Early Kangaroo Mother Care in Gambian Hospitalised Unstable Neonates

Launched by LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE · Jun 1, 2018

Keywords

ClinConnect Summary

This individually randomised controlled trial will compare 2 parallel groups of hospitalised mild-moderately unstable neonates \<2000g and aged \<24h at time of screening who receive either early continuous kangaroo mother care (KMC) (started at \<24h of admission) or standard care with continuous KMC at \>24h of admission and when stable. The intervention will be un-blinded to participants and researchers with blinding of outcomes where possible. If participants clinically deteriorate and meet "stopping criteria" they will be temporarily withdrawn from the intervention arm and re-start KMC...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • New admission to study site during study period
• • Admission weight \<2000g
• • Age 1 - 24h at start of screening
• • Alive at enrolment
• • Availability of study bed
• • Written informed consent from parent or caregiver
• • Parent or caregiver available and willing to provide intervention, if necessary
• Exclusion Criteria:
• • Congenital malformation incompatible with life or needing immediate surgical correction
• • Severe jaundice needing immediate management
• • Seizures
• • Clinically stable as assessed over pre-defined period of cardio-respiratory monitoring
• • Severely unstable as assessed over pre-defined period of cardio-respiratory monitoring
• • Completed triplet admission
• • Mother and/or neonate enrolled in another research study at time of hospital admission