Cobedding consists of associating twins in a common cocoon in order to maintain links developed in utero and reduce the stress of premature birth. The aim of this randomized, controlled prospective study is to compare efficacy (in term of newborn daily weight gain) and safety of cobedding versus single-bedding of preterm twins.
Randomization will occur during the first 96 hours after birth.Twins randomized in the cobedding arm will be kept in the same cocoon until maximum 37 amenorrhea weeks. Each day, parameters (weight gain, …) will be registered.At two years old, neuromotor development of twins will be estimated by Brunet-Lezine test.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
64
Newborn twins are settled in a singe bed: this is cobedding
Newborn twins are settled in two single beds : this is single-bedding
Universitary Hospital Center
Nantes, Loire atlantique, France
Daily weight gain of cobedded preterm twins versus that of single-bedded preterm twins
The main objective of this study is to compare daily weight gain of cobedded preterm twins versus that of single-bedded preterm twins
Time frame: patients will be followed for the duration of hospital stay in special bed (cobedding or single bed) , an expected average of 5 weeks
cardiorespiratory stability
cardiorespiratory stability
Time frame: patients will be followed for the duration of hospital stay in special bed (cobedding or single bed) , an expected average of 5 weeks
Thermoregulation
Thermoregulation
Time frame: patients will be followed for the duration of hospital stay in special bed (cobedding or single bed) , an expected average of 5 weeks
parents well-being estimated through questionnaires
parents well-being estimated through questionnaires
Time frame: 5 weeks
newborns comfort
newborns comfort
Time frame: patients will be followed for the duration of hospital stay in special bed (cobedding or single bed) , an expected average of 5 weeks
stop date of parenteral nutrition
stop date of parenteral nutrition
Time frame: patients will be followed for the duration of hospital stay in special bed (cobedding or single bed) , an expected average of 5 weeks
date of removal of central catheter
date of removal of central catheter
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Time frame: patients will be followed for the duration of hospital stay in special bed (cobedding or single bed) , an expected average of 5 weeks
date of removal of nasogastric catheter
date of removal of nasogastric catheter
Time frame: patients will be followed for the duration of hospital stay in special bed (cobedding or single bed) , an expected average of 5 weeks
stop date of oxygenotherapy
stop date of oxygenotherapy
Time frame: patients will be followed for the duration of hospital stay in special bed (cobedding or single bed) , an expected average of 5 weeks
neuromotor development estimated by "Brunet Lezine" test at 2 years old
neuromotor development estimated by "Brunet Lezine" test at 2 years old
Time frame: 2 years
Hospitalization time length
Hospitalization time length
Time frame: patients will be followed for the duration of hospital stay in special bed (cobedding or single bed) , an expected average of 5 weeks