跳至主要内容
临床试验/NCT03079284
NCT03079284已完成不适用

The Effects of Holding on Stress and Bonding in Mother-Infant Dyads During Therapeutic Hypothermia

Alexa Craig2 个研究点 分布在 1 个国家目标入组 10 人开始时间: 2017年3月20日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
10
试验地点
2
主要终点
Frequency of Adverse Events (Safety)

研究概览

简要总结

Ten infants undergoing therapeutic hypothermia for hypoxic-ischemic encephalopathy will be enrolled in a new protocol that will allow mothers to hold their infants during the hypothermia treatment period. This is a safety study that will assess whether or not there is an increase in adverse event frequency in infants that are held during hypothermia. Parents and NICU nurses will be given a questionnaire after holding is complete investigating their feelings on maternal-infant bonding and safety of the holding protocol.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Other
盲法
None

入排标准

年龄范围
24 Hours 至 3 Days(Child)
性别
All
接受健康志愿者

入选标准

  • Infant must have a gestational age of greater than or equal to 35 weeks
  • Infant must be undergoing treatment with therapeutic hypothermia
  • Infant must be without seizures in the first 24 hours of treatment based on EEG
  • Infant must be clinically stable on bubble CPAP, nasal cannula, or no respiratory support.
  • Informed consent must be signed by the mother at Maine Medical Center

排除标准

  • Infant is intubated
  • Infant is being treated with inhaled nitric oxide
  • Presence of Persistent Pulmonary Hypertension of the Newborn
  • Presence of seizure on EEG
  • Use of vasopressors or paralytic agents
  • Presence of chest tubes, wound vacuums, or drains
  • Neonatal abstinence syndrome

结局指标

主要结局

Frequency of Adverse Events (Safety)

时间窗: 3 days

Assess the frequency of adverse events during the holding intervention including unintentional rewarming of the infant, dislodged infant catheters (umbilical arterial/venous lines, urinary catheter, iv) or infant intolerance of holding due to vital sign instability.

次要结局

  • Qualitative Experience of Nurses: After Assisting With the Holding Protocol, I Feel That Holding During Cooling is Safe.(3 days)
  • Qualitative Experience of Nurses: Therapeutic Hypothermia is Emotionally Challenging to the Parents of the Infant.(3 days)
  • Qualitative Experience of Nurses: Treatment With Therapeutic Hypothermia Makes it Difficult for Parents to Bond With Their Infant.(3 days)
  • Qualitative Experience of Nurses: After Assisting With the Holding Protocol, the Mother's Emotional Response to Her Infant's Treatment is...(3 days)
  • Qualitative Experience of Nurses: After Seeing the Mother Hold Her Infant, the Maternal-infant Bond is a...(3 days)
  • Qualitative Experience of Nurses: I Would Like to See Holding During Cooling Become a Standard Practice in Our NICU, so Long as the Infant is Otherwise Medically Stable.(3 days)
  • Qualitative Experience of Nurses: After Having Been Held, the Infant Has Become…(3 days)
  • Qualitative Experience of Mothers: Before I Could Hold my Baby, I Would Describe Our Ability to Bond as:(3 days)
  • Qualitative Experience of Mothers: After Holding my Baby, I Feel Our Bond is:(3 days)
  • Qualitative Experience of Mothers: Before Holding my Baby, my Stress Level Was:(3 days)
  • Qualitative Experience of Mothers: After Holding my Baby, I Feel:(3 days)
  • Qualitative Experience of Mothers: I am Glad I Had the Opportunity to Hold my Baby During Treatment With Hypothermia(3 days)
  • Qualitative Experience of Mothers: I Think Other Parents Would Benefit From Holding Their Babies During Treatment With Hypothermia, Provided They Are Medically Stable(3 days)
  • Qualitative Experience of Mothers: Before I Could Hold my Baby, I Would Describe Our Ability to Bond as:(3 days)
  • Qualitative Experience of Mothers: After Holding my Baby, I Feel Our Bond is:(3 days)
  • Qualitative Experience of Mothers: Before Holding my Baby, my Stress Level Was:(3 days)
  • Qualitative Experience of Mothers: After Holding my Baby, I Feel:(3 days)
  • Qualitative Experience of Mothers: I am Glad I Had the Opportunity to Hold my Baby During Treatment With Hypothermia(3 days)
  • Qualitative Experience of Mothers: I Think Other Parents Would Benefit From Holding Their Babies During Treatment With Hypothermia, Provided They Are Medically Stable(3 days)
  • Qualitative Experience of Nurses: Therapeutic Hypothermia is Emotionally Challenging to the Parents of the Infant.(3 days)
  • Qualitative Experience of Nurses: Treatment With Therapeutic Hypothermia Makes it Difficult for Parents to Bond With Their Infant.(3 days)
  • Qualitative Experience of Nurses: After Assisting With the Holding Protocol, the Mother's Emotional Response to Her Infant's Treatment is...(3 days)
  • Qualitative Experience of Nurses: After Seeing the Mother Hold Her Infant, the Maternal-infant Bond is a...(3 days)
  • Qualitative Experience of Nurses: After Assisting With the Holding Protocol, I Feel That Holding During Cooling is Safe.(3 days)
  • Qualitative Experience of Nurses: I Would Like to See Holding During Cooling Become a Standard Practice in Our NICU, so Long as the Infant is Otherwise Medically Stable.(3 days)
  • Qualitative Experience of Nurses: After Having Been Held, the Infant Has Become…(3 days)

研究者

发起方
Alexa Craig
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Alexa Craig

Assistant Professor of Pediatrics

MaineHealth

研究点 (2)

Loading locations...

相似试验