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Trial registered on ANZCTR
Registration number
ACTRN12611000944932
Ethics application status
Approved
Date submitted
12/08/2011
Date registered
1/09/2011
Date last updated
7/09/2023
Date data sharing statement initially provided
7/09/2023
Date results provided
7/09/2023
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effect of position during bottle feeding on physiological stability in preterm infants
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Scientific title
Effect of position during bottle feeding on physiological stability in preterm infants
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Secondary ID [1]
262824
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
prematurity
270547
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Condition category
Condition code
Respiratory
270559
270559
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0
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Normal development and function of the respiratory system
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Other
270705
270705
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0
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Conditions of unknown or disputed aetiology (such as chronic fatigue syndrome/myalgic encephalomyelitis)
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Reproductive Health and Childbirth
270871
270871
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0
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Complications of newborn
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Side-lying position for bottle feeding two bottle feeds will be studied. One feed will be given with the side-lying position and one feed will be given with the standard cradle hold position. The order of the feeds will be randomised. Feeds will be given by the infant's parent or by a nurse accredited to give study feeds. There will be at least 12 hours between the two study feeds
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Intervention code [1]
269316
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Treatment: Other
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Comparator / control treatment
One feed will be given with the side-lying position and one feed will be given with the standard cradle hold position. The order of the feeds will be randomised. Feeds will be given by the infant's parent or by a nurse accredited to give study feeds. There will be at least 12 hours between the two study feeds
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Control group
Active
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Outcomes
Primary outcome [1]
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Oxygen saturation measured by a pulse oximeter
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Assessment method [1]
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Timepoint [1]
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Every 5 mins during the feed and then every 10 mins until 60 minutes after the feed
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Primary outcome [2]
269302
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Heart rate measured by a pulse oximeter.
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Assessment method [2]
269302
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Timepoint [2]
269302
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Every 5 mins during the feed and then every 10 mins until 60 minutes after the feed
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Primary outcome [3]
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Respiratory rate
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Assessment method [3]
269420
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Timepoint [3]
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This will be measured by the researcher counting the infants respirations every 5 mins during the feed and then every 10 mins until 60 minutes after the feed
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Secondary outcome [1]
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Efficiency of feeding method defined as the volume of milk consumed in mls/kg by the infant.
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Assessment method [1]
287594
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Timepoint [1]
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30 minutes from the start of the bottle feed
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Eligibility
Key inclusion criteria
Infants less than 34 weeks gestation at birth
Infants who were born less than 34weeks at birth and at the time of the first study feed are greater than 34 weeks corrected gestation.
Infants must be having at least two suck feeds per day and less than four suck feeds per day. The number of suck feeds per day can be a combination of breast or bottle feeds
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Minimum age
23
Weeks
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Maximum age
33
Weeks
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Serious illness precluding bottle feeds
Craniofacial/structural abnormalities
Transfer to another hospital planned or likely during the study period
Parents unable to speak or read Englishe
Bottle feeds given with a special needs feeder
Parents do not agree to their infant receiving bottle feeds
Infants having more than four suck feeds per day
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
numbered sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random sized block randomisation
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
4/08/2011
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Actual
29/08/2011
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Date of last participant enrolment
Anticipated
29/08/2011
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Actual
29/11/2011
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Date of last data collection
Anticipated
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Actual
21/02/2012
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Sample size
Target
30
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Accrual to date
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Final
30
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
269648
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Primary sponsor type
Hospital
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Name
The Royal Women's Hospital
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Address
Cnr Grattan St & Flemington Road
Parkville Victoria 3052
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
266680
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Address [1]
266680
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Country [1]
266680
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Royal Women's Hospital Research Ethics Committee
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Ethics committee address [1]
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Cnr Grattan St & Flemington Road Parkville Victoria 3052
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
269595
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Approval date [1]
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24/06/2011
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Ethics approval number [1]
269595
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11/17
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Summary
Brief summary
Recently some neonatal intensive care units have adopted the side lying position for bottle feeding preterm babies. It is thought that there may be a benefit in preterm babies’ bottle feeding in this way. The usual method to give a bottle feed is with a cradle hold. We think that the side lying position more closely resembles the position babies adopt for breastfeeding. Some clinicians have observed that some preterm babies appear to feed better in the side lying position as they seem to be better able to regulate the flow of milk and have been shown to have a more stable heart rate and to be able to breathe better in this feeding position. There is a small amount of evidence to show that the side lying position may have some benefits when bottle feeding preterm infants. However, there are no good studies comparing the effect of the two bottle feeding positions, side lying versus the cradle hold. The aim of this study is to investigate the two bottle feeding positions in a small group of preterm infants. We want to find out if one position is better than the other in terms of a baby’s breathing and heart rate during the feed.
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Trial website
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Trial related presentations / publications
Publications arising from the study: Dawson JA, Myers LR, Moorhead A, Jacobs SE, Ong K, Salo F, Murray S, Donath S, Davis, PG A Randomised trial of two techniques for bottle feeding preterm infants. Accepted for publication Journal of Paediatrics and Child Health Presentations arising from the study: Perinatal Society for Australia and New Zealand Annual Congress Sydney 2012 (Poster) Victorian Association for Neonatal Nursed Annual Conference, Melbourne 2012 ( platform presentation European Society for Paediatric Research, Istanbul 2012, (Poster and platform presentation)
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Public notes
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Contacts
Principal investigator
Name
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Dr Jennifer Dawson
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Address
32931
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The Royal Women's Hospital
20 Flemington Road
parkville, Victoria, 3052
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Country
32931
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Australia
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Phone
32931
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+61 3 8345 3791
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Fax
32931
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Email
32931
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[email protected]
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Contact person for public queries
Name
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Dr Jennifer Dawson
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Address
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Newborn Research
The Royal Women's Hospital
Cnr Grattan St & Flemington Road
Parkville, Victoria, 3052
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Country
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Australia
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Phone
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+61 03 8345 3791
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Fax
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+61 03 8345 3789
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Jennifer Dawson
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Address
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Newborn Research
The Royal Women's Hospital
Cnr Grattan St & Flemington Road
Parkville, Victoria, 3052
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Country
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Australia
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Phone
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+61 03 8345 3791
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Fax
7106
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+61 03 8345 3789
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Email
7106
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Trial completed before ICMJE policy change
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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