Checking of gastric residuals prior to the continuation/increase of enteral feeding prolongs the time to establish full gastric feeding in the early postnatal period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
87
Discontinuation of gastric feeding and its advancement will be based on clinical examination of the abdomen and gastric aspirates containing blood or significant vomiting.
Discontinuation of gastric feeding and its advancement will be based on current practice of clinical examination of the abdomen and checking residual before every feed. Volume and color of gastric residual will be considered according to the current guideline.
McMaster Children's Hospital
Hamilton, Ontario, Canada
Time to reach full enteral feeding
Full enteral feeding is defned as an milk intake of equal or more than 120 ml/kg/d.
Time frame: from inclusion (during first 48h of life) until 1 month
growth, tolerance, morbidity
Time to regain birth weight and maintain weight gain. Incidence of sepsis from birth until 48 hours after parenteral nutrition was administered. Use of antibiotics. Incidence of feeding intolerance and necrotizing enterocolitis.
Time frame: from inclusion (during first 48h of life) until one month
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