NCT01197807

Oronasopharyngeal Suction Versus Simple Nose and Mouth Wiping in Term Newborns

Newborn Resuscitation: A Randomized Controlled Trial of Oronasopharyngeal Suction Versus Simple Nose and Mouth Wiping in Term Newborns

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 506 (actual)
• Sponsor: University of Alabama at Birmingham · Academic / Other
• Sex: All
• Age: 1 Minute – 1 Minute
• Healthy volunteers: Not accepted

Summary

Until recently, bulb or catheter oronasopharyngeal suctioning (ONPS) of all the infants, including vigorous infants in the delivery room, has been featured as a standard of newborn care. The 5th edition of the Newborn Resuscitation Program (NRP) has minimized the recommendation for routine suctioning of infants following delivery, provided they are not depressed or in need of immediate resuscitation. However, this new alternative recommendation was based on a small randomized trial and other lower level evidence rather than evidence from larger trials. The NRP Textbook cautions against vigorous suctioning because of the resultant apnea or bradycardia. Furthermore, suctioning may delay other more important steps of resuscitation. Thus, it is necessary to compare the alternative recommended practice, i.e. simple wiping of the mouth, to determine if it has equivalent efficacy and a favorable side effect profile compared to suctioning.

Conditions

• Pregnancy, Childbirth and the Puerperium
• Resuscitation

Interventions

Type	Name	Description
PROCEDURE	Bulb Suctioning	Bulb suctioning of the mouth then the nose immediately following delivery
PROCEDURE	Wiping	Gentle wiping of mouth then nose with a soft cloth immediately following delivery

Timeline

• Start date: 2010-11-01
• Primary completion: 2011-11-01
• Completion: 2012-01-01
• First posted: 2010-09-09
• Last updated: 2012-08-14

Locations

1 site across 1 country: United States