- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02661360
Effects of Swaddling on Infants During Feeding
January 26, 2017 updated by: NYU Langone Health
Effects of Swaddling During Bottle Feeding on Infants Born Preterm
The purpose of this randomized, within-subject, cross-over study is to examine if swaddling affects bottle feeding performance in infants born preterm.
Results from research will have implication on neurobehavioral and physiologic outcomes as important indicators for the possible effect of swaddling during bottle feeding.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Once an infant is orally feeding a minimum of two times per nursing shift for four consecutive nursing shifts, the infant will be randomly assigned to receive the intervention (swaddling) or control condition (no swaddling) first, by the research OT randomly choosing an envelope with the assignment enclosed.
The intervention and control feedings for each infant will be consecutive and will take place at the infant's bedside in the NICU.
Infants will be assessed at each nursing care time for feeding readiness by the research OT and feeding OT according the policies of the NYU Langone Medical Center NICU, which utilizes the Infant-Driven Feeding Scale-Readiness (Appendix B) (Ludwig & Waitzman, 2006).
When the infant demonstrates readiness, the first condition will be initiated.
At the next feeding when the infant demonstrates readiness, the opposite condition will be applied.
If the infant is not available due to procedures or not demonstrating feeding readiness, at the next two caregiving times after the first feeding, the infant will be discontinued for that day and will start the study over the next day.
Study Type
Interventional
Enrollment (Actual)
30
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
New York
-
New York, New York, United States, 10016
- New York University School of Medicine
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
1 day and older (Child, Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- all infants born before 34 weeks gestational age will be included as long as they do not have any exclusion criteria
- infants born before 34 weeks gestational age is 33 weeks 3 days to 35 weeks 0 days, with attainment of exclusive bottle feeding at 36 weeks gestational age at the earliest.
- Infants who are multiples will be included but restricted to twins and triplets.
- Infants will only be included if their parents provide informed consent for participation of their infant in the study.
Exclusion Criteria:
The exclusion criteria are factors commonly associated with feeding problems in infants beyond prematurity, including:
- Infants who are exclusively breastfed
- Higher order multiples than twins and triplets (ie. quadruplets)
Infants with conditions that may affect feeding performance:
- Grades III and IV intraventricular hemorrhage
- Necrotizing enterocolitis
- Congenital cardiac anomalies (except medically managed patent ductus arteriosus)
- Genetic syndromes
- Craniofacial abnormalities
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Starting condition of swaddled
|
Procedure for swaddling includes folding one corner of the blanket down two thirds of the way down the blanket in order to make the blanket into a triangular shape.
The infant will be positioned with shoulders at the fold of the blanket.
The infant will be positioned with the blanket so that elbows, hips, and knees flexed with hands near the face by wrapping one side of the blanket across the chest holding the hands in place, pulling the bottom corner up toward the infant's face, and securing the blanket with the last corner pulled across the infant's chest again and around their back.
The blanket will be tight enough to keep extremities in place but one finger will be able to be placed between the infant and the blanket.
Procedure for control is blanket loosely draped across the infant without providing containment and without touching the anterior surface of the infant.
|
Experimental: Starting Condition of Unswaddled
|
Procedure for swaddling includes folding one corner of the blanket down two thirds of the way down the blanket in order to make the blanket into a triangular shape.
The infant will be positioned with shoulders at the fold of the blanket.
The infant will be positioned with the blanket so that elbows, hips, and knees flexed with hands near the face by wrapping one side of the blanket across the chest holding the hands in place, pulling the bottom corner up toward the infant's face, and securing the blanket with the last corner pulled across the infant's chest again and around their back.
The blanket will be tight enough to keep extremities in place but one finger will be able to be placed between the infant and the blanket.
Procedure for control is blanket loosely draped across the infant without providing containment and without touching the anterior surface of the infant.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Oral feeding readiness measured by subtest of Early Feeding Skills Assessment (EFS)
Time Frame: 1 Day
|
1 Day
|
|
Feeding engagement measured by subtest of Early Feeding Skills Assessment (EFS)
Time Frame: 1 Day
|
1 Day
|
|
Oral motor organization measured by subtest of Early Feeding Skills Assessment (EFS)
Time Frame: 1 Day
|
1 Day
|
|
Swallow coordination measured by subtest of Early Feeding Skills Assessment (EFS)
Time Frame: 1 Day
|
1 Day
|
|
Physiologic stability measured by subtest of Early Feeding Skills Assessment (EFS)
Time Frame: 1 Day
|
Stability of heart rate and respiratory rate are indicative of the ability of the infant born preterm to cope with stress during bottle feeding
|
1 Day
|
Feeding recovery measured by subtest of Early Feeding Skills Assessment (EFS)
Time Frame: 1 Day
|
1 Day
|
|
Number of significant changes in heart rate (bradycardia
Time Frame: 1 Day
|
1 Day
|
|
Number of significant oxygen desaturations
Time Frame: 1 Day
|
1 Day
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Steve Vanlew, MD, New York University Medical School
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
September 1, 2015
Primary Completion (Actual)
April 1, 2016
Study Completion (Actual)
April 1, 2016
Study Registration Dates
First Submitted
January 20, 2016
First Submitted That Met QC Criteria
January 20, 2016
First Posted (Estimate)
January 22, 2016
Study Record Updates
Last Update Posted (Estimate)
January 27, 2017
Last Update Submitted That Met QC Criteria
January 26, 2017
Last Verified
January 1, 2017
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 15-00493
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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