The effect of maternal position on cerebral oxygenation in premature infants during Kangaroo care: a randomised controlled trial
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Published Version
Date
2025-04-05
Authors
Stapleton, Iyshwarya
Murphy, Sarah
Vaughan, Susan
Walsh, Brian Henry
Natchimuthu, Kannan
Livingstone, Vicki
Dempsey, Eugene
Journal Title
Journal ISSN
Volume Title
Publisher
Springer Nature
Published Version
Abstract
Objective: To assess whether there was an optimal maternal position (30° versus 60° incline) for kangaroo mother care. Design: Single centre cross-over randomised controlled trial. Mothers were randomly assigned to start at either a 30° or 60° angle. Primary outcomes were the mean cerebral near-infrared spectroscopy (NIRS) values. Secondary outcomes included median peripheral saturations and heart rates. Results: Twenty infants were included in the final analysis: median gestational age at birth was 28+1 weeks and median birth weight was 985 g. No significant differences were observed in the primary outcomes or the secondary outcomes at either angle. Conclusions: Maternal positioning at a 30° or 60° incline did not impact on cerebral oxygenation values in very preterm infants. Either position was associated with clinical stability. Trial Registration Number: ClinicalTrials.gov ID NCT05686252
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Keywords
Optimal maternal position (30° versus 60° incline) , Kangaroo mother care , Premature infants
Citation
Stapleton, I., Murphy, S., Vaughan, S., Walsh, B. H., Natchimuthu, K., Livingstone, V. and Dempsey, E. (2025) 'The effect of maternal position on cerebral oxygenation in premature infants during Kangaroo care: a randomised controlled trial', Journal of Perinatology. https://doi.org/10.1038/s41372-025-02287-0