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Position DifferencesCRADLENCT06759285

Effect of Cradle Position During Orogastric Tube Feeding on Comfort, Physiological Parameters and Vomiting

A study testing Experimental (cradle position) in people with Position Differences and Nutrition, run by Selcuk University at 2 sites in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The study was planned to determine the effect of the cradle position applied during orogastric tube feeding in premature newborns on comfort, physiological parameters and vomiting frequency. Read more about this study

Who is it for?
Ages 32 to 36 weeks
Conditions the study is for
Position Differences, Nutrition, Nursing Care
What is being tested?
Experimental (cradle position)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
2 sitesTurkey (Türkiye)
Study dates
15 Jan 2024to 10 Dec 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 32 to 36 weeks
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Having a feeding frequency of every 3 hours,
  • Having a birth weight of 1000 grams and above,
  • Having an indication for intermittent feeding (bolus) with OGT,
  • Being placed in a bed,
  • Not having a condition that prevents giving the cradle position (having undergone surgery, having a congenital anomaly, etc.)
  • Having stable physiological parameters,
  • Babies whose mothers were not with them during feeding (having undergone surgery, receiving inpatient treatment, being discharged and out of town, not wanting to be held during feeding, etc.) were included in the study.

Who cannot join

  • • Continuous infusion, slow bolus feeding or parenteral nutrition method used for feeding,
  • Switching to full oral feeding,
  • Having nasal obstruction,
  • Receiving oxygen therapy, mechanical ventilation/CPAP support during the study period,
  • Receiving medication affecting gastrointestinal function during the study period (drugs that increase gastrointestinal tract motility and facilitate gastric emptying and gastrointestinal passage of nutrients, and drugs that decrease gastrointestinal tract motility).
  • Any medical diagnosis determined other than prematurity (Congenital anomaly, metabolic disease, asphyxia, sepsis, hyperbilirubinemia, intracranial hemorrhage and gastrointestinal hemorrhage, anatomic gastrointestinal anomaly, gastrointestinal disease, infection, frequent vomiting, distension).

Trial locations and contacts

2 sites in 1 country.

Turkey (Türkiye)2 sites
  • Sibel Kucukoglu

    Konya, 42100

  • Sibel Küçükoğlu

    Selçuklu, Akademi Mahallesi

Other trials in Turkey (Türkiye)

About this study

Official title: Effect of Cradle Position on Comfort, Physiological Parameters and Vomiting Frequency in Premature Neonates During Orogastric Tube Feeding: A Randomized Controlled Trial

The study was planned to determine the effect of the cradle position applied during orogastric tube feeding in premature newborns on comfort, physiological parameters and vomiting frequency.

Hypotheses of the Study H1: The cradle position applied to premature newborns during orogastric tube feeding; H1a: It affects the comfort level compared to the control group. H1b: It affects physiological parameters compared to the control group. H1c: It affects the vomiting frequency compared to the control group.

Read the detailed description

It is reported that the cradle position is the most preferred position by mothers during the breastfeeding process. The cradle position is a position where the mother holds the baby in her arms, the baby's head is placed on the inside of the mother's arm-elbow area, the baby's whole body is turned towards the mother, the baby's head is in line with the mother's breast, and the mother and the baby are in intense interaction. Although it is the most preferred position for breastfeeding, no study has been found in the literature evaluating the effect of the cradle position given during OGT feeding on the comfort level, physiological parameters and vomiting frequency of premature babies. For this reason, it is thought that it can be a supportive position that can be used by both neonatal nurses and mothers who are with their babies during the OGT feeding process for newborns preparing for the breastfeeding process in NICUs. It is thought that the study results will guide health workers and researchers regarding the supportive positions that should be given during newborn feeding.

