Impact of Modified Feeding Protocol on Neonatal Outcomes

Impact of Modified Feeding Protocol on Neonatal Outcomes

The goal of this clinical trial is to compare modified feeding protocol and current feeding protocol on neonatal outcomes in preterm infants who born with weight less than 2kg.

The main questions it aims to answer are:

• Is Modified feeding protocol will decrease the duration of parenteral nutrition and length of hospital stay?
• Is Modified feeding protocol feasible, efficient, and safe in preterm infants?

Participants will undergo the modified feeding protocol since birth until discharge.

two group in this study Prospective group: intervention group will undergo the modified feeding protocol Retrospective group: intervention group will undergo the current feeding protocol

Both group will have care as routine care to this kind of patients But the differ will be in feeding protocol as initiation rate, advancement rate, human milk fortification rate

The outcomes of both group will be compeered to meet the study objectives

Inclusion Criteria:

• Birth weight (<2000g)
• Gestational Age (<37 week)

Exclusion Criteria:

• Metabolic Disorders
• Congenital Heart Diseases
• Chronic Lung Disease
• Congenital Anomalies (can related to feeding)
• Moderate to severe GERD
• Necrotizing enterocolitis stage 3 (surgical)
• Gastrointestinal surgery