Facilitate the Transition From Passive Feeding to Active Feeding in Preterm Infants Through Early Play

Study Overview
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Brief Summary
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The approach described here is based both on theoretical concepts and on the work of several teams of researchers. By positioning the baby and the appropriate adult, a speech bath, a sustained look and an expressive face, it is hypothesized that this early communication exercise will significantly improve the transition from passive feeding, active feeding of the premature child, from a qualitative and quantitative point of view.

Official Title
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Facilitate the Transition From Passive Feeding to Active Feeding in Preterm Infants Through Early Play

Conditions
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Immature Newborn, Feeding Behavior

Intervention / Treatment
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* Behavioral: Implementation of ALIJEU


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age of child at birth: <32 WA justified by the greater prevalence of oral disorders in these children. Age of the child at the start of the study: 35 WA, ie at the beginning of the establishment of active feeding within the unit. Exclusion Criteria: Children with oral malformations Contra-indication to the realization to the ALIJEU (infection in progress, hemodynamic instability, etc.) Medical contraindications to oral diet

Ages Eligible for Study
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Maximum Age: 4 Weeks

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental group<br>patient who can benefit from the ALIJEU for certain meals | Behavioral: Implementation of ALIJEU<br>* The intervention concerns the passage from the passive feed (gastric tube) to the active feed (breast, feeding bottle). We propose to set up a pleasant moment just before his meal. This is a practical exercise of a few minutes. The aim of this special moment is to facilitate child-adult exchanges, improve active food intake and reduce the length of hospital stay.<br>|
| Group of witnesses<br>patient who did not benefit from the ALIJEU | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| age at the stoppage of enteral nutrition |  | 37 weeks of gestation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Duration of feeding | Duration of the feeding in case of early game play | 37 weeks of gestation | 
| Quantities drunk | Evaluate the quantities drunk in case of early game play | 37 weeks of gestation | 
| Awakening | Duration of the the newborn's waking state at the time of suckling | 37 weeks of gestation | 
| Visual analogic scale for Satisfaction from 0 to 10 | Assessing the satisfaction of the ALIJEU practice for the mother and the care team | 37 weeks of gestation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Feeding Behavior