Nifty Feeding Cup Versus Generic Medicine Cup Preterm Infants Who Have Difficulty Breastfeeding
Nifty Feeding Cup Versus Generic Medicine Cup Preterm Infants Who Have Difficulty Breastfeeding
The investigators will establish an evidence base for the Nifty Feeding Cup by evaluating its
 effectiveness and caregiver satisfaction. The investigators will conduct a randomized
 crossover trial that compares the Nifty Feeding Cup to a standardized, generic medicine cup
 used to feed preterm infants with breastfeeding difficulties at Komfo Anokye Teaching
 Hospital (KATH) in Kumasi, Ghana.
The investigators aim to compare the Nifty Feeding Cup to a standardized, generic cup in up
 to 200 preterm infants. The aim and hypotheses were selected based on the most informative
 outcomes given the scope of the funding. The investigators will test the hypotheses that
 Nifty Feeding Cup feeding compared to generic cup feeding will result in:

 1. Less spillage

 2. Greater caregiver satisfaction

 3. Shorter duration of feeds
Inclusion Criteria:

 Infant

 -  Born preterm (<37 weeks gestational age) at time of birth

 -  Corrected gestational age is <37 weeks per the modified Dubowitz score on date of
 enrollment

 -  Diagnosed with feeding difficulties

 -  Patient in the mother-baby unit at KATH

 -  Clinically indicated to start cup feeding (including an infant who has a nasogastric
 tube and is cup feeding or indicated to start cup feeding)

 -  Has an anticipated hospital stay that is at least 48 hours

 Caregiver:

 -  At least 18 years of age

 -  One of the following biologic family members of the infant (Mother, Grandmother, Aunt)

 -  Self-identifies as the primary feeder of the infant

 -  Prior experience feeding the potential infant participant with nipple feeding (e.g.
 breast feeding, bottle feeding) or nasogastric [NG] tube

 -  Verifies willingness to comply with all study procedures

 Exclusion Criteria:

 Infant

 -  Congenital anomaly except for minor anomalies (e.g. an extra digit or ear tag is okay)

 -  Other condition or situation that makes infant unlikely to be able to comply with
 study procedures. Examples include the infant anticipated to not be in hospital long
 enough, infant has a suspected intestinal obstruction, or necrotizing enterocolitis.

 -  No mother, grandmother, or aunt caregiver available to participate in study

 -  Enrolled in another study at KATH that would interfere with his/her ability to
 participate in this study.