Work of Breathing and Kangaroo Mother Care

Christiana Care Health Services

Status: Completed

Conditions: Oxygen Saturation; Work of Breathing; Premature Infant

Study type: Observational

Funder types: Other

Identifiers

NCT03683316

DDD603995

Details and patient eligibility

About

To compare work of breathing and oxygen saturation before, during, and after kangaroo mother care in preterm very low birth weight (VLBW) infants stable on non-invasive respiratory support.

Enrollment: 29 patients

Sex: All

Ages: 4 days to 6 months old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Very low birth weight infants (those less than 1500g at birth)
• Respiratory insufficiency
• >4d PMA
• Stable and receiving non-invasive respiratory support for ≥12 hours (NC, HFNC or CPAP)
• Requiring ≤40% supplemental FiO2

Exclusion criteria

• Infants with skeletal, neuromuscular or abdominal surgical disorders that may affect the accuracy of work of breathing measurements
• Infants who do not meet criteria to participate in kangaroo mother care

Trial design

29 participants in 1 patient group

all infants

Description:

There will be one arm for this study. All infants will receive a similar intervention during their routine kangaroo mother care (KMC). KMC is a national and international standard of care. This is an observational study of how infants breath while participating in KMC compared to how they breath while in a crib or incubator. Work of breathing will be measured at baseline and then during KMC. Mothers will participate in KMC regardless of participation in the study. Work of breathing will be measured by using Respiratory Inductance Plethysmography (RIP). This scientifically measures work of breathing (specifically phase angles) by placing soft bands around the abdomen and chest. The actual "intervention" is a standard of care and something that the mother infant dyad will do regardless of the study. Each mother / infants pair is expected to be actively enrolled for approximately 2 hours.