Tandem: Skin-to-skin Transfer From the Delivery Room to the Neonatal Unit for Neonates Above 1500 g
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Preterm Birth
- Sponsor
- Erasme University Hospital
- Enrollment
- 73
- Locations
- 1
- Primary Endpoint
- Feasibility of Skin-to-skin transfer
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Immediate skin-to-skin contact (SSC) is already standard care for healthy term newborns, but its use for term or preterm newborns requiring admission to neonatal unit (NICU) with or without respiratory support is challenging. This study aimed to assess the safety and feasibility of SSC during the transfer of newborn infants, using a new purpose-built mobile shuttle care-station, called "Tandem".
A monocentric prospective observational study was conducted at the tertiary referral center of the Université libre de Bruxelles in Brussels, Belgium Infants born with a birth weight above 1500g were eligible. Following initial stabilization, infants were placed in SSC with one of their parents and transferred to the NICU using the Tandem.
Detailed Description
Prior to delivery, the trained neonatal team prepares both the Tandem and a transport incubator as a backup. Delayed umbilical cord clamping will be performed for at least one minute unless prompt resuscitation required. Then, infants will be stabilized on a resuscitation table following European Resuscitation Council guidelines, with applying electrodes for continous monitoring of heart rate, saturation and temperature. After initial stabilization respiratory support will be continued if needed using the Tandem's gas supply. In cases when, antibiotics or continuous IV glucose infusion are necessary, peripheral venous catheters will be placed before departure. In case of respiratory support, nasogastric tube will be insterted. Infants will be then transferred to the NICU under the supervision of a pediatric nurse and/or pediatrician with the Tandem in skin-to-skin position with either the mother or the father. Whenever possible, SSC will be continued for at least 120 minutes before placing the infant in an incubator. Blood glucose measurement will take place at least once during the procedure.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- •neonates presenting a malformation incompatible with this type of transfer
- •neonates with invasive ventilation
Outcomes
Primary Outcomes
Feasibility of Skin-to-skin transfer
Time Frame: 0-2 hours of life
Rate of discontinuation of the skin-to-skin was measured
Secondary Outcomes
- Safety of Skin-to-skin transfer - Oxygenisation(0-2 hours of life)
- Safety of Skin-to-skin transfer - Hemodynamic(0-2 hours of life)
- Parental and nursing satisfaction(0-1 days of life)
- Breastfeeding at hospital discharge(1 day (at discharge))
- Safety of Skin-to-skin transfer- Temperature(0-2 hours of life)
- Safety of Skin-to-skin transfer - Blood glucose(0-2 hours of life)