Immediate Parent -Infant Skin-to-Skin Study (IPISTOSS)

NCT ID: NCT03521310

Last Updated: 2022-01-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

91 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-01

Study Completion Date

2021-10-12

Brief Summary

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The World Health Organization recommend all stable low birth weight neonates to have Skin-to-skin-Contact (SSC) after birth. Intermittent SSC is used in Sweden in neonatal units. Observations indicate that SSC makes neonates feel good. However, there is limited research done on SSC treatment on neonates born prior to week 33.

The aim of this study is to investigate whether Skin-to-skin-Contact (SSC) leads to an improved physiological stabilization, altered epigenetic profile and improved longterm psychomotor outcome in neonates born in gestation age between week 28+0 - 32+6. This is a parallel, two-arm, multicentre, randomized controlled superiority trial. The two arms to be compared are a) immediate SSC with one parent/caregiver continous during the first 6 hours after birth and as much as possible during the first 72 hours, and b) conventional method of care during the same time.

Detailed Description

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Conditions

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Prematurity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Skin-to-skin Contact group

Neonates in gestational age between 28+0 - 32+6 will get continuous Skin-to-skin contact with one parent/caregiver the first 6 hours after birth and as much as possible the first 72 hours after birth.

Group Type EXPERIMENTAL

Skin-to-skin

Intervention Type PROCEDURE

Neonates will get Skin-to-skin Contact with parent/caregiver continuously the first 6 hours after birth and as much as possible the first 72 hours after birth.

Conventional care group

Neonates in gestational age between 28+0 - 32+6 will get Conventional care - incubators, warmers etc - the first 72 hours after birth.

Group Type ACTIVE_COMPARATOR

Conventional care

Intervention Type PROCEDURE

Neonates will get Conventional care the first 72 hours after birth

Interventions

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Skin-to-skin

Neonates will get Skin-to-skin Contact with parent/caregiver continuously the first 6 hours after birth and as much as possible the first 72 hours after birth.

Intervention Type PROCEDURE

Conventional care

Neonates will get Conventional care the first 72 hours after birth

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Born in gestation week plus days 28+0 - 32+6.
* Born at maternity ward at study center
* Consent from parents/caregivers
* Parent or caregiver or substitute are available to start skin-to-skin Contact during the first hour of life.

Exclusion Criteria

* Born outside the hospital
* Triplets or more
* Known malformation which will require immediate surgical action
* On-going resuscitation or intensive Medical care (mechanic ventilation or inotropy) after the first lifespan

\* Known congenital infection
* Parent/care giver can not communicate in Swedish/Norwegian or English
* Not suited for the study for other reasons (according to the principal investigator)
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Bergen

OTHER

Sponsor Role collaborator

Björn Westrup, MD PhD

OTHER

Sponsor Role lead

Responsible Party

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Björn Westrup, MD PhD

Co-director of Karolinska NIDCAP Training and Research Center

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Björn Westrup, MD,PhD

Role: STUDY_CHAIR

Department of Women´s and Children´s Health, Karolinska Institutet, Stockholm, Sweden

Siren Rettedal, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Stavanger University Hospital, Stavanger, Norway

Wibke Jonas, Ass prof

Role: PRINCIPAL_INVESTIGATOR

Department of Women´s and Children´s Health, Karolinska Institutet, Stockholm, Sweden

Locations

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Stavanger University Hospital

Stavanger, , Norway

Site Status

Department of Women´s and Children´s Health, Karolinska University Hospital

Stockholm, , Sweden

Site Status

Countries

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Norway Sweden

References

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Lillieskold S, Lode-Kolz K, Rettedal S, Lindstedt J, Linner A, Markhus Pike H, Ahlqvist-Bjorkroth S, Aden U, Jonas W. Skin-to-Skin Contact at Birth for Very Preterm Infants and Mother-Infant Interaction Quality at 4 Months: A Secondary Analysis of the IPISTOSS Randomized Clinical Trial. JAMA Netw Open. 2023 Nov 1;6(11):e2344469. doi: 10.1001/jamanetworkopen.2023.44469.

Reference Type DERIVED
PMID: 38032643 (View on PubMed)

Linner A, Westrup B, Lode-Kolz K, Klemming S, Lillieskold S, Markhus Pike H, Morgan B, Bergman NJ, Rettedal S, Jonas W. Immediate parent-infant skin-to-skin study (IPISTOSS): study protocol of a randomised controlled trial on very preterm infants cared for in skin-to-skin contact immediately after birth and potential physiological, epigenetic, psychological and neurodevelopmental consequences. BMJ Open. 2020 Jul 6;10(7):e038938. doi: 10.1136/bmjopen-2020-038938.

Reference Type DERIVED
PMID: 32636292 (View on PubMed)

Other Identifiers

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IPISTOSS

Identifier Type: -

Identifier Source: org_study_id

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