NICU THRIVE

Transforming health and resilience via individualized nutrition in very preterm infants for extrauterine growth and development

NICU THRIVE

Transforming health and resilience via individualized nutrition in very preterm infants for extrauterine growth and development

Nutrition for your tiny newborn as individualized as a fingerprint

In nature, mother’s own milk evolves over time to meet the growing baby’s needs. NICU THRIVE does nature one better, adding new innovations to optimize nutrition for the tiniest newborns admitted to the neonatal intensive care unit (NICU) at Children’s National Hospital and at Reston Hospital Center. Already, we use tried-and-true methods to boost macronutrients – like protein, carbs and fat – in human milk that our NICU babies receive. NICU THRIVE does that in a more personalized way, using what we learn about variable human milk content to tailor milk in a way that maximizes baby’s growth (weight, length and head circumference) and supports their developing brain to improve how they  grow, learn and thrive.

Premature baby in an incubator.

NICU THRIVE

Contact us to join our NICU THRIVE study

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Purpose

NICU THRIVE was designed in close collaboration with dietitians, nurse educators and lactation specialists who work in the award-winning Children’s National NICU. The study aims to compare the efficacy of individualized (adjustable or targeted) fortification versus standard fortification with the goal of improving growth and neurodevelopment in preterm infants born ≤32 weeks’ gestational age. NICU THRIVE has three study arms, and everyone enrolled in the study will have their human milk analyzed. The standardized arm (control) uses the current nutritional practices for preterm newborns. The adjustable arm uses lab markers of protein metabolism derived from blood samples to estimate nutritional requirements and leverages protein supplementation to improve newborns’ growth. The third arm (targeted) uses sophisticated machines to analyze human milk every two weeks for its energy and macronutrient levels and uses supplementation to shore up lower-than-optimal levels of fat.

Who May Participate
  • Preterm babies born < 32 weeks gestational age and < 4 weeks old
  • Moms who are > 18 years old
  • Moms plan to feed with human milk (maternal or donor)
Who May Not Participate
  • Infants who were fed formula prior to 36 weeks GA (postmenstrual age)
  • Newborns with dysmorphic features or congenital anomalies that suggest a genetic syndrome, metabolic disorder, chromosomal abnormality or congenital infection
  • Babies who have dysgenetic or major destructive brain lesions detected by head ultrasound prior to study enrollment 
What Should I Expect?

NICU THRIVE lasts five years, and there will be a variety of study-related activities over the study’s duration, starting in the NICU and continuing through preschool.

During the NICU stay

  • Enrollment: Baby is placed in a nutrition group
  • Twice weekly: Milk analysis
  • Weekly: Nutrition & growth assessment
  • Every two weeks: Small samples of mother’s milk and baby’s urine, stool, and blood spot to assess relationship between nutrition & inflammation
  • Every four weeks:
    • Parental surveys to assess feelings and well-being
    • Sample of baby’s saliva to assess DNA changes related to nutrition
  • Due Date: Brain MRI & neurobehavioral assessment

Baby’s first year

  • Baby sleep and feeding surveys

Baby turns 6 and 12 months old

  • Telephone survey to measure how parents and baby are doing

When your baby is roughly 18, 36 and 48 months old

  • Surveys to measure how parents and baby are doing
  • Developmental testing at Children’s National
Will I Be Paid?

You will receive as much as $300 in renumeration for your time, based on the number of completed study visits. For instance, we would load $75 on your ClinCard (debit card) for each completed outpatient MRI visit, as well as each$75 for each completed 24-month, 3-year and 5-year follow up visit.

Meet the NICU THRIVE team

Attending Neonatologist and NICU THRIVE PI 

Associate Chief, DBI Medical and Academic Affairs

Clinical Research Coordinator

Medical Director, Neonatal Intensive Care at Reston Hospital Center