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Preterm Birth clinical trials

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NCT ID: NCT04956354 Recruiting - Preterm Birth Clinical Trials

The Use of Wireless Sensors in Neonatal Intensive Care

Start date: August 15, 2022
Phase:
Study type: Observational

The study will be conducted in a convenience sample of 75 infants admitted to the NICU at the Montreal Children's Hospital, divided into 3 phases: (a) Phase 1a - monitoring for 8h per day for 4 consecutive days, (b) Phase 1b - monitoring between 2h to 8h per day for 2 to 4 consecutive days, and (c) Phase 2- monitoring for 96h continuously. Study objectives include: 1. Demonstrate the feasibility of continuous wireless monitoring in term and preterm infants with variable degrees of maturation and acuity in the NICU. 2. Assess safety of using a special wireless sensor system in neonates. 3. Evaluate the accuracy of proposed wireless technology as compared to standard monitoring technology in the NICU.

NCT ID: NCT04883866 Recruiting - Preterm Birth Clinical Trials

Phone Breastfeeding Support for Premature Babies

Start date: June 1, 2021
Phase: N/A
Study type: Interventional

It was observed that premature babies had the risk of insufficient milk intake and a lower rate of breastfeeding compared to term babies. Various problems may occur at home, especially after breastfeeding training in the hospital. After discharge, support and counseling should be provided to eliminate problems that may stop breastfeeding or to prevent events that may prevent breastfeeding. The aim of this study is to examine the effect of "Telephone Breastfeeding Support" given to mothers of premature babies discharged from the neonatal intensive care unit on breastfeeding results.

NCT ID: NCT04865302 Recruiting - Preterm Birth Clinical Trials

Cerebral Oxygenation in Preterm Neonates With Respiratory Support During Skin-to-skin Care on the First Day After Birth

Kangaroo
Start date: October 1, 2021
Phase:
Study type: Observational

This is a prospective observational pilot study investigating if skin-to-skin care (SSC) has an influence on cerebral oxygenation and perfusion measured with near-infrared spectroscopy (NIRS) compared to incubator care in ventilated preterm neonates on the first day after birth.

NCT ID: NCT04843293 Recruiting - Preterm Birth Clinical Trials

The Effect of Breast Milk Smell on Nutrition in Preterms

Start date: December 15, 2020
Phase: N/A
Study type: Interventional

The study was planned to determine the effect of breast milk odor applied during gavage feeding on early feeding cues of preterm newborns, the transition time to oral feeding and abdominal perfusion.

NCT ID: NCT04831086 Recruiting - Preterm Birth Clinical Trials

To Optimize Antenatal Management of Women With Pre Term Labor Using Amniocentesis

OPTIM-PTL
Start date: May 5, 2021
Phase: Phase 3
Study type: Interventional

Implementation of prediction models of risk of spontaneous delivery within 7 days or of intra-amniotic infection in women with preterm labor and intact membranes

NCT ID: NCT04818762 Recruiting - Preterm Birth Clinical Trials

Peripheral Fractional Tissue Oxygen Extraction and Infection in Term and Preterm Neonates

pFTOE
Start date: February 26, 2021
Phase:
Study type: Observational

This is a prospective observational pilot study investigating if peripheral fractional tissue oxygen extraction (pFTOE) measured by five short near-infrared spectroscopy (NIRS) (re-)applications within the first 6 hours after birth in neonates with respiratory distress differs in neonates with early onset infection and neonate without infection

NCT ID: NCT04804280 Recruiting - Preterm Birth Clinical Trials

Epigenetics and Protective Factors in the Preterm Infant

EPIC
Start date: January 1, 2019
Phase:
Study type: Observational

Preterm infants (PT) spend their first weeks of life in the Neonatal Intensive Care Unit (NICU) where they are exposed to unfavorable conditions with different effects on child development including long-term alterations in epigenetic regulation (DNA methylation). Recent studies document that these epigenetic changes are associated with behavioral modifications, such as altered stress reactivity at 3 months and 4 years. A growing number of studies suggest that protective Developmental Care (DC) procedures (e.g., breastfeeding, skin-to-skin contact (SSC), maternal holding) positively impact neurophysiological and behavioral adaptation of PT with long-term effects. Additionally, a neuro-imaging study reported that parental support in the NICU is associated with improved brain connectivity. While in term (FT) infants, parental interpersonal touch (breastfeeding, affectionate touch) is associated with reduced methylation and activation of specific brain areas associated with affective interpersonal touch, to date no study has investigated whether DC practices and maternal care in NICU (specifically, SSC) buffer methylation and support the brain response to affectionate physical touch in PT. The present study investigates the association between DC procedures in NICU, DNA methylation, and brain responses to affectionate touch, investigated through the use of MRI, at 2 months of age (corrected for prematurity), controlling for: (1) birth status (PT vs FT); (2) the duration of SSC during the NICU stay; (3) parental affectionate touch in the home environment and during mother-child interaction.

NCT ID: NCT04802629 Recruiting - Preterm Birth Clinical Trials

Fetal Haemoglobin and Cerebral and Peripheral Oxygenation.

HbFIN
Start date: June 8, 2020
Phase:
Study type: Observational [Patient Registry]

The aim of this study is to investigate the relationship between cerebral and peripheral oxygenation and oxygen extraction, as measured by NIRS (near-infrared spectroscopy ), and the FHbF (fraction of fetal hemoglobin) and absolute HbF (fetal hemoglobin) concentration in postnatal conditions in term and preterm neonates.

NCT ID: NCT04792112 Recruiting - Pregnancy Clinical Trials

Navigating the Grey Zone for Antenatal Corticosteroids

Start date: May 20, 2022
Phase: N/A
Study type: Interventional

The purpose of this study is to find out if including a decision support tool in clinical practice guidelines will improve how doctors discuss the option of antenatal corticosteroid treatment with patients who might deliver at 34 to 36 weeks of pregnancy.

NCT ID: NCT04777760 Recruiting - Clinical trials for Acute Respiratory Distress Syndrome

Surfactant for Neonatal Respiratory Distress Syndrome(NRDS) and Neonatal Acute Respiratory Distress Syndrome(NARDS)

Start date: January 1, 2021
Phase:
Study type: Observational

In preterm infants with neonatal respiratory distress syndrome (NRDS), exogenous pulmonary surfactant(PS) replacement therapy is one of the most important therapeutic breakthrough to reduce neonatal mortality. Nowadays, PS is commonly used in newborn infants with respiratory distress, but the incidences of bronchopulmonary dysplasia(BPD) and/or death are inconsistent. The result indicates that not all preterm infants with respiratory distress can be beneficial from PS. In 2017, the international neonatal ARDS (NARDS) collaborative group provides the first consensus definition for NARDS. And whether or not PS being beneficial for preterm infants with NARDS remains unknown.