Nutrition Disorder, Infant Clinical Trial
— MILKOfficial title:
Macronutrients in Lactating NICU Parents - Impact of Kangaroo Care
NCT number | NCT06047470 |
Other study ID # | 1982835 |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | November 15, 2023 |
Est. completion date | October 2024 |
The goal of this clinical trial is to learn about the impact of Kangaroo Care (holding your baby skin-to-skin on your chest) in lactating parents with babies in the Neonatal Intensive Care Unit (NICU) that cannot directly breastfeed.
Status | Recruiting |
Enrollment | 25 |
Est. completion date | October 2024 |
Est. primary completion date | August 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years to 100 Years |
Eligibility | Inclusion Criteria: Lactating Parent/Infant Dyads: 1. Lactating parents of infants who are currently admitted to the UCDMC NICU and are expected to remain in the NICU for at least 2 weeks from study enrollment 2. Lactating parent is 18 years of age or older 3. Infant with prematurity or other conditions prohibiting nutritive feeding at the breast during the study period 4. Lactating parent plans to feed their infants breast milk for at least 1 month 5. Lactating parent is willing to refrain from tandem feeding another child during the study period 6. Willing to refrain from enrolling infant in an interventional research study that may impact growth or feeding tolerance during the study period 7. Lactating parent is willing to use a hospital grade pump available in the NICU to express milk for sample collection 8. Lactating Parent that is willing to travel to UCDMC on 4 occasions within a 10 day period for study visits Providers/staff: 1. Physicians, nurses, fellows, residents, and NICU staff involved in the implementation of Kangaroo care for the MILK study. Exclusion Criteria: 1. Infant less than 1 week of age at enrollment 2. Lactating parents expressing breast milk for more than one infant 3. Lactating parents who are currently or plan to tandem feed another child during the study period 4. Lactating parents that are participating in an interventional research study that could influence breast milk production. 5. Lactating parents with infants deemed by primary investigator/primary care team to be too unstable for kangaroo care 6. Lactating parents that are unwilling to participate in kangaroo care 7. Dyads that have participated in nutritive feeding at the breast 8. Lactating parents that use recreational drugs that contraindicate breastfeeding/provision of breast milk 9. Lactating parents taking therapies, supplements, or medications that are incompatible with breastfeeding/provision of breast milk to their infant 10. Lactating parents using, or planning to use, any over-the-counter or prescription medication for the purpose of increasing milk supply (including domperidone, fenugreek, turmeric, blessed milk thistle, Brewer's yeast, or lactation cookies) 11. Lactating parents that are involuntarily confined 12. Lactating parents that are adults unable to consent 13. Lactating parents unwilling to travel to UC Davis NICU for study visits 14. Anyone deemed unfit for participation by the investigator(s) |
Country | Name | City | State |
---|---|---|---|
United States | UC Davis | Sacramento | California |
Lead Sponsor | Collaborator |
---|---|
University of California, Davis |
United States,
Acuna-Muga J, Ureta-Velasco N, de la Cruz-Bertolo J, Ballesteros-Lopez R, Sanchez-Martinez R, Miranda-Casabona E, Miguel-Trigoso A, Garcia-San Jose L, Pallas-Alonso C. Volume of milk obtained in relation to location and circumstances of expression in mothers of very low birth weight infants. J Hum Lact. 2014 Feb;30(1):41-6. doi: 10.1177/0890334413509140. Epub 2013 Nov 8. — View Citation
Coskun D, Gunay U. The Effects of Kangaroo Care Applied by Turkish Mothers who Have Premature Babies and Cannot Breastfeed on Their Stress Levels and Amount of Milk Production. J Pediatr Nurs. 2020 Jan-Feb;50:e26-e32. doi: 10.1016/j.pedn.2019.09.028. Epub 2019 Oct 28. — View Citation
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Health WHOR, Organization WH, UNAIDS. Kangaroo Mother Care: A Practical Guide. World Health Organization; 2003.
