Effect of Repositioning Frequency Neonates Receiving Phototherapy

Study Overview
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Brief Summary
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Purpose: The present study was conducted to determine the effect of repositioning frequency during phototherapy on bilirubin level and neonates comfort. Design and methods: This was a single-centered, single-blind, 3-arm, pretest-posttest parallel-group randomized controlled trial conducted in a neonatal intensive care unit. Participants were randomly assigned to one of three groups: Supine position group (n = 20), hourly position change group (n = 20), and control group (n = 20). The bilirubin level and comfort levels of the neonates were evaluated.

Detailed Description
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Purpose: The present study was conducted to determine the effect of repositioning frequency during phototherapy on bilirubin level and neonates comfort.

Official Title
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Effect of Repositioning Frequency on Bilirubin Level and Infant Comfort in Neonates Receiving Phototherapy

Conditions
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Bilirubinemia, Newborn Jaundice

Intervention / Treatment
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* Behavioral: Supine position group
* Behavioral: Hourly position change group
* Behavioral: Control Group (2-hour position change)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: gestational age between 35-42 weeks birth weight of 2000 g or more indication for phototherapy no previous phototherapy, no medical diagnosis other than prenatal hyperbilirubinemia stable health status no clinical signs of dehydration transition to oral feeding, no sucking problems being at least 2 days old on the day of phototherapy Exclusion Criteria: a sudden change in stability during phototherapy and phototherapy duration of less than 24 hours

Ages Eligible for Study
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Minimum Age: 35 Weeks
Maximum Age: 42 Weeks

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: single-centered, single-blind, 3-arm, pretest-posttest parallel-group randomized controlled trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Supine position group<br>These neonates were placed in supine position, fed every 2 hours in accordance with routine clinical practice, and then returned to supine position. | Behavioral: Supine position group<br>* These neonates were placed in supine position, fed every 2 hours in accordance with routine clinical practice, and then returned to supine position.<br>|
| Experimental: Hourly position change group:<br>Infants in this group were repositioned every hour based on the time of phototherapy initiation. Neonates were initially placed in supine position and then changed to the prone position. Infants were alternated between supine and prone positions every hour for 24 hours. | Behavioral: Hourly position change group<br>* Infants in this group were repositioned every hour based on the time of phototherapy initiation. Neonates were initially placed in supine position and then changed to the prone position. Infants were alternated between supine and prone positions every hour for 24 hours.<br>|
| Other: Control Group (2-hour position change)<br>Neonates in this group were repositioned every 2 hours as routine practice based on the time of phototherapy initiation. | Behavioral: Control Group (2-hour position change)<br>* Neonates in this group were repositioned every 2 hours as routine practice based on the time of phototherapy initiation. Phototherapy was started with neonates in supine position. In the second period, the neonate was placed in the prone position after routine feeding was performed.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in bilirubin level | bilirubin level change | Baseline and 24 hours after phototherapy | 
| comfort level questionnaire | comfort level change | up to 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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bilirubin, comfort, neonates, phototherapy, positioning