ISRCTN ISRCTN37373893
DOI https://doi.org/10.1186/ISRCTN37373893
Secondary identifying numbers 14926
Submission date
22/08/2013
Registration date
22/08/2013
Last edited
16/01/2017
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

Background and study aims
Many health professionals recommend the use of olive oil or sunflower oil to prevent or treat dry skin in full term, newborn babies. Other health professionals advise parents not to use any oil on their baby’s skin. There has been no research to consider which approach has any immediate or long-term effect on the way a baby'’s skin functions, and the advice given to parents can be conflicting. At present it is not known whether any oil is better or worse for a baby’'s skin than no oil. Dry skin is a normal physiological process for newborn babies, but parents want to treat it. There is also some evidence to suggest that products which are used on newborn skin may have an influence on the development of eczema (atopic dermatitis). The aim of this study is to explore what is the best way to find out whether olive oil, sunflower oil or no oil is best for a baby’'s skin.

Who can participate?
Babies born at or after 37 weeks of pregnancy

What does the study involve?
The babies are randomly allocated to one of three groups to use olive oil, sunflower oil or no oil for 28 days. Their skin is assessed to see if the oil causes any changes. The tests are carried out twice: once before the mother and baby leave the hospital after birth and then again after 28 days.

What are the possible benefits and risks of participating?
This study will help to develop the best way to find out which skincare treatment (olive oil, sunflower oil or no oil) is best, and will help to guide future advice for newborn baby skincare. The skin tests will not harm the baby.

Where is the study run from?
St Mary'’s Hospital (UK)

When is study starting and how long is it expected to run for?
Recruitment will start on 4th September 2013 and continue for up to one year.

Who is funding the study?
National Institute for Health Research (NIHR) (UK)

Who is the main contact?
Mrs Alison Cooke
alison.cooke@manchester.ac.uk

Contact information

Mrs Alison Cooke
Scientific

Oxford Road
Manchester
M13 9PL
United Kingdom

Email alison.cooke@manchester.ac.uk

Study information

Study designRandomised; Interventional; Design type: Process of Care
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeOther
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleThe use of Oil in Baby SkincaRE (OBSeRvE) trial: a pilot, assessor-blinded, randomised controlled trial to assess the impact of olive oil and sunflower oil on a term baby’'s skin barrier function
Study acronymOBSeRvE
Study hypothesisThe regular application of sunflower oil, when compared to no oil or olive oil, improves the skin barrier function of newborn term infants.
Ethics approval(s)First MREC approval date 19/07/2013, ref: 13/NW/0512
ConditionTopic: Reproductive Health and Childb, Generic Health Relevance and Cross Cutting Themes, Skin; Subtopic: Reproductive Health and Childb (all Subtopics), Generic Health Relevance (all Subtopics); Disease: Reproductive Health & Childbirth, Paediatrics
Intervention1. Olive oil: Women in the intervention group will be asked to apply 4 drops of defined content oil twice daily to their baby on each of three sites: left forearm, left thigh and abdomen, for 28 days.
2. Sunflower oil: Women in the intervention group will be asked to apply 4 drops of defined content oil twice daily to their baby on each of three sites: left forearm, left thigh and abdomen, for 28 days

Follow Up Length: 1 month(s)
Intervention typeOther
Primary outcome measure1. Transepidermal water loss (TEWL); timepoint(s): baseline (within 48 hours of birth), follow up (28 days old)
2. Skin barrier function (change in spectral profile of lipid lamellae)
Secondary outcome measures1. Skin surface hydration; timepoint(s): baseline (within 48 hours of birth), follow up (28 days old)
2. Skin surface pH; timepoint(s): baseline (within 48 hours of birth), follow up (28 days old)
3. Clinical observations; timepoint(s): baseline (within 48 hours of birth), follow up (28 days old)
4. Maternal satisfaction; timepoint(s): 28 days
Overall study start date04/09/2013
Overall study end date31/08/2014

Eligibility

Participant type(s)Patient
Age groupNeonate
SexBoth
Target number of participantsPlanned Sample Size: 100; UK Sample Size: 100
Participant inclusion criteriaInclusion criteria for screening phase:
Women carrying singleton pregnancies who are booked to give birth at St Mary’'s Hospital, Manchester

Inclusion criteria for trial:
1. Newborn term infants (born on or after 37+0 weeks gestation) less than 48 hours old
2. In good health (determined by investigator)

Inclusion criteria for qualitative interviews:
Any parent with an infant taking part in the OBSeRvE pilot RCT who has consented to take part in the qualitative study, and is purposively selected for interview

Target Gender: Male & Female; Upper Age Limit 28 days ; Lower Age Limit 0 days
Participant exclusion criteriaExclusion criteria for screening phase:
1. Women known to be carrying an infant with a chromosomal abnormality or other syndromic diagnosis
2. Women known to be having their infant placed in foster care or adopted
3. Women with multiple pregnancies
4. Maternal age of less than 16 years

Exclusion criteria for trial:
Women:
1. Maternal age of less than 16 years
2. Unable to communicate consent for their infant to take part in the trial due to learning difficulties

Infants:
1. Admission to neonatal unit
2. Phototherapy
3. Limb defects
4. Non-traumatic impairment of epidermal integrity defined as abnormal epidermis or dermis such as collodion baby or congenital ichthyosis
5. Any medical history that may prevent the participation in the study until study conclusion
6. Currently participating in another clinical trial
7. Evidence of active skin disease or disorder at first visit (for the purposes of this study the following normal variations will not be considered skin disorders: erythema neonatorum / erythema toxicum; milia)
Recruitment start date04/09/2013
Recruitment end date31/08/2014

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Oxford Road
Manchester
M13 9PL
United Kingdom

Sponsor information

University of Manchester (UK)
University/education

Oxford Road
Manchester
M13 9PL
England
United Kingdom

ROR logo "ROR" https://ror.org/027m9bs27

Funders

Funder type

Government

NIHR Doctoral Research Fellowship (UK); Grant Codes: DRF-2012-05-160

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 01/03/2016 Yes No
HRA research summary 28/06/2023 No No

Editorial Notes

16/01/2017: Publication reference added.