Delivery Room Skin-to-skin Study (deisy)

University of Cologne

Status: Completed

Conditions: Mother Child Interaction; Preterm Infant; Very Low Birthweight Infants

Treatments: Procedure: skin-to.skin-contact

Study type: Interventional

Funder types: Other

Identifiers

NCT01959737

11-075

Details and patient eligibility

About

The first hours after birth are a sensitive period for promotion of optimal mother-child-interaction and secure attachment. Maternal sensitivity and responsivness are high in the first hours after birth due to high oxytocin levels. Developing optimal mother-child-interaction is more difficult for preterm mothers because mother and child are separated after birth and the preterm infant is not able to show strong signs to promote maternal sensitivity. We hypothesize that promoting skin-to-skin contact of VLBW infants and their mothers for 60 minutes within the first hours after birth improves mother-child-interaction at 5 to 6 months corrected age. We also hypothesize that reactivity of HPA axis and molecular patterns of stress signaling pathways differ in preterm infant with or without SSC after birth.

Enrollment: 88 estimated patients

Sex: All

Ages: 10 to 60 minutes old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Birthweight <1500g, first child, informed consent

Exclusion criteria

• Multiples, malformation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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88 participants in 2 patient groups

visual contact

No Intervention group

Description:

After initial assessment/stabilization of the VLBW infant, visual contact of mother and infant is permitted for 5 minutes.

skin-to-skin contact

Experimental group

Description:

After initial stabilization mother and preterm infant are cared for skin-to-skin for 60 minuter. SSC is supervised by the attending neonatologist.

Treatment:

Procedure: skin-to.skin-contact