Effect of Non-nutritive Sucking on Feeding Intolerance

NCT ID: NCT06065839

Last Updated: 2024-08-19

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

RECRUITING

Clinical Phase

NA

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-20

Study Completion Date

2024-08-16

Brief Summary

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The design of this study is an experimental research design, and the research subjects who meet the conditions of acceptance will be used as randomized controlled trials. Cases meeting the sampling conditions in the neonatal intensive care unit were stratified according to birth weeks (26 to 27+6 weeks and 28 to 31+6 weeks), and then randomly assigned to experimental group A (non-nutritive sucking 5 minutes), experimental group B (non-nutritive sucking for 15 minutes) and control group (no non-nutritive sucking). The variables controlled in this study were gestational weeks, birth weight, sex, Apgar score, respirator use, and type of milk fed. The premature infants in the experimental group were given non-nutritive sucking before the first tube-feeding and the feeding volume reached 10mL/kg/day, while the control group was not given non-nutritive sucking before tube-feeding.

The interventional measures adopted in this study were set as two meals a day before 17:00, and the patients were force-fed every three hours, and the time interval between the two interventional measures was every six hours (intervention measures were provided every other meal) , the measurement time, times and intervals of the two groups are the same. Experimental group A was given pacifier NNS 5 minutes before each feeding, experimental group B was given pacifier NNS 15 minutes before each feeding, while the control group was not given NNS before feeding, and the two groups were given 150 minutes after feeding (ie 30 minutes before the next force-feeding) to monitor gastric residual volume, changes in abdominal circumference, and vomiting. Since FI mainly occurred 48-72 hours after the start of feeding, the duration of this study was 3 consecutive days to compare with the control group.

The acceptance conditions of the research objects are: 1. Premature infants whose gestational age is more than 26 weeks (inclusive) to less than 32 weeks, 2. Premature neonates who have been placed with orogastric tube or nasogastric tube for force-feeding, 3. No congenital gastrointestinal tract Abnormal, 4. No serious congenital abnormalities and heart disease, no cleft lip and palate, 5. Never received stomach or intestinal surgery, 6. No central nervous system damage, 7. With the consent of their parents or guardians, and fill out the consent form By. If the condition is unstable during the course of the case, including severe hypoxemia, hypotension, esophageal perforation, necrotic enteritis, sepsis caused by infection, and grade 3-4 intraventricular hemorrhage, etc., they will be excluded.

Detailed Description

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Conditions

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Non-nutritive Sucking

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Control group

non-nutritive sucking was not given before feeding

Group Type NO_INTERVENTION

No interventions assigned to this group

Experimental group A

Give pacifier non-nutritive sucking for 5 minutes before feeding

Group Type ACTIVE_COMPARATOR

non-nutritive sucking 5 minutes

Intervention Type OTHER

Give pacifier non-nutritive sucking for 5 minutes before feeding

Experimental group B

Give pacifier non-nutritive sucking for 15 minutes before feeding

Group Type PLACEBO_COMPARATOR

non-nutritive sucking 15 minutes

Intervention Type OTHER

Give pacifier non-nutritive sucking for 15 minutes before feeding

Interventions

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non-nutritive sucking 5 minutes

Give pacifier non-nutritive sucking for 5 minutes before feeding

Intervention Type OTHER

non-nutritive sucking 15 minutes

Give pacifier non-nutritive sucking for 15 minutes before feeding

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Premature infants whose gestational age is more than 26 weeks (inclusive) to less than 32 weeks
* Premature neonates who are force-fed with orogastric or nasogastric tubes
* No congenital gastrointestinal abnormalities
* No serious Congenital anomalies and heart disease, no cleft lip and palate
* Never received stomach or intestinal surgery
* No central nervous system damage
* With the consent of their parents or guardians, and fill out the consent form.

Exclusion Criteria

* Severe hypoxemia
* Severe hypotension
* Esophageal perforation
* Necrotic enteritis
* Infection-induced sepsis
* 3-4 grades of ventricular hemorrhage
Minimum Eligible Age

26 Weeks

Maximum Eligible Age

32 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Chang Gung Memorial Hospital

OTHER

Sponsor Role lead

Responsible Party

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HUANG, YU-TING

Chang Gung Memorial Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yu-Ting HUANG, BSN

Role: PRINCIPAL_INVESTIGATOR

Chang Gung Memorial Hospital

Shi-Fang TSENG, BSN

Role: STUDY_CHAIR

Chang Gung Memorial Hospital

Jian-Tao LEE, PhD

Role: STUDY_DIRECTOR

Chang Gung University

Locations

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Chang Gung Memorial Hospital

Taoyuan District, Kwei-Shan District, Taiwan

Site Status RECRUITING

Countries

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Taiwan

Central Contacts

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Yu-Ting HUANG, BSN

Role: CONTACT

+886975832680

Yu-Ting HUANG, BSN

Role: CONTACT

+88633281200 ext. 8626

Facility Contacts

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Yu-Ting HUANG, BSN

Role: primary

+88633281200 ext. 8626

References

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Bernbaum JC, Pereira GR, Watkins JB, Peckham GJ. Nonnutritive sucking during gavage feeding enhances growth and maturation in premature infants. Pediatrics. 1983 Jan;71(1):41-5.

Reference Type BACKGROUND
PMID: 6401358 (View on PubMed)

Szabo JS, Hillemeier AC, Oh W. Effect of non-nutritive and nutritive suck on gastric emptying in premature infants. J Pediatr Gastroenterol Nutr. 1985 Jun;4(3):348-51. doi: 10.1097/00005176-198506000-00004.

Reference Type BACKGROUND
PMID: 4020566 (View on PubMed)

Foster JP, Psaila K, Patterson T. Non-nutritive sucking for increasing physiologic stability and nutrition in preterm infants. Cochrane Database Syst Rev. 2016 Oct 4;10(10):CD001071. doi: 10.1002/14651858.CD001071.pub3.

Reference Type RESULT
PMID: 27699765 (View on PubMed)

Marchini G, Lagercrantz H, Feuerberg Y, Winberg J, Uvnas-Moberg K. The effect of non-nutritive sucking on plasma insulin, gastrin, and somatostatin levels in infants. Acta Paediatr Scand. 1987 Jul;76(4):573-8. doi: 10.1111/j.1651-2227.1987.tb10523.x.

Reference Type RESULT
PMID: 2888258 (View on PubMed)

Widstrom AM, Marchini G, Matthiesen AS, Werner S, Winberg J, Uvnas-Moberg K. Nonnutritive sucking in tube-fed preterm infants: effects on gastric motility and gastric contents of somatostatin. J Pediatr Gastroenterol Nutr. 1988 Jul-Aug;7(4):517-23. doi: 10.1097/00005176-198807000-00007.

Reference Type RESULT
PMID: 2899621 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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202201089A3

Identifier Type: -

Identifier Source: org_study_id

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