Oronasopharyngeal Suction Versus Simple Nose and Mouth Wiping in Term Newborns

Completed · Not applicable

Conditions studied: Pregnancy, Childbirth and the Puerperium, Resuscitation

In brief

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.

Key facts

Study ID: NCT01197807
Run by: University of Alabama at Birmingham
People needed: 506
Starts: 2010-11-01
Expected to finish: 2012-01-01
Last updated by the study team: 2012-08-14

Who can join

Age: any. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Inborn neonates at the UAB hospital with gestational age greater than or equal to 35 weeks.

You may not qualify if…

Major birth anomalies or where a decision to institute comfort care only has been made antenatally
Significant resuscitation efforts are anticipated prior to delivery
Nonvigorous infants with meconium stained amniotic fluid

Where it is running

University of Alabama at Birmingham — Birmingham, Alabama, United States

Full record on ClinicalTrials.gov

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