Bonding, Breastfeeding, Newborn, Oxytocin, Perinatal
Conditions
Keywords
Bonding, Oxytocin, Breastfeeding, Newborn, Delivery
Brief summary
The aim of this study was to assess whether administration of oxytocin intrapartum (Oxt) has any effect on Neonatal Primitive Reflexes (RNP) and if dose dependent. The secondary objective is to assess the effects on exclusive breastfeeding at 3 months
Detailed description
Patients and Methods Prospective case-control study performed in a tertiary hospital. Cases: mother-child dyads in which Oxt had been administered during the birth process (n = 53). Controls: mother-child dyads without Oxt (n = 45). The RNP were recorded with a camcorder in biological nurturing position. An observer blinded to the group and the dose of Oxt codified the RNP (reach/not reached). To assess the type of breastfeeding telephone call was made at 3 months old RN.
Interventions
DRUGOxytocin
Comparison of Primitive Newborn Reflexes between those exposed or not to Oxytocin
Sponsors
Puerta de Hierro University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Days to 4 Days
Healthy volunteers
No
Inclusion criteria
* Healthy singleton term infant delivered vaginally with Apgar at 5 min\> 7; * Expressed desire to administer during pregnancy breastfeeding; * Signed informed consent
Exclusion criteria
* Preterm neonate; * Fetal chromosomal or other abnormalities diagnosed in utero to modify their adaptation to extrauterine environment; * Hospitalization of the mother in ICU; * Hospitalization in the following 48 hours neonate at birth; * Wish to artificial feeding before parturition; * Language difficulties; * Completion of caesarean delivery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Expression of Neonatal Primitive Reflexes (RNP) are modified by administration of Oxytocin during delivery. | 72 hours | Neonatal Primitive Reflexes studied were: 1) Endogenous: hand to mouth, extension / flexion of fingers, mouth open, tongue extrusion, arm circular motion, circular motion of the leg, flex foot / hand, 2) Antigravity: raise the head, 3) Motors: turn your head, nod, plantar pressure, Babinski, and 4) Rhythmic: suction, jaw movement and swallowing. An observer, blinded to the study group and the dose administered of Oxytocin, valued recordings, analyzing the state of consciousness at the beginning of the recording as Brazelton scale and form RNP dichotomous coding (achieved / not achieved). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oxytocin intrapartum may have adverse influence on exclusive breastfeeding at 3 months. | 6 months | To assess the type of feeding (exclusive breastfeeding versus other) at different time points (discharge, one month and three months) a telephone call was conducted at 3 months old of the newborn. |
Countries
Spain
Outcome results
None listed