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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:
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Modified feeding Protocol | Experimental | Prospective |
|
| Current feeding Protocol | No Intervention | Retrospective data will be collected from medical record of patients undergo the current feeding protocol as follow Initiation of feeding (average): 8.7cc/kg (6-12cc/kg) Advancement based on birthweight (average): <750g: 20cc/kg/d (17-24cc/kg/d) 750-999g: 29cc/kg/d (25-34cc/kg/d) 1000-1249g: 22cc/kg/d (20-24cc/kg/d) 1250-1499g: 24cc/kg/d (21-25cc/kg/d) 1500-1749g: 20cc/kg/d (18-21cc/kg/d) 1750-2000g: 34cc/kg/d (32-36cc/kg/d) Starting Human milk fortification when feed reach at 120cc/kg/d |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Modified feeding Protocol | Other | Initiation of feeding (fixed): 10cc/kg Advancement based on birthweight (fixed): <750g: 15cc/kg/d 750-999g: 20cc/kg/d 1000-1249g: 25cc/kg/d 1250-1499g: 25cc/kg/d 1500-1749g: 35cc/kg/d 1750-2000g: 35cc/kg/d Starting Human milk fortification when feed reach at 70cc/kg/d |
| Measure | Description | Time Frame |
|---|---|---|
| Length of Stay (LOS) | Number of days that participant stayed at hospital | Up to 8 weeks |
| Duration of Total Parenteral Nutrition (TPN) | Number of days that participant received Total Parenteral Nutrition (TPN) | up to 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Necrotizing Enterocolitis | Stage 2, Stage 3 | Up to 8 weeks |
| Incidence of Feeding intolerance | abdominal grith more than 2 cm, gastric residual 50% of the last feed. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hanan AlQahtani, Master | Imam Abdulrahman Bin Faisal University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maternity and Children Hospital | Dammam | Eastern Province | Saudi Arabia |
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| D001724 | Birth Weight |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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|
| Up to 8 weeks |
| D000091642 | Urogenital Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |