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Wireless monitoring directly after birth in term neonates: A feasibility study
Marisse Meeus1, Heleen Dingemanse1, Corrie Jacobs1
1Department of Pediatrics and Neonatology, Jeroen Bosch Hospital, Henri Dunantstraat 1, 5223, GZ's-Hertogenbosch, the Netherlands.
Objective:
To evaluate the suitability (feasibility and ease of use) of a novel, wireless, non-adhesive device for cardiorespiratory monitoring directly after birth.
Study Design:
Prospective observational study in which monitor data of healthy newborn infants were collected by applying and connecting a wireless belt directly after birth without skin preparation. Study duration was at least 30 min. Data were retrospectively analyzed. Primary endpoint was the success of displaying HR and RR within two minutes after device application. Secondary endpoints were the continuity and reliability of the monitor data throughout the monitored period, and the caregivers experience of ease of device application.
Results:
As per sample size calculation, monitor data were collected in 39 infants. The measurement was successful in all 39 cases, with a median time to signal display of 4 s (IQR: 3.0-5.0), maximum 91 s. The time needed to obtain a signal did not depend on the degree of vernix. With regard to continuity of data registration, heart rate (HR) and respiratory rate (RR) signals were detectable for 94 % of the time (HR 94 %, RR 97 %).
Conclusion:
A new wireless device was feasible for cardiorespiratory monitoring directly after birth without preparing the wet skin and without disturbing parent-infant skin to skin interaction.
