Enhanced MotherCARE for procedural pain in preterm neonates

ISRCTN ISRCTN13550119
DOI https://doi.org/10.1186/ISRCTN13550119
Secondary identifying numbers MOP-64307
Submission date
26/03/2006
Registration date
27/06/2006
Last edited
27/03/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Celeste Johnston
Scientific

3506 University Street
Room 226
Montreal
H3A 2A7
Canada

Study information

Study designRandomised cross-over design
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleMaternal comfort, analgesia, regulation, endorphin-release: mothercare, a program of research for pain in critically ill infants and toddlers
Study acronymEnhanced MotherCARE
Study objectivesPhysiological pain and stress response will be lower in maternally enhanced skin-skin contact (SSC) than SSC in preterm neonates of 32 - 36 weeks.
Ethics approval(s)McGill University Health Centre (full board review) approved on the 20th November 2003 (ref: MCH003-48)
Health condition(s) or problem(s) studiedPain response
InterventionSkin-to-skin contact: the diaper-clad infant will be held upright at an angle of sixty degrees between the breasts of the mother during a routine heel stick procedure. A blanket will be placed over the infants back throughout the intervention. The baby will remain in this condition for 15 minutes prior to heel lance, during the procedure and until the infant returns to baseline heart rate after the procedure is completed.

Maternally-enhanced skin-skin contact: throughout the procedure, the mother will be seated with her infant in a rocking chair and will be asked to recite rhymes or sing songs to her infant. This will begin 15 minutes prior to heel stick. Just before the heel stick procedure, she will be asked to insert the tip of her well-trimmed smallest finger into the baby's mouth for the baby to suck. One minute later, the procedure will begin by collecting baseline data.
Intervention typeOther
Primary outcome measurePhysiologic stability:
1. Maximum range of heart rate and O2 saturation from baseline throughout the procedure
2. Time to return to baseline heart rate and O2 saturation
Secondary outcome measuresStress response: measured through the procurement of salivary cortisol collected prior to (basal) and 30 minutes after (stress response) the heel stick procedure for both the mother and the infant.
Overall study start date01/12/2003
Completion date01/12/2006

Eligibility

Participant type(s)Patient
Age groupChild
SexBoth
Target number of participants80
Key inclusion criteriaInfants born between 28 0/7 and 32 6/7 weeks post-menstrual age (PMA) as determined by an ultrasound will be eligible.
Key exclusion criteria1. Genetic or major congenital disorders
2. Requiring surgery before or during the study period
3. Receiving analgesics, paralyzing agents or steroid therapy
4. Apgar scores less than 6 at five minutes
5. Intraventricular haemorrhage (IVH) grade III and/or periventricular leukomalacia (PVL) as confirmed by ultrasound
Date of first enrolment01/12/2003
Date of final enrolment01/12/2006

Locations

Countries of recruitment

  • Canada

Study participating centre

3506 University Street
Montreal
H3A 2A7
Canada

Sponsor information

McGill University (Canada)
University/education

3506 University Street
Room 226
Montreal
H3A 2A7
Canada

Website http://www.mcgill.ca/
ROR logo "ROR" https://ror.org/01pxwe438

Funders

Funder type

Research organisation

Canadian Institute of Health Research (Canada) - http://www.cihr-irsc.gc.ca (ref: MOP 64307)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/01/2009 Yes No