1. SIFT Milk Feed Guidance
14/09/2018
SIFT
A multi-centre randomised controlled trial of two speeds of daily increment of milk feeding in very preterm or very low birth weight infants
Milk Feed Guidance

2. At Randomisation:
Infant receiving < 30ml/kg/d of milk
Feeds should be advanced at allocated rate
as soon as possible after randomisation

3. Calculate milk volume on
Birth Weight or Current Weight (whichever is greater)
Prescribe total milk volume for that day using allocated increment
e.g. from 30 to 60ml/kg/d (fast)
from 30 to 48 ml/kg/d (slow)
Divide this total by the number of feeds you would normally give
1 hourly = 24 feeds
2 hourly = 12 feeds
3 hourly = 8 feeds
For ease, rounding to nearest 0.5 ml is acceptable

4. Online calculator
An online calculator is available via the randomisation program to assist with feed calculations.

7. FAST MILK FEED INCREASE (30 ml/kg/day increment on HOURLY feeds)
For those who like charts
FAST MILK FEED INCREASE (30 ml/kg/day increment on HOURLY feeds)

8. SLOW MILK FEED INCREASE (18 ml/kg/day increment on HOURLY feeds)

9. FAST MILK FEED INCREASE (30 ml/kg/day increment on 2 HOURLY feeds)

10. SLOW MILK FEED INCREASE (18 ml/kg/day increment on 2 HOURLY feeds)

11. What do I do if… Feeds are stopped?
Start at previous rate and follow prescribed increment
Start from beginning and follow prescribed increment
Start from beginning and follow unit’s policy
All treatment and management are at clinician discretion
Record all data regardless of regimen adopted

12. What do I do if… Baby has large gastric residuals?
Clinician discretion – but aim to prevent feeds being stopped or reduced without justification
Record all data

13. If the data are recorded then what happened
14/09/2018
What do I do if…
Baby misses a days increment?
Increase at prescribed rate
Don’t try and make up time
Record all data
If the data are recorded then what happened
to the baby is captured

14. Thanks for your attention Best of luck with the study!
14/09/2018
Thanks for your attention
Best of luck with the study!
NPEU Clinical Trials Unit
Department of Public Health
University of Oxford
Old Road Campus
Oxford
OX3 7LF T: F: E: