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IRCT20100411003679N2 IRCT 2021-01-30 Yazd University of Medical Sciences Evaluating of Two Nutrition Methods Cup Feeding and Finger feeding on Weight Gain and Nutrition Tolerance in Preterm Infants Evaluating of Two Nutrition Methods Cup Feeding and Finger feeding on Weight Gain and Nutrition Tolerance in Preterm Infants hospitalized in neonatal intensive care unit 2020-06-04 anticipated 87 Complete https://irct.ir/trial/53251 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: For random allocation of samples,the lottery method was used .three identical envelopes were prepared and a number was placed in each envelope, with number 1 representing infants with cups, experimental group 2 representing infants with a finger, and in control group 3 infants fed by routine method, Then one of the nurses who was not aware of the contents of the envelope was asked to choose one of the envelopes and the group of infants is determined according to the number in the envelope, Blinding description: The research assistant nurse was not aware of the group research to record information about nutrition and weight tolerance. Also, the data analysis expert was unaware of the groups. N/A weighning and feeding tolerance. Intervention 1: Intervention group: Infants was fed by cup 4 times a day for 7 days, each time for 15-20 minutes. In this group, the infants were kept securely in a blanket in a sitting or semi-sitting position, and the infant's body was placed level. The milk from the mother or from the human milk bank was placed in a small cup, usually 30 to 50 cc in size, with the edge of the cup tangential to the baby's lower lip. With the movements of the tongue, the baby began to suckle. Feeding was completed when the predetermined volume of milk was consumed. The rate of rejection of milk or wasted milk by weighing the gas placed under the chin by a digital scale with a sensitivity of one tenth of a gram, which differed from the weight of infants Weighed. Intervention 2: Intervention group: The finger feeding technique was performed in a manner similar to that described by Fuji Naga et al., 2016. First, the tip of the feeding tube was cut and fixed with adhesive tape into the little finger of the glove. The finger pad was then inserted upwards into the baby's mouth and in front of the roof of his mouth. As the baby began to suck his finger, he gently pressed the plunger onto the syringe and the milk was drawn into the baby's mouth. So, the baby was eager to suck and swallow milk. Intervention 3: Control group: In the control group, feeding was performed routinely. In the routine method, infants were fed by droppers. In the drip feeding, the baby's head and torso were placed at an angle of 35 to 45 degrees and the prescribed amount of milk was reduced from the volume of the gavage and given with the drip. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information
public khadijeh dehghani
Bouali St., Shahid Sadoughi School of Nursing and Midwifery, Yazd
Yazd Iran (Islamic Republic of) 8916978477 +98 35 3824 1751 info@ssu.ac.ir Yazd University of Medical Sciences scientific khadijeh dehghani
Safaieh, Bouali St., Shahid Sadoughi School of Nursing and Midwifery, Yazd
yazd Iran (Islamic Republic of) 8916978477 +98 35 3824 1751 dehghanish@ssu.ac.ir Yazd University of Medical Sciences Iran (Islamic Republic of) gestational age 32-36 weeks inability to breast feeding no limit no limit Both term and post term infants feeding in other ways before the study neonates with neural and cardiac and respiratory abnormalities, congenital diseases of the head and neck, necrotizing enterocolitis, genetic syndromes infants in need of resuscitation, Apgar score less than 5 in the 5 minute, infants in need of mechanical ventilation Grade 3 and 4 intracranial hemorrhage, sepsis, respiratory disorders N/A N/A N/A Intervention group: Infants was fed by cup 4 times a day for 7 days, each time for 15-20 minutes. In this group, the infants were kept securely in a blanket in a sitting or semi-sitting position, and the infant's body was placed level. The milk from the mother or from the human milk bank was placed in a small cup, usually 30 to 50 cc in size, with the edge of the cup tangential to the baby's lower lip. With the movements of the tongue, the baby began to suckle. Feeding was completed when the predetermined volume of milk was consumed. The rate of rejection of milk or wasted milk by weighing the gas placed under the chin by a digital scale with a sensitivity of one tenth of a gram, which differed from the weight of infants Weighed. Intervention group: The finger feeding technique was performed in a manner similar to that described by Fuji Naga et al., 2016. First, the tip of the feeding tube was cut and fixed with adhesive tape into the little finger of the glove. The finger pad was then inserted upwards into the baby's mouth and in front of the roof of his mouth. As the baby began to suck his finger, he gently pressed the plunger onto the syringe and the milk was drawn into the baby's mouth. So, the baby was eager to suck and swallow milk. Control group: In the control group, feeding was performed routinely. In the routine method, infants were fed by droppers. In the drip feeding, the baby's head and torso were placed at an angle of 35 to 45 degrees and the prescribed amount of milk was reduced from the volume of the gavage and given with the drip. Average weight of premature infants. Timepoint: The mean weight of premature infants in three groups was measured before the intervention and then daily at the beginning of the morning shift before feeding and after the intervention. Method of measurement: The weight of uncoated infants was measured by a special weight scale for infants with zyklus med model and an accuracy factor of 5 grams by the researcher from trained personnel working in the department and recorded in a special form. Percentage of feeding tolerance of premature infants. Timepoint: Before the start of each feeding. Method of measurement: To evaluate the feeding tolerance of infants, before the start of each feeding, the remaining amount of milk was measured using a syringe attached to the gastric catheter by gastric lavage. If this rate was more than 30% of breastfed or any of the clinical symptoms such as distension, vomiting, blood in the stool and fecal remnants, the cause of intolerance to nutrition was considered and recorded in the registration form. Yazd University of Medical Sciences Approved 2020-02-05 Ethics.research.ac.ir Bahonar Square, the central building of Yazd University of Medical Sciences yazd Yazd Iran (Islamic Republic of)