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Mimouni FB, Lubetzky R, Yochpaz S, Mandel D. Preterm Human Milk Macronutrient and Energy Composition: A Systematic Review and Meta-Analysis. Clin Perinatol. 2017 Mar;44(1):165-172. doi: 10.1016/j.clp.2016.11.010. — View Citation
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* Note: There are 18 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Breast milk calories (kcal/dL) by kangaroo care intervention | The difference in expressed breast milk caloric composition/energy content) between samples collected after participating in kangaroo care and those collected after having no contact with the infant for at least 6 hours. | 10 days | |
Primary | Breast milk fat (g/dL) by kangaroo care intervention | The difference in expressed breast milk fat content between samples collected after participating in kangaroo care and those collected after having no contact with the infant for at least 6 hours. | 10 days | |
Primary | Breast milk protein (g/dL) by kangaroo care intervention | The difference in expressed breast milk protein content between samples collected after participating in kangaroo care and those collected after having no contact with the infant for at least 6 hours. | 10 days | |
Primary | Breast milk carbohydrate (g/dL) by kangaroo care intervention | The difference in expressed breast milk carbohydrate content between samples collected after participating in kangaroo care and those collected after having no contact with the infant for at least 6 hours. | 10 days | |
Primary | Breast milk volume in mL by kangaroo care intervention | The difference in expressed breast milk volume expression between samples collected after participating in kangaroo care and after having no contact with the infant for at least 6 hours. | 10 days | |
Primary | Implementation of scheduled Kangaroo Care Visits in the UC Davis NICU - KC time | Record minutes spent in Kangaroo Care during each study visit | 10 days | |
Primary | Implementation of scheduled Kangaroo Care Visits in the UC Davis NICU - KC incomplete | Record reasons for KC visits lasting less than 60 minutes - including infant causes (clinical instability, intolerance, technical issues with equipment) and parental causes (parental discomfort/anxiety, parental scheduling conflict, need to use restroom/express breast milk) | 10 days | |
Primary | Implementation of scheduled Kangaroo Care Visits in the UC Davis NICU - Parental attitudes | Qualitative survey (via zoom) of parents after study visit completion to better understand attitudes and experiences with scheduled Kangaroo Care visits. | 9 months | |
Primary | Implementation of scheduled Kangaroo Care Visits in the UC Davis NICU - Provider attitudes | Qualitative survey (via zoom) of NICU providers after participation in study visit completion to better understand attitudes and experiences with scheduled Kangaroo Care visits. | 9 months | |
Secondary | Duration of breast milk provision | Determine the length of time that breast milk is provided to the infant during the infant's hospital stay. | 9 months | |
Secondary | Infant growth (Birth weight and discharge weight in grams) during NICU hospitalization | Examine infant growth during NICU hospitalization, recording the birth weight and discharge weight | 9 months | |
Secondary | Infant growth (Birth length and discharge length in cm) during NICU hospitalization | Examine infant growth during NICU hospitalization, recording the birth weight and discharge weight | 9 months | |
Secondary | Infant growth (Birth head circumference and discharge head circumference in cm) during NICU hospitalization | Examine infant growth during NICU hospitalization, recording the birth weight and discharge weight | 9 months | |
Secondary | Infant growth (Birth weight z-score and discharge weight z-score) during NICU hospitalization | Examine infant growth during NICU hospitalization, recording the birth weight z-score and discharge weight z-score | 9 months | |
Secondary | Infant growth (Birth length z-score and discharge length z-score) during NICU hospitalization | Examine infant growth during NICU hospitalization, recording the birth weight z-score and discharge weight z-score | 9 months | |
Secondary | Infant growth (Birth head circumference z-score and discharge head circumference z-score) during NICU hospitalization | Examine infant growth during NICU hospitalization, recording the birth weight z-score and discharge weight z-score | 9 months |
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