Tolerance of simulated amniotic fluid in premature neonates

Sandra E. Sullivan, Darlene A. Calhoun, Akhil Maheshwari, Terri L. Ashmeade, David A. Auerbach, Mark L. Hudak, Susan E. Beltz, Robert D. Christensen, Sylvie Robert

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


OBJECTIVE: To assess the tolerance of simulated amniotic fluid enterally administered in premature neonates. DESIGN: A multicentered, Phase I, dose-escalation trial was accomplished among 30 preterm neonates. Groups of 10 patients received 5, 10, or 20 mL/kg/d enterally of the amniotic fluid solution, divided into every-3-hour dosing, for 3 days. MAIN OUTCOME MEASURES: Amount and character of emesis, stools, and gastric residuals; changes in abdominal girth; presence of a skin rash; blood pressure instability; the diagnosis of necrotizing enterocolitis (NEC) or intestinal perforation. RESULTS: Thirty patients were studied: 10 received 5 mL/kg/d, 10 received 10 mL/kg/d and 10 received 20 mL/kg/d of amniotic solution. Gestational ages ranged from 25 to 31 weeks. The Data Safety and Monitoring Board met after each group of 10 patients completed the study, reviewed the outcome measurements, and recommended continuance of the study. Dosing was discontinued for 3 patients prior to receiving all 24 doses because of gastric residuals (n = 1; 5 mL/kg), stage I NEC (n = 1; 10 mL/kg), or symptomatic patent ductus arteriosus (n = 1; 20 mL/kg). The remaining patients completed the doses with no evidence of intolerance: specifically, no increased gastric residuals, increased abdominal girth, diarrhea, blood pressure change, rash, NEC, or intestinal perforation. CONCLUSIONS: Enteral administration of an amniotic fluid-like solution to preterm neonates is well tolerated in doses ≤20 mL/kg/d.

Original languageEnglish (US)
Pages (from-to)1518-1524
Number of pages7
JournalAnnals of Pharmacotherapy
Issue number10
StatePublished - Oct 1 2002
Externally publishedYes


  • Amniotic fluid
  • Feeding intolerance
  • Premature neonates

ASJC Scopus subject areas

  • Pharmacology (medical)


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