title: Novel feeding system to promote establishment of breastfeeds after preterm birth: a randomized controlled trial.
abstract: OBJECTIVE
  We aimed to determine if a novel feeding system where milk only flowed when the preterm infant created a vacuum would influence time to full oral feeds, the length of stay (LOS) in hospital and breastfeeding at discharge.
  
  
  METHODS
  This was a randomized controlled trial in the tertiary neonatal intensive care unit at King Edward Memorial Hospital, Perth, Australia. Eligibility criteria were: preterm infants of gestational age 25 to 34 weeks receiving >75% human milk by gastric tube. Infants were randomly assigned to being fed with a novel teat (NT) or conventional teat (CT). Intention to treat analysis was performed.
  
  
  RESULTS
  Time to full suck feeds was not different between groups. LOS was shorter (mean: 2.5 days; P=0.026) and less formula was fed at discharge in the NT group (P=0.036).
  
  
  CONCLUSIONS
  Use of a NT that releases milk when the infant applies vacuum while establishing breastfeeding reduces duration of hospitalization of preterm infants.
authors.affiliation: Centre for Neonatal Research and Education, School of Pediatrics and Child Health, King Edward Memorial Hospital, Perth, WA, Australia.|School of Paediatrics and Child Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, WA, Australia.
authors.forename: K
authors.initials: K
authors.lastname: Simmer
authors.affiliation: Centre for Neonatal Research and Education, School of Pediatrics and Child Health, King Edward Memorial Hospital, Perth, WA, Australia.|School of Paediatrics and Child Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, WA, Australia.
authors.forename: C
authors.initials: C
authors.lastname: Kok
authors.affiliation: Centre for Neonatal Research and Education, School of Pediatrics and Child Health, King Edward Memorial Hospital, Perth, WA, Australia.|School of Paediatrics and Child Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, WA, Australia.
authors.forename: K
authors.initials: K
authors.lastname: Nancarrow
authors.affiliation: School of Chemistry and Biochemistry, Faculty of Science, The University of Western Australia, Perth, WA, Australia.
authors.forename: A R
authors.initials: AR
authors.lastname: Hepworth
authors.affiliation: School of Chemistry and Biochemistry, Faculty of Science, The University of Western Australia, Perth, WA, Australia.
authors.forename: D T
authors.initials: DT
authors.lastname: Geddes
mesh_terms: D000328:Adult; D001315:Australia; D001942:Breast Feeding / Q000379:methods*; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D007363:Intensive Care Units, Neonatal; D007902:Length of Stay; D016015:Logistic Models; D008297:Male; D008895:Milk, Human; D015999:Multivariate Analysis; D010351:Patient Discharge; D011247:Pregnancy; D015430:Weight Gain; D055815:Young Adult