Being tested
Experimental (cradle position)
Keywords
Preterm, Nutrition, Cradle position, Comfort, Vital signs, vomiting
Medical subject headings
Premature Birth, Vomiting

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Experimental (cradle position)Behavioural

    The newborn in cot bed was swaddled freely with the help of a thin blanket during feeding. Then, the nurse, wearing a box apron, took the baby in her arms and gave it a cradle position. The baby's physiological parameters and Comfort Scale were filled in before feeding began. The baby was kept in a cradle position on the researcher's lap during feeding. Immediately after feeding, without changing the baby's position, the physiological parameters and Comfort Scale were evaluated a second time, and again 15 minutes after feeding, without changing the position, the physiological parameters and Comfort Scale were evaluated a third time and recorded. Then, the baby was gently and slowly laid down on the denim bed as usual (right lateral).

Study groups in NCT06759285
Study groupRoleWhat they receive
Cradle positionExperimentalThe newborns in this group were swaddled and fed by being held in a cradle position on the nurse's lap during orogastric tube feeding.
Receives: Behavioral: Experimental (cradle position)
Control GroupNo interventionThe newborns in this group were fed with an orogastric tube, in the supine position on a flat bed, with the head elevated, as is routine practice.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Newborn Information Form

    This form was created by the researcher in accordance with the literature. The baby's gender, gestational week, birth weight, 1st and 5th APGAR Scores, postnatal day of study, corrected week, weight, amount of food and type of food were questioned.

    Measured: First measurement:After admission in NICU 30th minutes

  2. Physiological Parameter Follow-up Form (Heart rate-min)

    The heart rate was measured after the baby was picked up and placed in the cradle position, just before orogastric tube feeding.

    Measured: First feeding first measurement: 1 min before feeding

  3. Physiological Parameter Follow-up Form (Respiration rate- min)

    Respiration rate was measured after the baby was picked up and placed in the cradle position, just before orogastric tube feeding.

    Measured: First feeding first measurement: 1 min before feeding

  4. Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)

    Oxygen saturation was measured after the baby was picked up and placed in the cradle position, just before orogastric tube feeding.

    Measured: First feeding first measurement: 1 min before feeding

  5. Vomiting frequency tracking form

    The frequency of the baby's vomiting was recorded.

    Measured: First feeding first measurement: 1 min before feeding

  6. Stool amount tracking form

    The baby's stool volume was recorded.

    Measured: First feeding first measurement: 1 min before feeding

  7. Physiological Parameter Follow-up Form (Body temperature- 0C)

    Body temperature was measured after the baby was picked up and placed in the cradle position, just before orogastric tube feeding.

    Measured: First feeding first measurement: 1 min before feeding

  8. Abdominal Circumference Follow-up Form

    Abdominal circumference was measured while the baby was in bed, before the first feeding, and just before the nurse picked her/his up.

    Measured: First feeding first measurement: 1 min before feeding

  9. Neonatal Comfort Behavior Scale

    The first measurement was taken after the baby was picked up and just before starting to feed.

    Measured: First feeding first measurement: 1 min before feeding

Secondary outcomes (46)
  1. Physiological Parameter Follow-up Form (Heart rate-min)

    The heart rate was measured a second time immediately after feeding while the baby was in the cradle position in the nurse's arms.

    Measured: First feeding second measurement: 1 min after feeding

  2. Physiological Parameter Follow-up Form (Respiration rate- min)

    Respiration rate was measured a second time immediately after feeding while the baby was in the cradle position in the nurse's arms.

    Measured: First feeding second measurement: 1 min after feeding

  3. Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)

    Oxygen saturation was measured a second time immediately after feeding while the baby was in the cradle position in the nurse's arms.

    Measured: First feeding second measurement: 1 min after feeding

  4. Physiological Parameter Follow-up Form (Body temperature- 0C)

    Body temperature was measured a second time immediately after feeding while the baby was in the cradle position in the nurse's arms.

    Measured: First feeding second measurement: 1 min after feeding

  5. Neonatal Comfort Behavior Scale

    The second measurement was taken immediately after feeding with the baby in the cradle position.

    Measured: First feeding second measurement: 1 min after feeding

  6. Physiological Parameter Follow-up Form (Heart rate-min)

    The heart rate was measured for the third time at 15 minutes after feeding, while the baby was in the nurse's arms in the cradle position.

