Amniotic fluid plays a significant role in fetal gut maturation and development. The human fetus swallows over 200 ml of amniotic fluid per kilogram of weight each day and such swallowing is essential for normal small bowel development.Growth factors found in the amniotic fluid have been shown to promote proliferation of fetal intestinal cells. As feeding intolerance is a common problem among neonates recovering from surgery for congenital bowel abnormalities, the investigators will study the role of enteral administration of simulated amniotic fluid solution in prevention of feeding intolerance and NEC in neonates recovering from GIT surgeries.
Neonates with congenital GIT anomalies will participate after being operated. Participants will be followed for the duration of hospital stay until discharge or death.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
40
simulated amniotic fluid 20cc/kg/day enterally for a maximum of 7 days.
distilled water 20 ml/kg/day for maximum of 7 days.
Ain Shams University
Cairo, Egypt
RECRUITINGSigns of feeding intolerance
Feeding intolerance defined as distended loops of bowel, bilious vomiting, large pre-feeding gastric residuals more than 20% of each feed, diarrhea, occult or gross blood in stools, abdominal wall erythema or ecchymosis
Time frame: through study completion, an average of 1 year
Necrotizing enterocolitis
• Clinical signs of suspected NEC (abdominal distension, increased volume of gastric aspirate, bile stained aspirate, and / or apnea or bradycardia), and Bell's modified criteria for staging (Bell et al., 1978).
Time frame: The outcome measure will be assessed within 2 months
hospital stay
duration on hospitalization
Time frame: through study completion, an average of 1 year
mortality
death
Time frame: he outcome measure will be assessed within 2 months
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