Weight Gain Clinical Trial
Official title:
The Effect of a Continuous Milk Warming System on Feeding Tolerance and Growth Rates in Very Low Birth Weight Infants
This study will compare if using a continuous milk warmer to warm breast milk compared to the standard method of warming breast milk in a hot water bath improves weight gain and feeding tolerance in infants born at 32 weeks gestation or less over a ten-day period. The standard method does not keep the breast milk at a consistent temperature during the feeding. A continuous milk warmer maintains the breast milk at body temperature throughout the feeding. It is unknown which method improves weight gain and feeding tolerance in very low birth weight infants.
The aim of this randomized prospective quasi-experimental study is to determine if providing
body temperature breast milk feedings to very low birth weight infants through use of
continuous milk warmer improves feeding tolerance and weight gain compared to a standard milk
warming technique.
Warming breast milk in a hot water bath just prior to feeding prior to feeding in the
neonatal intensive care unit is a common practice. However, little evidence is available to
support a standard warming method. This method allows inconsistent temperatures at time of
feeding and progressive cooling of the milk during the feeding. No published study used a
continuous warming device that delivered milk at a consistent physiological temperature
throughout the feeding. The continuous warmer externally heats milk in the tubing just
posterior to the feeding tube to provide body temperature milk to the infant.
A convenience sample from the Children's Hospital at OU Medical Center of 50 very low birth
weight infants will be randomly assigned to either the experimental or control group for ten
days. The experimental group will receive warmed feedings through the duration of the feeding
through the use of the Guardian Warmerâ„¢, a continuous milk warming device. A control group
will receive breast milk feedings warmed using the standard milk warming methods. Feeding
tolerance and weight gain over the ten-day period will be used to evaluate the effectiveness
of continuous milk warming.
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