During the pre-feeding period, infants will receive mother's colostrum (to the maximum of 0.2 ml) by dropper to the oro-pharyngeal pouch, tongue and cheeks every 2 to 4 hours.
When an infant fits the criteria to start enteral feeding, 0.2 ml of own mother's milk will be given by dropper to the oro-pharyngeal pouch, tongue and cheeks and the remaining amount will be given by the regular gavage feeding on intervals and amount regulated by the feeding protocol.
This practice will be continued till the infants reach full oral feeding.

During the pre-feeding period, preterm infants will remain NPO. When an infant fits the criteria to start enteral feeding, own mother's colostrum or milk will be given by the regular gavage feeding on intervals regulated by the feeding protocol.
This practice will be continued till the infants reach full oral feeding.

Preterm Infant

Neonatal SEPSIS

Neonatal Feeding Disorder

0.2 ml of own mother's milk will be given by dropper to the oro-pharyngeal pouch, tongue and cheeks and the remaining amount will be given by the regular gavage feeding on intervals and amount regulated by the feeding protocol

Oropharyngeal Administration of Mother's Milk (OPAMM)

Mansoura University Children Hospital

Oropharyngeal Administration of Mother's Milk in Preterm Infants and Neonatal Infection

Impact of Oropharyngeal Administration of Mother's Milk Prior to Gavage Feeding on Hospital Acquired Neonatal Infection

Culture proven neonatal sepsis acquired during neonatal care admission

Throat swab will be taken at the start of the study and at the end of full enteral feeding.

Stool culture will be taken at the start of the study and at the end of full enteral feeding.

Bell's stage II of necrotizing enterocolitis

Clinical and radiological evidence of Ventilator associated pneumonia

Nehad Nasef

Professor of Pediatrics

Oropharyngeal Administration of mother's milk (OPAMM)

Microbiological assessment of bacterial colonization of the oropharyngeal cavity and the GIT will be masked

Preeclampsia

Pregnancy Induced Hypertension

Gestational Hypertension

Chronic Hypertension

Superimposed Preeclampsia

20mg IV (can be increased to an escalating dose of maximum of 80 mg (20mg, 40 mg, 80 mg q 20min) Cumulative max of 240 mg.
20mg labetalol PO every 6 hours

labetalol (seizure prevention)

4-6g bolus over 20 minutes; 1-2 grams/hr Discontinued 24 hours after delivery.

neonatal sepsis/turse

Oropharyngeal Administration of Mother's Milk in Preterm Infants and Neonatal Infection

Labetalol Versus Magnesium Sulfate (MgSO4) for the Prevention of Eclampsia Trial

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