New Procedure to Reduce Mother-newborn Separation

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age1-3
SponsorFondazione Policlinico Universitario Agostino Gemelli IRCCS

About this trial

The goal of this single-centre interventional study without medication neither device (for procedure) is to limit the separation between mother and newborn by implementing a new procedure for the management of the newborn with respiratory distress in the delivery room.

The main questions it aims to answer are:

* Is it possible to reduce Neonatal Intensive Care Unit admissions within 24 hours of life by applying this new procedure, thus limiting separation between mother and newborn? * Does the implementation of this procedure, reducing mother-newborn separation, improves the rate of exclusive breastfeeding?

Newborns with respiratory distress at birth will be evaluated in the delivery room in a dedicated pre-heated incubator, providing additional oxygen if necessary. In case of improvement they will be reunited with the mother, in case of worsening a thoracic ultrasound will be performed to assess the severity and possible hospitalization in Neonatal Intensive Care Unit

Eligibility criteria

Qualifiers

Infants born by elective cesarean section, with gestational age ≥34 weeks, weight at birth ≥2000 grams, manifesting mild respiratory distress with need for oxygen at FiO2 ≤30%

Signature by both parents of an informed consent

Disqualifiers

Multiple pregnancy

Need for invasive respiratory assistance

Need for resuscitation at birth

Criteria for perinatal asphyxiation

Trial design

Treatments tested in this trial

  • Observation of newborn with respiratory distress in the delivery room

Treatment groups

142 Participants
are divided into 1 treatment group