Comparison the effect of prone and right lateral positions on gastric residual volume in preterm infants

The main objective: Evaluation the effect of prone and right lateral positions on gastric residual volume in preterm infants

This study was a cross-sectional clinical trial. 52 infants with inclusion criteria were selected by objective method and entered the study. Then in the form of random block assignment (quadruple block), they will fall into two groups A and B. Babies of group A are placed in position on the abdomen and group B in the position on the right side (the babies will be placed in the position during placement or the same nest).

This study will be carried out in NICU and neonates in Amirkabir Hospital in Arak, and the 17th Shahrivar Hospital in Saveh. The study was done so that premature infants according to entry criteria enter the study, then before and after feeding through gavage at minutes 30, 60, 90, and 120, the gastric residual volume in both prone and right lateral positions will be measured by gavage syringe which will also be in milliliters, and will be written in the checklist for each baby (the infant will stay for 120 minutes in each position). Blinding is not done in this study.

Inclusion criteria: The consent of the infant's parents to intervene Breast feeding by gavage The infants from 28 to 36 weeks The weight between 800 and 2500 grams The hospitalization for at least 2 days The lack of connection to the ventilator Exclusion criteria: Resumption of oral nutrition Parents' unwillingness to continue the study The presence of digestive problems Intravntricular hemorrhage Necrotizing enterocolitis Apnea Seizure Infant death

In this study, premature infants that have been born between the 28 and 36 weeks uterine age will be interfered. infants who come to the study according to the criteria of entry, according to the codes obtained by statistical analysis of the blocking, receive the first feeding in one position and the next time in the other position, and the gastric residual volume will be measured before the gavage and It will also be measured in both minutes at 30, 60, 90 and 120 after the gavage. This study is due to the fact that it is cross-linked, and each group is also a control group.

Improve the infant's development, reducing the complications associated with premature infants

Infants eligible for inclusion are selected in a goal-based manner and are enrolled in the study. Then in the form of a randomized block assignment (quadruple block), which will be provided by the relevant software and by the statistics expert, they will fall into two groups A and B. Babies of group A are placed in position on the abdomen and group B in the position on the right side (the newborns will be placed inside the nest during placement). after a certain amount of gastric residual volume measurement, the position of both groups will be change.