The effect of maternal position on cerebral oxygenation in premature infants during Kangaroo care: a randomised controlled trial.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-04-05 DOI:10.1038/s41372-025-02287-0

Iyshwarya Stapleton, Sarah Murphy, Susan Vaughan, Brian Henry Walsh, Kannan Natchimuthu, Vicki Livingstone, Eugene Dempsey

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引用次数: 0

Abstract

Objective: To assess whether there was an optimal maternal position (30° versus 60° incline) for kangaroo mother care.

Design: Single centre cross-over randomised controlled trial. Mothers were randomly assigned to start at either a 30° or 60° angle. Primary outcomes were the mean cerebral near-infrared spectroscopy (NIRS) values. Secondary outcomes included median peripheral saturations and heart rates.

Results: Twenty infants were included in the final analysis: median gestational age at birth was 28⁺¹ weeks and median birth weight was 985 g. No significant differences were observed in the primary outcomes or the secondary outcomes at either angle.

Conclusions: Maternal positioning at a 30° or 60° incline did not impact on cerebral oxygenation values in very preterm infants. Either position was associated with clinical stability.

Trial registration number: ClinicalTrials.gov ID NCT05686252.

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袋鼠式护理期间母亲体位对早产儿脑氧合的影响：一项随机对照试验。

目的：评估是否有一个最佳的产妇位置（30°与60°倾斜）袋鼠妈妈护理。设计：单中心交叉随机对照试验。母亲们被随机分配从30°或60°的角度开始。主要结局为大脑近红外光谱（NIRS）平均值。次要结局包括外周血饱和度中值和心率。结果：20例新生儿纳入最终分析：出生时中位胎龄28+1周，出生时中位体重985 g。两组的主要结局和次要结局均无显著差异。结论：产妇体位倾斜30°或60°对极早产儿脑氧合值没有影响。两种体位均与临床稳定性相关。试验注册号：ClinicalTrials.gov ID NCT05686252。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.