Comparison of the Effects of Oral Stimulation and Non-nutritive Sucking Practices

NCT ID: NCT05249179

Last Updated: 2022-02-21

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-01

Study Completion Date

2024-08-01

Brief Summary

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This study, it was aimed to compare the effects of oral stimulation and non-nutritive sucking practices on the transition to full oral feeding in babies with a gestational age of 26-32 weeks. Non-oral feeding methods are frequently used in babies born prematurely since sucking and sucking-swallowing coordination have not yet developed. While some premature babies gain the sucking and swallowing reflexes faster, some of them cannot develop this reflex for a long time, so the length of hospital stay is prolonged. All infants who can be fed completely enterally (PMA \>29 weeks) will be randomized into 4 groups as oral stimulation (group 1), pacifier (group 2), oral stimulation + pacifier (group 3), and control group by using a stratified blocked randomization method with a block size of 4. Stratification on GA (26-27, 28-29, 30-32 weeks GA) was used to ensure that the groups had similar gestational age distribution. The time of the patients to start breastfeeding and the length of hospital stay (days) will be compared.

Detailed Description

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Conditions

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Premature Nutrition Disorders Sucking Behavior

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Group 1 (Oral stimulation)

The group that will receive oral stimulation with the Backman method once a day from the 29th week

Group Type EXPERIMENTAL

Oral stimulation

Intervention Type OTHER

Infants in groups 1 and 3 will receive a prefeeding oral stimulation program once a day, 15 to 30 minutes before a tube feeding. Oral stimulation programs will be delivered by trained nurses or pediatric physical therapies. Nurses will be trained to deliver the stimulation program to the infants, by a member from the pediatric physical therapies medical staff, before the beginning of the study. Based on Backman's principles, the pre-feeding oral stimulation program consisted of a 12-minute stimulation program that included stroking the cheeks, lips, gums, and tongue.

Group 2 (Pacifier)

The group that will be given a pacifier three times a day from the 29th week

Group Type EXPERIMENTAL

Pacifier

Intervention Type OTHER

Preterm infants in Groups 2 and 3 will suck a pacifier 3 times a day (09:00, 12:00, 15:00) for 3 minutes before feeding and then they will be fed with the O/G feeding tube.

Group 3 (oral stimulation + pacifier)

Starting from the 29th week, the group will be given a pacifier three times a day and a Backman oral stimulation will be applied once a day.

Group Type EXPERIMENTAL

Pacifier

Intervention Type OTHER

Preterm infants in Groups 2 and 3 will suck a pacifier 3 times a day (09:00, 12:00, 15:00) for 3 minutes before feeding and then they will be fed with the O/G feeding tube.

Oral stimulation

Intervention Type OTHER

Infants in groups 1 and 3 will receive a prefeeding oral stimulation program once a day, 15 to 30 minutes before a tube feeding. Oral stimulation programs will be delivered by trained nurses or pediatric physical therapies. Nurses will be trained to deliver the stimulation program to the infants, by a member from the pediatric physical therapies medical staff, before the beginning of the study. Based on Backman's principles, the pre-feeding oral stimulation program consisted of a 12-minute stimulation program that included stroking the cheeks, lips, gums, and tongue.

Group 4 (Enteral feeding by tube)

The group fed enterally by tube in routine practice, in which no intervention will be made.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Pacifier

Preterm infants in Groups 2 and 3 will suck a pacifier 3 times a day (09:00, 12:00, 15:00) for 3 minutes before feeding and then they will be fed with the O/G feeding tube.

Intervention Type OTHER

Oral stimulation

Infants in groups 1 and 3 will receive a prefeeding oral stimulation program once a day, 15 to 30 minutes before a tube feeding. Oral stimulation programs will be delivered by trained nurses or pediatric physical therapies. Nurses will be trained to deliver the stimulation program to the infants, by a member from the pediatric physical therapies medical staff, before the beginning of the study. Based on Backman's principles, the pre-feeding oral stimulation program consisted of a 12-minute stimulation program that included stroking the cheeks, lips, gums, and tongue.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Preterm babies born between 26-32 weeks (including 26 and 32 weeks)

Exclusion Criteria

* Babies with congenital anomalies
* Babies born with asphyxia
* Babies with major GIS anomalies
* Babies who have undergone major GIS surgery
Maximum Eligible Age

6 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ankara City Hospital Bilkent

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nilgün Altuntas, Proff

Role: STUDY_DIRECTOR

Ankara Bilkent Central Hospital, Neonatal Unit

Suna S Oguz, Proff

Role: STUDY_DIRECTOR

Ankara Bilkent Central Hospital, Neonatal Unit

Mustafa S Akin, Specialist

Role: STUDY_DIRECTOR

Ankara Bilkent Central Hospital, Neonatal Unit

Central Contacts

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Mustafa S Akin, Specialist

Role: CONTACT

+90 555 876 05 85

Other Identifiers

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E2-21-883

Identifier Type: -

Identifier Source: org_study_id

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