The Effect of Oral Feeding Model With a Chronobiological Approach in Preterm Infants
Condition: Breastfeeding; Bottle Feeding; Preterm; Chronobiology Disorders
MeSH terms: Chronobiology Disorders; Premature Birth
Study type: Interventional

Summary: 
      As in healthy term babies, the ideal food for preterm infants and sick term babies is breast
      milk. There are many studies indicating that the composition of breast milk can vary from
      mother to mother, according to the gestational week of the baby and gender. In new researches
      on breast milk content; It is argued that breast milk is different during the day and at
      night, that the micro and macro nutrient content, hormones and some enzymes show different
      levels of secretion at different times of the day, and that breast milk has a circadian
      rhythm.

      This research is designed as a prospective, randomized, controlled type. The study will be
      carried out in order to evaluate the effect of Chronobiological Approach Nutrition Model
      application on baby's growth parameters and discharge time in preterm babies hospitalized in
      Neonatal Intensive Care Unit (NICU).

      Simple randomization method will be used for the study and the babies will be divided into
      intervention(n=40) and control groups(n=40). The research was carried out with 80 babies
      followed up in the neonatal intensive care unit.

      The milk of the intervention group patients will be matched circadian and given to the
      babies, the milk of the control group patients will be given without matching according to
      the clinical routine practice. Demographic data, anthropometric measurements (weight, height,
      head circumference of all babies will be recorded in the "Baby Monitoring Form" created by
      the researcher.
    

Detailed description: 
      Circadian fluctuations in breast milk content are very important in preterm infants fed with
      expressed breast milk. The composition of breast milk varies throughout the day. In the
      literature, there is no randomized controlled study suggesting that the breast milk of
      infants fed with expressed milk should be matched to the baby circadian. In this study, it
      was aimed to evaluate the effect of Chronobiological Approach Model application on preterm
      infants growth parameters and discharge time in feeding of preterm infants hospitalized in
      the neonatal intensive care unit . It is aimed to accelerate the growth of babies by making
      circadian matching to breast milk in feeding preterm infants and to increase the quality of
      nursing practices by reducing the length of hospital stay.
    

Intervention name(s): Chronobiological Approach Nutrition Model
Intervention type(s): Procedure
Intervention description(s): In the intervention group, a label containing the time of expressed breastmilk will be affixed. In the milk preparation room, breast milk will be stored in a separate refrigerator as 08:00-19:59 day milk and 20:00-07:59 night milk.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized Controlled two groups (control group and experimental group)
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: breastfeeding; preterm infants; chronobiological; Human milk; Circadian rhythm; neonate