Assessment of Autonomic Regulation During the Listening of Mother Heart Beat in Newborns

NCT ID: NCT04821011

Last Updated: 2021-09-10

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

COMPLETED

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-04-23

Study Completion Date

2021-06-27

Brief Summary

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Prematurity birth lead to an early breaking link with the in utero environment. A special attention is brought in the neonatal intensive care units to reduce noise and lighting surrounding aiming to protect the newborn.

During the uterine life fetus benefits previously of several auditory stimulations by the maternal voice, the mother's heartbeat. After birth the auditory environment is dramatically modified.

Aim of this study is to submit to the newborn an audio recording of his mother's heart beat to analyze the comfort, stress and autonomic response. Heart rate variability (HRV) analysis is a non-invasive tool able to consider autonomic nervous system activity. Previous studies have shown that pleasant feelings are associated with an increase of high frequencies variations index (HFnu index) reflecting a prevalence of parasympathetic activity in the sympathetic-parasympathetic balance. This one can be simply assess by a monitor named NIPΣ and can provide a comfort index by quantifying the parasympathetic tone.

Detailed Description

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The study will imply 40 preterm and term newborns hospitalized in neonatal intensive care units of the University Hospital of Saint-Etienne (France).

Conditions

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Premature Birth

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Newborn birth between 28 and 40 Weeks of Gestational Age (wGA)

Newborn birth between 28 and 40 Weeks of Gestational Age (wGA) will be included. The mother's newborn will be have a record of her heartbeats.

The newborn will be have an acoustic listening of their mother's heartbeat and a record of their own heartbeats.

electronic stethoscope

Intervention Type DEVICE

Record of maternal heart sounds (heartbeats) with an electronic stethoscope during 10 minutes.

acoustic listening of mother's heartbeats

Intervention Type DEVICE

Each newborn included will have 20 minutes of an acoustic listening of their mother heartbeats previously recorded.

Recording of the newborn's heart rate

Intervention Type DEVICE

Recording of the newborn's heart rate: one hour before the acoustic listening, during the acoustic listening and one hour after the acoustic listening .

The variations of the autonomic nervous system will be analyzed.

An coupled Heart rate variability recording (ECG signal obtained from a Philips® IntelliVue MX700 monitor) and NIPΣ index of comfort (MDMS® NIPΣ monitor) will be used.

Interventions

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electronic stethoscope

Record of maternal heart sounds (heartbeats) with an electronic stethoscope during 10 minutes.

Intervention Type DEVICE

acoustic listening of mother's heartbeats

Each newborn included will have 20 minutes of an acoustic listening of their mother heartbeats previously recorded.

Intervention Type DEVICE

Recording of the newborn's heart rate

Recording of the newborn's heart rate: one hour before the acoustic listening, during the acoustic listening and one hour after the acoustic listening .

The variations of the autonomic nervous system will be analyzed.

An coupled Heart rate variability recording (ECG signal obtained from a Philips® IntelliVue MX700 monitor) and NIPΣ index of comfort (MDMS® NIPΣ monitor) will be used.

Intervention Type DEVICE

Other Intervention Names

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Littmann® Electronic 3200 Philips® IntelliVue MX700 monitor; MDMS® NIPΣ monitor

Eligibility Criteria

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Inclusion Criteria

* Neonates between 28 and 40 Weeks of Gestational Age (wGA)
* Hospitalized in the neonatal intensive care units of the university hospital of Saint-Etienne (France)

Exclusion Criteria

* Respiratory or hemodynamic instability
* Uncontrolled sepsis
* Sedation on going
* Treatment known to modify the sympathetic or parasympathetic activity of the autonomic nervous system
* Congenital disease
* Congenital ear pathology
Minimum Eligible Age

4 Days

Maximum Eligible Age

10 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Saint Etienne

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hugues PATURAL, MD PhD

Role: PRINCIPAL_INVESTIGATOR

CHU SAINT-ETIENNE

Locations

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Chu Saint-Etienne

Saint-Etienne, , France

Site Status

Countries

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France

Other Identifiers

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IRBN462021/CHUSTE

Identifier Type: -

Identifier Source: org_study_id

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