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Preterm infants need aims of a tube named oral or naso gastric to grow until they acquire autonomy in suction-swallowing.
In fact, several modes feed by a gastric tube exist : using an electric syringe pump (continuous administration), or manual and individualization administration. In this second case, milk can be delivered by gravity, depending on the height the syringe is placed above the infant, or by manually pushing on the syringe. Milk can be administrated by nurses or by the parents after a learning period.
In this observational study, we would like to compare the preterm infants' behavioral during these different naso or oro gastric feeding modes by observing well-being signs and withdrawal signs (Dsilna grid) on video settings.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oro or Nasogastric tube feeding | Other | Parental involvement in their premature baby's feeding |
| Measure | Description | Time Frame |
|---|---|---|
| Comparing the tolerance of these different types of food (gravity versus pushing the seringue), based on the child's behavioral and physiological signs of well-being. | Observation of preterm infants during and after naso/oro gastric tube feeding on videos to record well-being and withdrawal signs like classified in the Dsilna grid every 4 minutes. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| - Well-being and withdrawal signs by the Dsilna grid : comparison of manual methods versus electric syringe administration | Comparaison of the score of withdrawal or well being tube in this different situation. Survey to assess the feelings and experiences about feeding, filled by caregivers and parents. | 6 monts |
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Inclusion Criteria:
Exclusion Criteria:
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Newborn infants needing nasogastric tube feeding hospitalized at Rénaimation et médecine du nouveau né / University Hospital of Strasbourg
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Claire ZORES | Contact | +33 3 88 12 83 32 | claire.zores@chru-strasbourg.fr | |
| Clara SANCHIS | Contact | 0634139100 | mailto:clara.sanchis@chru-strasbourg.fr |
| Name | Affiliation | Role |
|---|---|---|
| Claire ZORES | Service de PĂ©diatrie, CHU de Strasbourg | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de PĂ©diatrie - HĂ´pitaux Universitaires de Strasbourg | Strasbourg | 67 200 | France |
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| - Well-being and withdrawal signs by the Dsilna grid : comparison during administration by parents or nurses |
Comparaison of the score of withdrawal or well being tube in this different situation. Survey to assess the feelings and experiences about feeding, filled by caregivers and parents. |
| 6 monts |
| D000091642 | Urogenital Diseases |