Energy Expenditure in Breast and Bottle Feeding Preterm Infants Fed Their Mother's Breast Milk

NCT ID: NCT00838188

Last Updated: 2009-02-06

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

Total Enrollment

23 participants

Study Classification

OBSERVATIONAL

Study Start Date

2007-11-30

Study Completion Date

2008-03-31

Brief Summary

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OBJECTIVE. Neonatologists consider early feeding at the breast to be too tiring for preterm infants, although there is no evidence that this is actually the case. It is also not known whether the method of feeding affects energy expenditure. We hypothesized that resting energy expenditure (REE) would be higher after breastfeeding than after bottle feeding.

PATIENTS AND METHODS. preterm ( \>32 weeks GA) stable infants who are nourished entirely by their mothers' breast milk will be studied when fed expressed breast milk either by bottle or at the breast. REE will be measured for 20 minutes after feeding. Breast milk quantity is evaluated by pre- and post feeding weighing.

Detailed Description

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Most VLBW infants cannot be fed at the breast upon birth, and expressed breast milk by gastric tube is thus recommended. Sucking skills mature at around 34 weeks when nipple-feeding is introduced. In the absence of evidence-based data to decide the best timing to introduce breastfeeding, many clinicians use empiric criteria, such as the infant's weight, gestational age, and the ability of infants to bottle feed as proxies of readiness to breastfeed. Despite some evidence of physiological benefits of preterm infants feeding at the breast, many neonatologists consider direct breastfeeding to be too fatiguing for preterm infants. It is not known, however, whether preterm infants who are breastfed expend more energy than bottle-fed infants

Conditions

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Preterm Infants

Study Design

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Observational Model Type

CASE_CROSSOVER

Study Time Perspective

PROSPECTIVE

Study Groups

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1

computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence

Way of Feeding - Breast feeding vs. Bottle feeding

Intervention Type OTHER

Each infant was evaluated twice, once after breastfeeding and once after bottle feeding of breast. Computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence

2

computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence

Way of Feeding - Breast feeding vs. Bottle feeding

Intervention Type OTHER

Each infant was evaluated twice, once after breastfeeding and once after bottle feeding of breast. Computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence

Breast - feeding first

computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence

Way of Feeding - Breast feeding vs. Bottle feeding

Intervention Type OTHER

Each infant was evaluated twice, once after breastfeeding and once after bottle feeding of breast. Computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence

Bottle first

computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence

Way of Feeding - Breast feeding vs. Bottle feeding

Intervention Type OTHER

Each infant was evaluated twice, once after breastfeeding and once after bottle feeding of breast. Computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence

Way of feeding

Each infant is evaluated twice, once after breastfeeding and once after bottle feeding of breast milk using a Premature Nipple \& Ring (Ross Products Division, Columbus OH, USA). In this way, each infant serves as its own control. REE is recorded for 20 minutes after each meal

Way of Feeding - Breast feeding vs. Bottle feeding

Intervention Type OTHER

Each infant was evaluated twice, once after breastfeeding and once after bottle feeding of breast. Computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence

Interventions

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Way of Feeding - Breast feeding vs. Bottle feeding

Each infant was evaluated twice, once after breastfeeding and once after bottle feeding of breast. Computer-generated random numbers in sealed opaque envelopes to assign the breast/bottle sequence

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Thermally stable infants were nursed in an open and unwarmed bassinet.
* All fed solely by their mothers' breast milk equivalent to at least 150 cc/kg/day divided into eight meals and growing steadily

Exclusion Criteria

* Infants with congenital anomalies and infants who had either more than five daily episodes of apnea of prematurity or any apnea requiring assistance or methylxanthine therapy
Minimum Eligible Age

34 Weeks

Maximum Eligible Age

40 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tel-Aviv Sourasky Medical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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Tel-Aviv Sourasky Medical Center

Principal Investigators

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Irit Berger, MD

Role: PRINCIPAL_INVESTIGATOR

Locations

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Department of Neonatology, Tel Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status

Sourasky Medical Center

Tel Aviv, , Israel

Site Status

Countries

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Israel

References

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Berger I, Weintraub V, Dollberg S, Kopolovitz R, Mandel D. Energy expenditure for breastfeeding and bottle-feeding preterm infants. Pediatrics. 2009 Dec;124(6):e1149-52. doi: 10.1542/peds.2009-0165. Epub 2009 Nov 23.

Reference Type DERIVED
PMID: 19933725 (View on PubMed)

Other Identifiers

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920060356

Identifier Type: -

Identifier Source: org_study_id

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