    Measured: First feeding third measurement: 15 min after feeding

  7. Physiological Parameter Follow-up Form (Respiration rate- min)

    Respiration rate was measured for the third time at 15 minutes after feeding, while the baby was in the nurse's arms in the cradle position.

    Measured: First feeding third measurement: 15 min after feeding

  8. Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)

    Oxygen saturation was measured for the third time at 15 minutes after feeding, while the baby was in the nurse's arms in the cradle position.

    Measured: First feeding third measurement: 15 min after feeding

  9. Physiological Parameter Follow-up Form (Body temperature- 0C)

    Body temperature was measured for the third time at 15 minutes after feeding, while the baby was in the nurse's arms in the cradle position.

    Measured: First feeding third measurement: 15 min after feeding

  10. Neonatal Comfort Behavior Scale

    The third measurement was taken 15 minutes after feeding, with the baby in the cradle position on the nurse's lap.

    Measured: First feeding third measurement: 15 min after feeding

  11. Physiological Parameter Follow-up Form (Heart rate-min)

    The heart rate was measured immediately before orogastric tube feeding after the baby was held in the cradle position.

    Measured: Second feeding first measurement: 1 min before feeding

  12. Physiological Parameter Follow-up Form (Respiration rate- min)

    Respiration rate was measured immediately before orogastric tube feeding after the baby was held in the cradle position.

    Measured: Second feeding first measurement: 1 min before feeding

  13. Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)

    Oxygen saturation was measured immediately before orogastric tube feeding after the baby was held in the cradle position.

    Measured: Second feeding first measurement: 1 min before feeding

  14. Physiological Parameter Follow-up Form (Body temperature- 0C)

    Body temperature was measured immediately before orogastric tube feeding after the baby was held in the cradle position.

    Measured: Second feeding first measurement: 1 min before feeding

  15. Vomiting frequency tracking form

    The frequency of the baby's vomiting was recorded.

    Measured: Second feeding first measurement: 1 min before feeding

  16. Stool amount tracking form

    The baby's stool volume was recorded.

    Measured: Second feeding first measurement: 1 min before feeding

  17. Abdominal Circumference Follow-up Form

    Abdominal circumference was measured while the baby was in bed, before the second feeding, and just before the nurse picked her/his up.

    Measured: Second feeding first measurement: 1 min before feeding

  18. Neonatal Comfort Behavior Scale

    The measurement was taken after the baby was picked up and just before starting to feed.

    Measured: Second feeding first measurement: 1 min before feeding

  19. Physiological Parameter Follow-up Form (Heart rate-min)

    The heart rate was measured a second time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Second feeding second measurement: 1 min after feeding

  20. Physiological Parameter Follow-up Form (Respiration rate- min)

    Respiration rate was measured a second time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Second feeding second measurement: 1 min after feeding

  21. Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)

    Oxygen saturation was measured a second time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Second feeding second measurement: 1 min after feeding

  22. Physiological Parameter Follow-up Form (Body temperature- 0C)

    Body temperature was measured a second time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Second feeding second measurement: 1 min after feeding

  23. Neonatal Comfort Behavior Scale

    The second measurement was taken immediately after feeding with the baby in the cradle position in the second feeding.

    Measured: Second feeding second measurement: 1 min after feeding

  24. Physiological Parameter Follow-up Form (Heart rate-min)

    The heart rate was measured third time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Second feeding third measurement: 15 min after feeding

  25. Physiological Parameter Follow-up Form (Respiration rate- min)

    was measured third time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Second feeding third measurement: 15 min after feeding

  26. Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)

    Respiration rate was measured third time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Second feeding third measurement: 15 min after feeding

  27. Physiological Parameter Follow-up Form (Body temperature- 0C)

    Body temperature was measured third time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Second feeding third measurement: 15 min after feeding

  28. Neonatal Comfort Behavior Scale

    The third measurement was taken immediately after feeding with the baby in the cradle position in the second feeding.

