Holding, Stress, and Bonding During Therapeutic Hypothermia



Status:Completed
Conditions:Hospital, Neurology
Therapuetic Areas:Neurology, Other
Healthy:No
Age Range:Any
Updated:11/11/2017
Start Date:March 20, 2017
End Date:September 23, 2017

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The Effects of Holding on Stress and Bonding in Mother-Infant Dyads During Therapeutic Hypothermia

Ten infants undergoing therapeutic hypothermia for hypoxic-ischemic encephalopathy will be
enrolled in a new protocol that will allow mothers to hold their infants during the
hypothermia treatment period. This is a safety study that will assess whether or not there is
an increase in adverse event frequency in infants that are held during hypothermia. Parents
and NICU nurses will be given a questionnaire after holding is complete investigating their
feelings on maternal-infant bonding and safety of the holding protocol.


Inclusion Criteria:

- Infant must have a gestational age of greater than or equal to 35 weeks

- Infant must be undergoing treatment with therapeutic hypothermia

- Infant must be without seizures in the first 24 hours of treatment based on EEG

- Infant must be clinically stable on bubble CPAP, nasal cannula, or no respiratory
support.

- Informed consent must be signed by the mother at Maine Medical Center

Exclusion Criteria:

- Infant is intubated

- Infant is being treated with inhaled nitric oxide

- Presence of Persistent Pulmonary Hypertension of the Newborn

- Presence of seizure on EEG

- Use of vasopressors or paralytic agents

- Presence of chest tubes, wound vacuums, or drains

- Neonatal abstinence syndrome
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22 Bramhall St
Portland, Maine 04102
(207) 662-0111
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