The goal of this clinical trial is to compare modified feeding protocol and current feeding protocol on neonatal outcomes in preterm infants who born with weight less than 2kg. The main questions it aims to answer are: * Is Modified feeding protocol will decrease the duration of parenteral nutrition and length of hospital stay? * Is Modified feeding protocol feasible, efficient, and safe in preterm infants? Participants will undergo the modified feeding protocol since birth until discharge.
two group in this study Prospective group: intervention group will undergo the modified feeding protocol Retrospective group: intervention group will undergo the current feeding protocol Both group will have care as routine care to this kind of patients But the differ will be in feeding protocol as initiation rate, advancement rate, human milk fortification rate The outcomes of both group will be compeered to meet the study objectives
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
30
Initiation of feeding (fixed): 10cc/kg Advancement based on birthweight (fixed): \<750g: 15cc/kg/d 750-999g: 20cc/kg/d 1000-1249g: 25cc/kg/d 1250-1499g: 25cc/kg/d 1500-1749g: 35cc/kg/d 1750-2000g: 35cc/kg/d Starting Human milk fortification when feed reach at 70cc/kg/d
Maternity and Children Hospital
Dammam, Eastern Province, Saudi Arabia
Length of Stay (LOS)
Number of days that participant stayed at hospital
Time frame: Up to 8 weeks
Duration of Total Parenteral Nutrition (TPN)
Number of days that participant received Total Parenteral Nutrition (TPN)
Time frame: up to 2 weeks
Incidence of Necrotizing Enterocolitis
Stage 2, Stage 3
Time frame: Up to 8 weeks
Incidence of Feeding intolerance
abdominal grith more than 2 cm, gastric residual 50% of the last feed.
Time frame: Up to 8 weeks
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