- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00838188
Energy Expenditure in Breast and Bottle Feeding Preterm Infants Fed Their Mother's Breast Milk
OBJECTIVE. Neonatologists consider early feeding at the breast to be too tiring for preterm infants, although there is no evidence that this is actually the case. It is also not known whether the method of feeding affects energy expenditure. We hypothesized that resting energy expenditure (REE) would be higher after breastfeeding than after bottle feeding.
PATIENTS AND METHODS. preterm ( >32 weeks GA) stable infants who are nourished entirely by their mothers' breast milk will be studied when fed expressed breast milk either by bottle or at the breast. REE will be measured for 20 minutes after feeding. Breast milk quantity is evaluated by pre- and post feeding weighing.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
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Tel Aviv, Israel
- Department of Neonatology, Tel Aviv Sourasky Medical Center
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Tel-Aviv, Israel
- Sourasky Medical Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Thermally stable infants were nursed in an open and unwarmed bassinet.
- All fed solely by their mothers' breast milk equivalent to at least 150 cc/kg/day divided into eight meals and growing steadily
Exclusion Criteria:
- Infants with congenital anomalies and infants who had either more than five daily episodes of apnea of prematurity or any apnea requiring assistance or methylxanthine therapy
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
1
computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence
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Each infant was evaluated twice, once after breastfeeding and once after bottle feeding of breast.
Computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence
|
2
computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence
|
Each infant was evaluated twice, once after breastfeeding and once after bottle feeding of breast.
Computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence
|
Breast - feeding first
computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence
|
Each infant was evaluated twice, once after breastfeeding and once after bottle feeding of breast.
Computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence
|
Bottle first
computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence
|
Each infant was evaluated twice, once after breastfeeding and once after bottle feeding of breast.
Computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence
|
Way of feeding
Each infant is evaluated twice, once after breastfeeding and once after bottle feeding of breast milk using a Premature Nipple & Ring (Ross Products Division, Columbus OH, USA).
In this way, each infant serves as its own control.
REE is recorded for 20 minutes after each meal
|
Each infant was evaluated twice, once after breastfeeding and once after bottle feeding of breast.
Computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The primary goal of this study was to compare resting energy expenditure (REE) in preterm infants who were fed their mothers' expressed milk by bottle and at the breast
Time Frame: 20 minutes after each meal
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20 minutes after each meal
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Creamatocrit of the bottle at the beginning and the completion of every feeding at the breast were measured
Time Frame: Not relevant
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Not relevant
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Irit Berger, MD
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 920060356
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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