Cup Versus Bottle Feeding for Late Preterm Infants

NCT ID: NCT00756587

Last Updated: 2008-10-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-12-31

Study Completion Date

2004-08-31

Brief Summary

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The purpose of the current study is to investigate the effect of using cup feeding for preterm infants during NICU stay on breastfeeding outcomes after discharge. The following hypotheses are being tested:

1. Infants Fed by cup during NICU stay will have higher breastfeeding proportions than infants fed by bottle
2. Infants fed by cup during NICU stay will have higher breastfeeding behaviour score on the Preterm Infant Breastfeeding Behavior Scale than infants fed by bottle

Detailed Description

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The provision of breast milk is essential for preterm infants as it provides unique health benefits that are unmatched by other types of feeding \[1-3\]. However, breastfeeding presents unique challenges for preterm infants that include establishing and maintaining the mothers' milk supply and transitioning the infant from gavage feeding to breastfeeding \[4\]. One of the issues that presents during the transition to breastfeeding is that mothers of preterm infants are rarely available for all oral feedings during hospitalization; this makes it necessary for infants to receive oral feedings by other method, usually bottle feeding.

However, exposure of newborn infants to artificial nipples has been strongly associated with breastfeeding problems \[5-9\]. Frequently these problems have been explained by phenomena called nipple confusion. Nipple confusion occurs when infants are exposed to two different feeding methods, bottle and breast, resulting in the infant refusing to breastfeed. Consequently, it has been recommended that bottle feeding be avoided and that cup feeding be used for the supplementation of term as well as preterm infants.

Cup feeding is known as an alternative method of feeding breast milk to an infant using a small cup without a lip. Cup feeding is also recommended by the Baby Friendly Hospital Initiative.The use of cup was originally based on the goal of avoiding propping of bottles and also to increase bodily contact with the mother during feeding. Although cup feeding receives little mention in medical literature, and may seem to be a new technique for some, it has been used in several developing as well as developed countries. Lang, who observed cup feeding in South Nepal, implemented cup feeding in England and the practice expanded to other developed countries. Consequently cup feeding was established as a method for feeding infants who could not be breastfed from birth.

Conditions

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Breastfeeding

Keywords

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Cup Feeding late Preterm

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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I

Group one received feeding by bottle as the standard method of feeding in the NICU

Group Type ACTIVE_COMPARATOR

Bottle Feeding

Intervention Type DEVICE

receiving all feeding by bottle

II

Group 2 received all feeding by cup

Group Type EXPERIMENTAL

Cup Feeding

Intervention Type DEVICE

using a cup feeding technique for feeding the preterm infants during NICU stay

Interventions

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Cup Feeding

using a cup feeding technique for feeding the preterm infants during NICU stay

Intervention Type DEVICE

Bottle Feeding

receiving all feeding by bottle

Intervention Type DEVICE

Other Intervention Names

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Cup-feeding Group bottle feeding group

Eligibility Criteria

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Inclusion Criteria

* Singleton birth
* 34 to 37 weeks of gestation at birth
* Maternal intention to breastfeed
* Fed only by tube feeding

Exclusion Criteria

* Infants who had any condition interfering with oral feeding
* Infants with craniofacial anomalies
* Infants with intracranial hemorrhage
Minimum Eligible Age

34 Weeks

Maximum Eligible Age

37 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Cairo University

Principal Investigators

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Amel M Abouelfettoh, PhD, RN

Role: PRINCIPAL_INVESTIGATOR

Cairo University

Locations

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Peiatric University NICU

Cairo, Cairo Governorate, Egypt

Site Status

Countries

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Egypt

References

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Abouelfettoh AM, Dowling DA, Dabash SA, Elguindy SR, Seoud IA. Cup versus bottle feeding for hospitalized late preterm infants in Egypt: a quasi-experimental study. Int Breastfeed J. 2008 Nov 21;3:27. doi: 10.1186/1746-4358-3-27.

Reference Type DERIVED
PMID: 19025602 (View on PubMed)

Other Identifiers

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2004

Identifier Type: -

Identifier Source: org_study_id