Changes in autonomic regulation due to Kangaroo care remain unaffected by using a swaddling device

Kommers, Deedee; Joshi, Rohan; Pul, Carola van; Feijs, Loe; Oetomo, Sidarto Bambang; Andriessen, Peter

doi:10.1111/apa.14484

Cited by 17 publications

(13 citation statements)

References 29 publications

(39 reference statements)

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“…However, despite adjusting for baseline HRV which already captures the contribution of PMA, during KC, HRV was still affected by the PMA. This finding affirms previous results suggesting that the response to KC is affected by the maturational state of the infant 7,8 . While in the incubator, with increasing PMA, pDec approaches 50% but by performing KC there appears to be further PMA-dependent catalysis that facilitates pDec towards 50%.…”

Section: Discussionsupporting

confidence: 92%

Statistical Modeling of Heart Rate Variability to Unravel the Factors Affecting Autonomic Regulation in Preterm Infants

Joshi

Kommers

Guo

et al. 2019

Sci Rep

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Analyzing heart rate variability (HRV) in preterm infants can help track maturational changes and subclinical signatures of disease. We conducted an observational study to characterize the effect of demographic and cardiorespiratory factors on three features of HRV using a linear mixed-effects model. HRV-features were tailored to capture the unique physiology of preterm infants, including the contribution of transient pathophysiological heart rate (HR) decelerations. Infants were analyzed during stable periods in the incubator and subsequent sessions of Kangaroo care (KC) – an intervention that increases comfort. In total, 957 periods in the incubator and during KC were analyzed from 66 preterm infants. Our primary finding was that gestational age (GA) and postmenstrual age (PMA) have the largest influence on HRV while the HR and breathing rate have a considerably smaller effect. Birth weight and gender do not affect HRV. We identified that with increasing GA and PMA, overall HRV decreased and increased respectively. Potentially these differences can be attributed to distinct trajectories of intra- and extrauterine development. With increasing GA, the propensity towards severe HR decelerations decreases, thereby reducing overall variability, while with increasing PMA, the ratio of decelerations and accelerations approaches unity, increasing overall HRV.

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Section: Discussionsupporting

confidence: 92%

Statistical Modeling of Heart Rate Variability to Unravel the Factors Affecting Autonomic Regulation in Preterm Infants

Joshi

Kommers

Guo

et al. 2019

Sci Rep

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“…In the research series published by Kommers et al [ 47 , 48 , 49 , 50 ], different results were found. In one study, no statistically significant HRV was reported [ 47 ], and significantly lower HRV was reported in the other two studies [ 48 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…Indeed, analysis of the 22 selected studies revealed that nine studies focused on HRV [ 36 , 38 , 44 , 45 , 46 , 47 , 48 , 50 , 51 ], six studies on stress [ 26 , 36 , 38 , 41 , 54 , 55 ], and nine on cortisol [ 40 , 42 , 43 , 51 , 52 , 54 , 55 , 56 , 57 ], while the remaining six focused on oxytocin [ 40 , 43 , 48 , 53 , 55 , 57 ]. The studies are summarized in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…In one study, no statistically significant HRV was reported [ 47 ], and significantly lower HRV was reported in the other two studies [ 48 , 49 ]. In response to parental co-regulation, Kommers et al [ 50 ] suggested that a decrease of the HRV parameters during SSC should be interpreted as a positive effect of SSC and an indication of better stability.…”

Section: Resultsmentioning

confidence: 99%

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Parent–Infant Skin-to-Skin Contact and Stress Regulation: A Systematic Review of the Literature

Ionio

Ciuffo

Landoni

2021

IJERPH

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Several studies have focused on neonatal maternal separation (MS) to investigate behavioural and neuroendocrine reactions to lack of contact, but only a few have focused on early separation in the first days or weeks after birth. This literature review investigates the vital importance of contact and touch by exploring how skin-to-skin contact (SSC) regulates stress in the mother–infant relationship. Various databases such as PubMed, Scopus, and ScienceDirect were searched for literature published between 2015 and 2020. From 1141 articles, 22 were declared eligible. The reviewed articles showed how SSC regulates child stress by biological indicators such as the autonomic nervous system (ANS), heart rate variability (HRV), cortisol, and oxytocin. This research concludes the importance of SSC for stress regulation, especially during the COVID-19 pandemic. With no research to date indicating a possible risk of neonatal COVID-19 transmission following SSC, SSC should continue to be practiced for all women, as recommended by the WHO.

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“…The kangaroo mother care method is said to be more effective at increasing the baby's body temperature (Hakimi et al, 2017)compared to the swaddling method which does not have a thermal advantage (Tsogt et al, 2016). The swaddling method can be a follow-up care after the kangaroo mother care method to maintain warmth for low-weight newborns in the community (Kommers et al, 2019) but it cannot increase the baby's body temperature. The two methods have different functions as a treatment for low birth weight newborns as well as the positive effects that are related to increasing and maintaining a stable body temperature of newborns with low weight in the community.…”

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confidence: 99%

Kangaroo Mother Care and Swaddling Methods In Low Born Weight Babies In Community Settings: A Systematic Review

Tauriana

Haryanto

Pradanie

2020

sjik

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Infants born with low birth weight or LBW are very susceptible to hypothermia due to the thin fat reserves under the skin and immature heat regulating centers in the brain. The search for articles consisted of five databases, namely Scopus, Science Direct, PubMed, Garuda, and Proquest. Analysis of 25 articles on kangaroo mother care and self-care showed that kangaroo mother care can keep the baby's body temperature stable and reduce the risk of hypothermia in newborns with low weight and make it easier for the baby to breastfeed. This systematic review shows that the kangaroo mother care method has a more significant impact on baby weight gain and the stability of the baby's body temperature by maintaining skin to skin contact between mother and baby for later implementation in the community. This method is more effective than the swaddling method. Keyword: Kangaroo Mother Care; Swaddling; Low Birth Weight; Community

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Changes in autonomic regulation due to Kangaroo care remain unaffected by using a swaddling device

Abstract: The use of an alternative swaddling device aimed at facilitating Kangaroo care did not enhance autonomic regulation, as measured by vital signs and heart rate variability.

Cited by 17 publications

References 29 publications

Statistical Modeling of Heart Rate Variability to Unravel the Factors Affecting Autonomic Regulation in Preterm Infants

Statistical Modeling of Heart Rate Variability to Unravel the Factors Affecting Autonomic Regulation in Preterm Infants

Parent–Infant Skin-to-Skin Contact and Stress Regulation: A Systematic Review of the Literature

Kangaroo Mother Care and Swaddling Methods In Low Born Weight Babies In Community Settings: A Systematic Review

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