Neonatal Hypothermia Clinical Trial
Official title:
Hypothermia Prevention in Low Birthweight and Preterm Infants
Preterm birth complications are the leading cause of neonatal mortality and account for over one million neonatal deaths annually. About 12% of babies are born before 37 weeks of gestation, and are at risk for hypothermia, hypoglycemia, infections, and mortality during the first 28 days of life. Kangaroo Mother Care (KMC) has been shown to reduce hypothermia, neonatal infections and neonatal mortality, while improving weight gain and mother-infant attachment; however, implementation to scale has been slow. The BEMPU® bracelet offers the opportunity to monitor the body temperature of newborns for the early detection of hypothermia and to increase the uptake of KMC. Further research is needed to evaluate the impact of the BEMPU® bracelet on KMC practices and neonatal health outcomes and facilitate its adoption in low-resource settings. The goal of this research is to evaluate its effect on KMC practices and neonatal health outcomes in Ghana. Evidence of a significant impact on outcomes will provide critical evidence to facilitate prompt identification of hypothermia, maximize the benefits of KMC, decrease the risk of neonatal death, and impact the leading cause of neonatal mortality in Ghana and other settings.
Status | Not yet recruiting |
Enrollment | 380 |
Est. completion date | December 31, 2022 |
Est. primary completion date | December 31, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A to 28 Days |
Eligibility | Inclusion Criteria: - Currently being treated in the KMC or neonatal ward at one of the participating hospitals - Age<28 days - Weight <2,500 grams at birth - Clinically stable - Mother is available, willing and able to provide consent Exclusion Criteria: - Clinically unstable - Twin or multiple birth - Ineligible to initiate KMC - Mother <18 years of age - Residence outside health facility catchment area or intention to relocate during the four weeks following discharge |
Country | Name | City | State |
---|---|---|---|
Ghana | Achimota General Hospital | Accra | |
Ghana | Greater Accra Regional Hospital | Accra | |
Ghana | Korle-Bu Teaching Hospital | Accra | |
Ghana | Princess Marie Luis Children's Hospital | Accra | |
Ghana | Central Regional Hospital | Cape Coast | |
Ghana | Eastern Regional Hospital | Koforidua |
Lead Sponsor | Collaborator |
---|---|
University of South Carolina | Centre for Learning and Childhood Development - Ghana, Ghana Health Services, Korle-Bu Teaching Hospital, Accra, Ghana |
Ghana,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Hypothermia | Axilliary temperature <36.5 degrees Celsius assessed at 7 days | up to 28 days | |
Secondary | Weight gain | Change in weight in grams assessed at 7 days and 28 days | 7 days and 28 days | |
Secondary | Kangaroo Mother Care | Proportion of babies who received KMC for at least 8 hours in the last 24 hours assessed at 7 days and 28 days | 7 days and 28 days | |
Secondary | All cause mortality | Number of neonatal deaths | 28 days | |
Secondary | Exclusive breastfeeding | Proportion of babies who were exclusively breastfed in the last 24 hours assessed at 7 days and 28 days | 7 days and 28 days |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT03866122 -
Evaluation of a Novel Neonatal Temperature Monitor
|
N/A | |
Recruiting |
NCT05127070 -
Evaluating the NeoTree in Malawi and Zimbabwe
|
||
Recruiting |
NCT04761484 -
Umbilical or Peripheral Catheter Insertion for Preterm Infants on Admission to the NICU
|
N/A | |
Completed |
NCT03844204 -
Effect of a Servo-control System on Heat Loss in Very Low Birth Weight Infants at Birth
|
N/A | |
Recruiting |
NCT03965312 -
Pilot Clinical Assessment of Low-cost Infant Incubator in Monitoring Temperature and Treating Hypothermia in Infants
|
N/A | |
Completed |
NCT03316716 -
Active Warming Versus Non Active Warming During Caesarean Section for Preventing Neonatal Hypothermia
|
N/A | |
Recruiting |
NCT06003140 -
Efficacy of Celsi Warmer for the Management of Hypothermic Newborns at the Lagos University Teaching Hospital in Lagos, Nigeria
|
N/A | |
Recruiting |
NCT05876884 -
Efficacy of a Low-cost Warming Mattress Celsi Warmer for the Management of Hypothermic Newborns at Muhimbili National Hospital, Dar es Salaam, Tanzania
|
N/A |