Premature Birth
Conditions
Interventions
This is a two-arm, single-blind, randomized controlled clinical trial. Experimental group: 20 preterm human infants from 34 to 37 weeks of post-conceptional age will be positioned by the researcher in
E02.779
Sponsors
Universidade Federal de Mato Grosso do Sul
Universidade Federal de Mato Grosso do Sul
Eligibility
Age
34 Weeks to 37 Weeks
Inclusion criteria
Inclusion criteria: Preterm newborns with corrected gestational age equal to or greater than 34 weeks; with more than 72 hours postnatal life; hospitalized in NICU; with stable clinical condition; with general movements of character poor-repertoire; without need of invasive or non-invasive mechanical ventilation; residents in Campo Grande-MS
Exclusion criteria
Exclusion criteria: Preterm newborns with congenital malformations; chromosomal syndromes; infections in treatment (change in blood count and positive blood culture); severe neurological injury (intracranial hemorrhage grade III or IV and cerebral malformations); neonatal anoxia (Apgar less than 7 in the fifth minute); congenital infection; with other contraindications to receive the physiotherapeutic intervention protocol and kangaroo positioning
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of general movements quality, verified through the method of Prechtl's General Movements Assessment, with increased number of general movements cathegorized as normal(difference of at least 5% between groups). | — |
Secondary
| Measure | Time frame |
|---|---|
| Optimization of the weight gain, measured through digital scale, from the observation of an increase of at least 10% from pre to post-intervention measurements when comparing the groups. ;Improvement in posture behavior and muscle tone, verified through the neonatal neuromotor triage,from the verification of an increase in the score of the neonatal neuromotor triage at least 5% from pre to post-intervention measurements when comparing the groups. ;Decrease in hospital stay, verified by the sum of the number of days of stay in the hospital environment, from the observation of a decrease of at least 5% in the number of days of hospitalization when comparing the groups. ;Improvement in the behavioral state, verified by the higher frequency of the sleep state, from the observation of an increase of at least 5% in the frequency of the crying state from pre to post-intervention when comparing the groups.;Breastfeeding success, verified by the nursing team's medical records at hospital discharge, vfrom the observation of increase in the number of participants in breastfeeding (difference of at least 5% between groups).;Maintenance of breastfeeding, verified by directly asking the newborns' mothers, from the observation of maintenance in the number of participants in breastfeeding at 2-4 weeks and at 12-15 weeks post-term (difference of at least 5% between groups). | — |
Countries
Brazil
Contacts
Public ContactMariane de Oliveira Nunes Reco
Universidade Federal de Mato Grosso do Sul
Outcome results
None listed