Prematurity, respiratory distress syndrome Neonatal Diseases Other preterm infants
Conditions
Interventions
Placement in the recovery position on the left side or on their back
Sponsors
The National Maternity Hospital (Ireland)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Infants born at the NMH at < 32 weeks gestation (i.e. up to 31+6 weeks)
Exclusion criteria
Exclusion criteria: Infants with a major congenital anomaly, for example: 1. Diaphragmatic hernia 2. Cardiac anomaly other than patent ductus arteriosus 3. Ventricular septal defect or atrial septal defect 4. Gastroschisis 5. Omphalocoele 6. Oesophageal atresia with tracheo-oesophageal fistula Pierre-Robin sequence
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oxygen saturation (SpO2) measured pre-ductally (i.e. from the right upper limb) at 5 minutes of life | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Heart rate (HR) at 5 minutes 2. SpO2 at 10 minutes 3. HR at 10 minutes 4. Apgar score at 1 minute 5. Apgar score at 5 minutes 6. Apgar score at 10 minutes 7. Time to SpO2 > 90% 8. HR 30% oxygen in the DR 13. Maximum FiO2 in the DR 14. Intubation in the DR 15. Chest compressions in the DR 16. Volume resuscitation in the DR 17. Intubation during hospitalisation 18.Surfactant use 19. Duration of ventilation (hours) 20. Duration of CPAP (days) 21. Postnatal corticosteroid use 22. Bronchopulmonary dysplasia ¨C oxygen therapy at 28 days of life 23. Chronic lung disease oxygen therapy at 36 week's postmenstrual age 24. Cranial ultrasound abnormalities (intraventricular haemorrhage, cystic PVL, ventricular dilatation) 25. Medical treatment for PDA 26. PDA ligation 27. NEC Bells stage 2 28. Retinopathy of prematurity 29. Duration of hospital stay 30. Death before discharge from hospital | — |
Countries
Ireland
Outcome results
None listed