- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02840292
Effect of Maternal Hemoglobin on Neurobehavioural Development of Late Preterm Neonates : A Cohort Study
Study Overview
Status
Conditions
Detailed Description
Prevalence of anemia in India is among the highest in the world. A high proportion of women in both industrialized and developing countries become anemic during pregnancy. The major concern about the adverse effects of anemia on pregnant women and their offsprings is the belief that this population is at a greater risk of perinatal mortality and morbidity. Apart from this, it is well known that anemia per se is associated with higher incidence of premature births and low birth weight babies. Infants with iron deficiency anemia have significantly lower motor and mental scores and decreased language capabilities and body balance-coordination skills. Such infants also have a decreased learning ability. Iron deficiency anemia during the developmental stage can lead to reduced myelination of the spinal cord, as well as a change in myelin composition; abnormalities in neurotransmitters' metabolism and alteration in brain energy metabolism. The Neurobehavioral Assessments of Preterm Infants (NAPI) is a research tool to monitor the developmental progress and differential maturity of preterm infants ranging between 32weeks and 37weeks (full term). This test is used to identify persistent lags in development, as a research tool to assess effects of interventions and to study individual differences and basic developmental questions. The reliability and clinical validity of this test has been thoroughly investigated and normative data has been established.
Objective - To evaluate the neurobehavioral development at 37weeks of post conceptional age in late preterm infants born to mothers with hemoglobin <11gm/dl; by a standardised scale - Neurobehavioral Assessment of Preterm Infants (NAPI).
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Delhi
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New Delhi, Delhi, India, 110001
- Lady Hardinge Medical College
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
100 late preterms (56 cases vs. 44 controls) fulfilling the criteria were enrolled from Main Labor Room, Maternity Ward, Operation Theatre or Post Natal Wards of the Department of Obstetrics and Gynaecology, Lady Hardinge Medical College.
NAPI was administerd to 63 neonates (32 cases vs 31 controls).
Description
Inclusion Criteria:
- Late preterm infants born to mothers <35yrs of age and born between 34weeks to 36.6weeks of gestation as calculated by last menstrual period/1st trimester ultrasound
- Clinically stable from respiratory, hemodynamic and metabolic point of view
- After receiving full, free, voluntary, informed consent from parents/family members within 24 hours of delivery.
Exclusion Criteria:
- Chorioamnionitis in pregnancy.
- Congenital malformations (antenatally diagnosed or evident on clinical examination)
- Neonates admitted to NICU
- Neonates requiring ventilator support
- Neonates with any neurological impairment (IVH etc)
- Neonates undergoing surgery
- Neonates with birth asphyxia
- Neonates with birth trauma
- Confirmed history of substance abuse in mother.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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Cases
Late preterm neonates (>34weeks but <37weeks of gestation) with maternal hemoglobin < 11gm/dl
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Controls
Late preterm neonates (>34weeks but <37weeks of gestation) with maternal haemoglobin ≥ 11gm/dl
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evaluation of neurobehavioral development
Time Frame: 2 months
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The two sub domains of Neurobehavioral Assessment of Preterm Infants (NAPI) i.e.
Motor Development and Vigor (MDV) and Alertness and Orientations (AO) were tested to evaluate the neurobehavioral development at 37weeks of post conceptional age in late preterm neonates
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2 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Comparison of NAPI Score
Time Frame: 1 month
|
The scores of the two sub domains of Neurobehavioral Assessment of Preterm Infants (NAPI) i.e.
Motor Development and Vigor (MDV) and Alertness and Orientations (AO) were compared to determine the level of maturity in the neurobehavioral development in cases and controls.
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1 month
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Dr. Vikram Datta, MD, DNB, Lady Hardinge Medical College
- Principal Investigator: Dr. Sanya Chandna, MBBS, Lady Hardinge Medical College
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Hemoglobin and Neurobehaviour
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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