisher exact test is used to compare infants' baseline characteristics among the two groups. All statistical analyses are conducted using SPSS. A p value of less than 0.05 is regarded as statistically significant.
Interventions
BEHAVIORALEarly skin-to-skin combined with breast-feeding
Premature infants in the intervention group have access to skin-to-skin once a day for 1 hour at least once no ventilation support needed. During the skin-to-skin period,the breastfeeding is encouraged for about 5-10 minutes. The whole intervention stop until the baby achieve the full oral feeding.
Sponsors
Children's Hospital of Fudan University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 72 Hours
Healthy volunteers
No
Inclusion criteria
* gestational age ≤30 weeks * birth weight \< 1500g * age of admission \<72 hours * no congenital malformation
Exclusion criteria
* OI \> 40 * mother has trouble in communicating
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Transition time from the initiation oral feeding to full oral feeding | During the procedure | Transition time was defined as the days needed from introduction of oral feeding to obtain autonomous oral feeding when the nasogastric tube was removed and all the daily milk volume was taken from the bottle. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Exclusive breastfeeding at discharge | During the hospitalization, an average of 2 to 3 months | Exclusive breastfeeding at discharge is defined as through breastfeeding without bottle feeding at discharge.On the day of discharge, newborns are weighed before regular feeding and then breastfed by their mothers. After breastfeeding, the baby is weighed again and the amount of breast milk obtained by sucking the mother's breast is assessed. If the two weight subtractions are greater than or equal to the amount required for once bottle feeding, the baby is considered exclusively breastfeding at discharge. |
Countries
China
Outcome results
None listed