Neonatal behaviour and infant development
Conditions
Interventions
The study will be carried out at the University Unit, De Soysa Hospital for Women, Colombo, Sri Lanka.
Consenting participants meeting inclusion/exclusion criterial will be allocated into four arms
Sponsors
Department of Obstetrics and Gynaecology,
Eligibility
Inclusion criteria
Inclusion criteria: 1. Medically uncomplicated, singleton pregnancies admitted to the Professorial Unit, De Soysa Hospital for Women 2. Rhesus positive mothers 3. Normal antenatal scans 4. Elective caesarean section after a gestation of 37 weeks
Exclusion criteria
Exclusion criteria: 1. Babies who do not spontaneously breath within the first 10 seconds of life 2. Babies with a tight nuchal cord, babies with gross congenital anomaly diagnosed at birth 3. Babies with birth weights less than the tenth percentile and babies with hydrops 4. Babies who require resuscitation at birth or require admission to the neonatal unit at birth due to respiratory distress or cyanosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neonatal Behaviour Assessment Scores [Neonatal Behaviour Assessment Scores: at first three days, at 2-3 weeks and at 2 months of age ] Development scores (raw, scaled and composite) in gross motor, fine motor, expressive speech, receptive speech, cognitive and social / adaptive development assessed via Bayley III infant and toddler scales [At 6, 12, 18 and 36 months] Exclusive breast feeding rates [At 2 weeks, 2 months and six months ] Rates of respiratory distress requiring intervention [At birth, and then three times daily within the first three days of life until discharge] Occurrence of hyperbilirubinaemia warranting phototherapy (detected clinically and confirmed with serum bilirubin) [Three times daily within the first three days of life until discharge ] | — |
Secondary
| Measure | Time frame |
|---|---|
| None [None] | — |
Countries
Sri Lanka
Contacts
Public ContactProf H.M. Senanayake
Professor
Outcome results
None listed