The primary objectives of this trial are: * to show differences in the colonization of the gastrointestinal tract with the bacteria Bifidobacterium sp. between infants born by normal or caesarean delivery, fed with the test or a control product * to investigate whether there is equivalence in growth between the four different groups of infant described above.
The primary objectives of this trial are: * to show differences in the colonization of the gastrointestinal tract with the bacteria Bifidobacterium sp. between infants born by normal or caesarean delivery, fed with the test or a control product * to investigate whether there is equivalence in growth between the four different groups of infant described above. Design: This is a controlled, double blind, randomized, multi center, clinical trial of 4 groups in parallel. Two groups of infants (born from normal or caesarean delivery) will each consume one of 2 milk formulae. Number of patients (to be enrolled / to be analyzed): Approximately 450 / 240 Stratification will be done by gender and delivery mode. Description of subjects and main criteria for inclusion: Healthy full term infants born from HIV positive mothers who have elected to feed their child exclusively with a milk formula from birth. Children born after normal or caesarean delivery will be considered separately.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
QUADRUPLE
Enrollment
430
Witswatersrand University
Johannesburg, Parktown, South Africa
Chris Hani Baragwanath Hospital
Bertsham, South Africa
Rahima Moosa Mother and Child Hospital
Johannesburg, South Africa
differences in the colonization of the gastrointestinal tract with the bacteria Bifidobacterium sp. between infants born by normal or caesarean delivery, fed with the test or a control product
Time frame: 3 days, 10 days, 1 month, and 3 months of age of the infant
• Mean weight gain (g/day)
Time frame: over 112 days
body composition by DEXA
Time frame: 4 month and 12 month of life
Digestive tolerance (stool characteristics and frequency, vomiting, regurgitation, frequency of colic)
Time frame: 10 days, 1 month, 6 weeks, 3 month and 4 month of life
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