An interventional study of Sequential post-care positioning in Premature Birth and Premature, sponsored by Saglik Bilimleri Universitesi. Completed at 1 site in Turkey (Türkiye). Per ClinicalTrials.gov, last updated 2026-10-19.
Sponsored by Saglik Bilimleri Universitesi · Not applicable, Interventional, and Supportive care
This study examined the comfort of late preterm infants (born at 34 0/7 to 36 6/7 weeks of gestation) placed in four positions after routine nursing care in a neonatal intensive care unit. After each of four night-time care episodes, every infant was placed sequentially in the supine, left lateral, right lateral and prone positions within a nest for 15 minutes each, and comfort was assessed with the Premature Infant Comfort Scale at the 1st, 5th and 15th minutes.
Single-group, within-subject, repeated-measures quasi-experimental study conducted in the level III neonatal intensive care unit of a tertiary training and research hospital in Ankara, Türkiye. Fifty spontaneously breathing, clinically stable late preterm infants were enrolled after written parental consent. Data were collected during the night shift. Routine nursing care was given every 3 hours, and observations followed the care episodes at 19:00, 22:00, 01:00 and 04:00. After each care episode, infants were placed in a fixed order in the supine, left lateral, right lateral and prone positions, within a U-shaped nest, with the head and trunk aligned in the midline, the neck in slight flexion and the head of the bed elevated by 30 degrees. Each position was maintained for 15 minutes. The Premature Infant Comfort Scale (PICS; total score 7-35, lower scores indicate greater comfort, 17 or more indicates discomfort) was scored at the 1st, 5th and 15th minutes, yielding 48 observations per infant. Infants were continuously monitored with a cardiorespiratory monitor. No painful procedure was performed during the observation period. All positioning and scoring were carried out by the same researcher, a neonatal intensive care nurse. Data were analyzed with repeated-measures ANOVA.
2,610 studies on the registry are indexed under Premature Birth; 507 are open to participants now.
This study's enrollment of 50 is below the median of 84 across 1,722 interventional studies indexed under Premature Birth.
Browse Premature Birth studies →Saglik Bilimleri Universitesi is the lead sponsor of 447 studies on the registry; 138 are open to participants now.
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Exclusion Criteria:
Late preterm infants placed sequentially in the supine, left lateral, right lateral and prone positions (15 minutes each) after each of four routine night-time care episodes.
Other: Sequential post-care positioning
After routine nursing care, the infant was placed within a U-shaped nest in the supine, left lateral, right lateral and prone positions, in this order, for 15 minutes each, with midline head-trunk alignment, slight neck flexion and 30-degree head-of-bed elevation
Premature Infant Comfort Scale (PICS) total score
Seven items (alertness, calmness/agitation, crying, physical movement, muscle tone, facial tension, mean heart rate), each scored 1-5; total 7-35. Lower scores indicate greater comfort; a score of 17 or more indicates discomfort.
Time frame: At the 1st, 5th and 15th minutes after placement in each of the four positions, following each of four night-time care episodes (19:00, 22:00, 01:00 and 04:00) during one night
PICS dimension scores
Scores of each of the seven PICS items (range 1-5; lower scores indicate greater comfort).
Time frame: At the 1st, 5th and 15th minutes after placement in each of the four positions, following each of four night-time care episodes (19:00, 22:00, 01:00 and 04:00) during one night
Number of infants with discomfort (PICS total score of 17 or more)
Number of infants with a PICS total score of 17 or more, which indicates discomfort requiring intervention (PICS range 7-35; lower scores indicate greater comfort).
Time frame: At the 1st, 5th and 15th minutes after placement in each of the four positions, following each of four night-time care episodes (19:00, 22:00, 01:00 and 04:00) during one night
Plan to share: No — De-identified data may be made available by the corresponding author upon reasonable request.
No publications or documents are linked to this record.
Ran from Feb 2026 to primary completion in May 2026, 3 months.
Of 753 non-industry interventional studies with no phase under Premature Birth, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 47. This study's 3 months is below that.
Counting every sponsor, half of 775 studies reached it within 24 months; a quarter within 12 and three quarters within 47.
How these figures are worked out, and which studies are left out of them.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.
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