    Measured: Second feeding third measurement: 15 min after feeding

  29. Physiological Parameter Follow-up Form (Heart rate-min)

    Heart rate was measured first time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Third feeding first measurement: 1 min before feeding

  30. Physiological Parameter Follow-up Form (Respiration rate- min)

    Respiration rate was measured first time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Third feeding first measurement: 1 min before feeding

  31. Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)

    Oxygen saturation was measured first time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Third feeding first measurement: 1 min before feeding

  32. Physiological Parameter Follow-up Form (Body temperature- 0C)

    Body temperature was measured first time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Third feeding first measurement: 1 min before feeding

  33. Vomiting frequency tracking form

    The frequency of the baby's vomiting was recorded.

    Measured: Third feeding first measurement: 1 min before feeding

  34. Stool amount tracking form

    The baby's stool volume was recorded.

    Measured: Third feeding first measurement: 1 min before feeding

  35. Abdominal Circumference Follow-up Form

    Abdominal circumference was measured while the baby was in bed, before the third feeding, and just before being picked up by the nurse.

    Measured: Third feeding first measurement: 1 min before feeding

  36. Neonatal Comfort Behavior Scale

    The first measurement was taken immediately after the third feeding with the baby in the cradle position in the second feeding.

    Measured: Third feeding first measurement: 1 min before feeding

  37. Physiological Parameter Follow-up Form (Heart rate-min)

    Heart rate was measured second time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Third feeding second measurement: 1 min after feeding

  38. Physiological Parameter Follow-up Form (Respiration rate- min)

    Respiration rate was measured second time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Third feeding second measurement: 1 min after feeding

  39. Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)

    Oxygen saturation was measured second time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Third feeding second measurement: 1 min after feeding

  40. Physiological Parameter Follow-up Form (Body temperature- 0C)

    Body temperature was measured second time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Third feeding second measurement: 1 min after feeding

  41. Neonatal Comfort Behavior Scale

    The second measurement was taken immediately after the third feeding with the baby in the cradle position in the second feeding.

    Measured: Third feeding second measurement: 1 min after feeding

  42. Physiological Parameter Follow-up Form (Heart rate-min)

    Heart rate was measured third time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Third feeding third measurement: 15 min after feeding

  43. Physiological Parameter Follow-up Form (Respiration rate- min)

    was measured third time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Third feeding third measurement: 15 min after feeding

  44. Physiological Parameter Follow-up Form (Oxygen saturation -SpO2%)

    Respiration rate was measured third time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Third feeding third measurement: 15 min after feeding

  45. Physiological Parameter Follow-up Form (Body temperature- 0C)

    Body temperature was measured third time immediately after third feeding while the baby was in the cradle position in the nurse's arms.

    Measured: Third feeding third measurement: 15 min after feeding

  46. Neonatal Comfort Behavior Scale

    The third measurement was taken immediately after the third feeding with the baby in the cradle position in the second feeding.

    Measured: Third feeding third measurement: 15 min after feeding

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Jan 2025
  2. Study start15 Jan 2024
  3. Primary completion15 Sep 2024
  4. Study completion10 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
According to the sample size calculation made with G power 3.1.9.7, it was determined that 42 newborns (Experiment = 21, Control = 21) would meet the required sample size (0.96 effect size, 0.85 power, 0.05 margin of error). It was planned to include 24 newborns in each group, considering that there may be data losses. Since it was stated in the studies that it could affect gastric residue, randomization was performed by stratifying the feeding method. In order to ensure equal distribution in terms of nutrition in each group, two layers were created as breast milk and formula milk. The block/permutation method, which is one of the randomized assignment methods, was also used in the study. With this method, blocks containing equal numbers of A and B, symbolizing the experimental and control groups, were created using permutation and these blocks were multiplied until the specified number of people were reached. www.random.org was used to select the A and B block combination.
Masking
Single blind
Who is masked
Participant
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06759285
Sponsor's protocol ID
2023/89
Acronym
CRADLE
Status last verified
Dec 2024
First submitted
22 Dec 2024
Last updated
6 Jan 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Experimental (cradle position) in people with Position Differences and Nutrition, run by Selcuk University at 2 sites in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Newborn Information Form (time frame: First measurement:After admission in NICU 30th minutes). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jan 2025.

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