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Influence of prone posture and hand asleep and vital signs of infants born preterm

Comparison of physiological and behavioral parameters between preterm infants placed in the prone and lateral (crossover design)

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REBEC
Registry ID
RBR-7d3kdn
Enrollment
Unknown
Registered
2015-05-19
Start date
2013-01-04
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Premature

Interventions

The intervention was performed by placement in baby nest in two decubitus, the ventral (DV) and the right side (DLD), and randomized the order of decubitus. The placement was carried out only one sing
Behavioural

Sponsors

Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - Universidade de São Paulo
Lead Sponsor
Faculdade de Medicina de Ribeirão Preto - Universidade de São Paulo
Collaborator

Eligibility

Age
24 Hours to 37 Weeks

Inclusion criteria

Inclusion criteria: Were included in the study, premature babies, with post-conceptional age greater than or equal to 32 weeks and 24 hours, of both sexes, in the case of twins, only one was chosen by lot.

Exclusion criteria

Exclusion criteria: Were excluded from the study, infants who present neurological impairment (hydrocephalus, microcephaly, periventricular hemorrhage grades III and IV and brachial plexus injury); who are making use of vasoactive drugs, central nervous system depressant that would influence or sleep; with congenital malformation (myelomeningocele, encephalocele, and agenesis focomielias); suspected of having some form of genetic alteration (no syndrome); changes with sensory (visual and auditory); with orthopedic disorders; with viral, bacterial or congenital infections (sepsis and meningitis); with herpes or syphilis; with Apgar scores of 4 or less in the 5th minute suggestive of suffocation; whose mothers abused intoxicants; sedated; coma.

Design outcomes

Primary

MeasureTime frame
Expected outcome: greater permanence in the states of sleep positioning on nest in the prone position compared to the right lateral decubitus, verified by observing the state of wakefulness and sleep measured on an ordinal scale ranging from 0 to 6 behavioral activation.;Outcome found: the positioning nest in the prone position favored the maintenance in the states of sleep (deep sleep, active sleep and sleepiness) and maintaining the uninterrupted deep sleep state with respect to the lateral position.

Secondary

MeasureTime frame
Expected outcome: adequate levels of heart rate and higher levels of peripheral oxygen saturation in positioning nest in the prone position with respect to the lateral position.;Outcome found: there was no clinically relevant difference between the positioning nest prone and lateral position, considering the heart rate and oxygen saturation measured in 30 minutes of observation.

Countries

Brazil

Contacts

Public ContactInalu Silva

Faculdade de Medicina de Ribeirão Preto - Universidade de São Paulo

inalu.fisio@gmail.com+5516988266674

Outcome results

None listed

Source: REBEC (via WHO ICTRP)