A new device (cicogna) for transferring the neonate in the delivery room setting: a randomised, controlled trial.

摘要

OBJECTIVE: We developed a new system ('cicogna') for transferring the neonates into the delivery room setting. Our aim was to compare the 'cicogna' system and the conventional method (plastic basin) with regard to the time needed to transfer the neonate from the operating table to the radiant warmer; and to evaluate the degree of approval for the 'cicogna' expressed by the midwives. STUDY DESIGN: In a prospective, randomised, controlled trial including 100 infants (gestational age > or =34 weeks), we measured the time elapsed from the umbilical cord clamping to the positioning of the neonate under the radiant warmer using the 'cicogna' system or the conventional method. Midwives involved in the study were asked to fill out a final, written evaluation regarding the feasibility and the safety of the devices. RESULTS: The time elapsed from the cord clamping to the positioning of the infant under the radiant warmer was significantly shorter for infants who were managed with the 'cicogna' system compared with infants who received standard care: 18.7 +/- 5.6 s vs. 24.5 +/- 9.0 s (p < 0.001). In the evaluation forms, 19 out of 20 midwives (95%) evaluated the 'cicogna' as good or excellent. CONCLUSIONS: In comparison with the conventional method, 'cicogna' decreased the time needed to transfer the neonate into delivery room setting and received a high degree of approval by personnel involved in neonatal care. It appears to be a feasible and safe method for transferring the neonate in the setting of the delivery room.