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- Klinische proef NCT07689669
Maternal Odor as a Developmental Care Intervention for Apnea of Prematurity (MOCARE)
PRETERM YENİDOĞANLARDA ANNE KOKUSUNUN APNE GELİŞİMİNE, FİZYOLOJİK PARAMETRELERE VE KİLO ALIMINA ETKİSİ
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
Apnea of prematurity is a frequent complication of preterm birth and is associated with intermittent hypoxemia and adverse clinical outcomes. Developmental care interventions that provide familiar sensory stimulation may improve physiological stability in preterm infants. Maternal odor is a natural olfactory stimulus that may support autonomic regulation and respiratory stability through early sensory recognition.
This single-center, parallel-group, randomized controlled trial evaluated the effectiveness of maternal odor exposure in preterm infants admitted to the neonatal intensive care unit. Sixty eligible preterm infants were randomly assigned in a 1:1 ratio to either a maternal odor intervention group or a routine care control group. Maternal odor was provided using a cotton cloth impregnated with the mother's natural body odor, positioned approximately 10-15 cm from the infant's head for five consecutive days and replaced every 8 hours.
The primary outcome was the daily frequency of apnea episodes. Secondary outcomes included oxygen saturation (SpO₂), heart rate, respiratory rate, body temperature, weight, and head circumference. Outcomes were compared between groups to determine whether maternal odor exposure improves respiratory stability and physiological regulation in preterm infants.
Studietype
Inschrijving (Werkelijk)
Fase
- Niet toepasbaar
Contacten en locaties
Studie Locaties
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Konya, Turkije (Türkiye), 06370
- Selcuk University Faculty of Medicine Hospital
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Preterm infants born between 26 and 37 weeks of gestation
- Birth weight between 1000 and 2500 g
- Hospitalized in the neonatal intensive care unit for at least 5 days
- Receiving oral or enteral feeding
- Written informed consent obtained from parent(s) or legal guardian(s)
Exclusion Criteria:
- Endotracheal intubation, mechanical ventilation, or nasal continuous positive airway pressure
- Receiving oxygen therapy
- Congenital heart disease
- Suspected or confirmed sepsis
- Intracranial hemorrhage
- Receiving analgesic, sedative, or muscle relaxant therapy
- Previous surgical procedure
- Development of a medical condition requiring withdrawal from the study or hospitalization for less than 5 days
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Maternal odor group
Preterm infants received maternal odor exposure using a cotton cloth carrying the mother's natural body odor placed 10-15 cm from the infant's head for five consecutive days in addition to routine neonatal intensive care.
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Maternal odor exposure was provided using a cotton cloth carrying the mother's natural body odor.
The cloth was placed approximately 10-15 cm from the infant's head during routine care for five consecutive days.
The cloth was replaced every 8 hours to maintain the maternal odor.
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Geen tussenkomst: Control group
Preterm infants received routine neonatal intensive cate without maternal odor exposure
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Frequency of Apnea Episodes
Tijdsspanne: Daily for 5 consecutive days
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Number of apnea episodes experienced by preterm infants during the 5-day study period.
Apnea episodes were recorded prospectively using the Premature Observation Form.
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Daily for 5 consecutive days
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Heart Rate
Tijdsspanne: Measured four times daily for 5 consecutive days
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Heart rate (beasts per minute) recorded during the study period and compared between the intervention and control groups
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Measured four times daily for 5 consecutive days
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Peripheral Oxygen Saturation
Tijdsspanne: Measured four times daily for 5 consecutive days
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Peripheral Oxygen Saturation (%) measured repeatedly during the study period and compared between the maternal odor and control groups.
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Measured four times daily for 5 consecutive days
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Respiratory Rate
Tijdsspanne: Measured four times daily for 5 consecutive days
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Respiratory rate (breaths per minute) recorded repeatedly during the study period and compared between the maternal odor and control groups.
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Measured four times daily for 5 consecutive days
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Body Temperature
Tijdsspanne: Measured four times daily for 5 consecutive days
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Body temperature recorded repeatedly during the study period and compared between the maternal odor and control groups.
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Measured four times daily for 5 consecutive days
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Weight Gain
Tijdsspanne: Baseline and Day 5
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Change in body weight (grams) from baseline to Day 5 and comparison between the maternal odor and control groups.
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Baseline and Day 5
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Head Circumference Growth
Tijdsspanne: Baseline and Day 5
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Change in head cincumference (cm) from baseline to Day 5 and comparison between the maternal odor and control groups.
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Baseline and Day 5
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Medewerkers en onderzoekers
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Urogenitale ziekten
- Vrouwelijke urogenitale ziekten en zwangerschapscomplicaties
- Verloskundige arbeid, voortijdig
- Verloskundige arbeidscomplicaties
- Zwangerschap Complicaties
- Ziekten van de luchtwegen
- Ademhalingsstoornissen
- Tekenen en symptomen, ademhaling
- Pathologische aandoeningen, tekenen en symptomen
- Tekenen en symptomen
- Voortijdige geboorte
- Apneu
Andere studie-ID-nummers
- EKIZILER-002
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
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