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Weight gain and movement patterns of very low birthweight babies nursed on lambswool
Scott S, Lucas P, Cole T, Richards M
Lancet 1983 Oct 29;322(8357):1014-1016
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

34 very low birthweight babies (mean 1,143 g) in incubators were randomly assigned to be continuously nursed on lambswool (n = 17) or ordinary cotton sheets (n = 17). The weight gain for the periods when babies were well was significantly larger for the wool group, 22.7 g/day versus 18.6 g/day for cotton control (p < 0.02). The overall weight gain (which included weight change during periods of illness) revealed a similar picture in favour of the wool group, 21.5 g/day versus 18.2 g/day (p < 0.05). Movement patterns for the two groups showed no differences, but for all babies a strong correlation was noted between moving and lying suspine (p < 0.001), having eyes open (p < 0.001), a cooler incubator (p < 0.01), and faster weight gain (p < 0.01). Lambswool seems to have advantages over cotton sheets as a bedding material for very low birth weight babies.

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