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Objective <p>To assess whether there was an optimal maternal position (30° versus 60° incline) for kangaroo mother care.</p> Design <p>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.</p> Results <p>Twenty infants were included in the final analysis: median gestational age at birth was 28<sup>+1</sup> weeks and median birth weight was 985 g. No significant differences were observed in the primary outcomes or the secondary outcomes at either angle.</p> Conclusions <p>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.</p> <b>Trial Registration Number</b> <p>ClinicalTrials.gov ID NCT05686252.</p>

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

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月5日

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

摘要

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.