Effects of Probiotics on Neonatal Hyperbilirubinemia

NCT ID: NCT02807246

Last Updated: 2016-06-21

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

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2016-02-29

Brief Summary

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This study was designed as a prospective controlled study to investigate the effects of probiotic support started immediately after birth on newborn jaundice in breastfed babies born by normal spontaneous vaginal delivery.

Detailed Description

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Objectives: Enterohepatic circulation of bilirubin imposes an extra burden of approximately 30% on total serum bilirubin levels. Intestinal microflora is the main factor affecting enterohepatic circulation. This study investigated the effects of probiotic support started immediately after birth on neonatal hyperbilirubinemia in babies born by normal spontaneous vaginal delivery and breastfed only.

Methods: A total of 150 healthy term newborns were included in the study and allocated in the study and control groups. Immediately after birth, newborns in the study group received probiotic in liquid drop form (Maflor® drops containing Lactobacillus Rhamnosus GG 109 Colony Forming Units(CFU), Mamsel Pharmaceuticals, Turkey), at a dose of 5 drops a day orally for 10 days. Newborns in the control group received 5 drops of saline solution per day orally, instead. In addition to routine biochemical examinations;serum bilirubin levels in the cord blood, and blood samples of the newborns on the 3rd, 5th and 10th days of birth were measured in all subjects in both groups. Defecation frequency was recorded for all subjects.

Conditions

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Neonatal Hyperbilirubinemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Probiotic

Experimental: Breast milk+ Probiotics(Maflor®, Mamsel Pharmaceuticals, Turkey) The study group will be fed with probiotics at a dose of 1x109 CFU/day (Lactobacillus rhamnosus GG 109colony ). Probiotic is in a liquid drop form at a dose of 5 drops a day and is used orally for 10 days.

Group Type ACTIVE_COMPARATOR

Maflor®, Mamsel Pharmaceuticals, Turkey

Intervention Type BIOLOGICAL

Dietary Supplement: Probiotics probiotics at a dose of 1x109 CFU/day. (Maflor®, Lactobacillus rhamnosus GG 109 CFU, Mamsel Pharmaceuticals, Turkey)

Other Name: Maflor®

Saline

Active Comparator: Breast milk+five drops of saline The control group will be given Breast milk without the addition of probiotics

Group Type ACTIVE_COMPARATOR

drops of saline

Intervention Type OTHER

Dietary Supplement: Breast milk +drops of saline

Interventions

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Maflor®, Mamsel Pharmaceuticals, Turkey

Dietary Supplement: Probiotics probiotics at a dose of 1x109 CFU/day. (Maflor®, Lactobacillus rhamnosus GG 109 CFU, Mamsel Pharmaceuticals, Turkey)

Other Name: Maflor®

Intervention Type BIOLOGICAL

drops of saline

Dietary Supplement: Breast milk +drops of saline

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* A total of 150 full-term (gestational age ≥37 - \<42 weeks) normal spontaneous vaginal delivery healthy newborns
* Birth weight between the 10th-90th percentiles
* Fed by breast milk only

Exclusion Criteria

* Newborns with familial hematologic disorders
* Having signs of hemolysis due to blood group incompatibilities
* Bleeding into closed spaces due to birth trauma complications (e.g. cephalohematoma)
* Suspected or documented neonatal infection such as chorioamnionitis, intrauterine infection, sepsis and urinary tract infection
* Perinatal and neonatal hypoxia
* Having thyroid dysfunction, respiratory distress or insufficiency, metabolic and thermoregulatory dysfunction, hemodynamic instability and congenital heart disease
* Maternal phenobarbital usage history during the last month of the pregnancy
* Having venous hematocrit (Htc) levels≥65%
Minimum Eligible Age

1 Day

Maximum Eligible Age

10 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Karadeniz Technical University

OTHER

Sponsor Role lead

Responsible Party

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Mehmet Mutlu, MD

Assoc. Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yakup Aslan

Role: STUDY_CHAIR

Division of Neonatology, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey

Other Identifiers

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2014/115 24237859-120

Identifier Type: -

Identifier Source: org_study_id

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