Die Verbreitung der Känguruh-Methode in Deutschland

Stening, Waltraud; Kribs, Angela; Kiencke, P.; Stützer, H.; Roth, Bernhard

doi:10.1007/s001120050496

Cited by 7 publications

(6 citation statements)

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“…Kangaroo care had become routine in many neonatal units before the physiological effects had been evaluated in very immature infants [1,6]. Handling, temperature control and head elevated body position are the main stress factors for the infants during kangaroo care.…”

Section: Discussionmentioning

confidence: 99%

“…Kangaroo care offers skin-to-skin contact as the parent holds the infant outside the incubator. Even very immature infants are placed in kangaroo position on many neonatal intensive care wards [1]. However, kangarooing involves head-up body position up to 20-45° which can produce orthostatic stress.…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, kangaroo care of premature infants has gained increasing importance in the care of premature infants as a means of developing the parent-child relationship and stimulating the infant [1,2]. Kangaroo care offers skin-to-skin contact as the parent holds the infant outside the incubator.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Head-Up Body Tilt Position on Autonomic Function and Cerebral Oxygenation in Preterm Infants

Schrod

Walter

2002

Neonatology

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Skin-to-skin care (kangaroo) of premature infants causes orthostatic stress. Therefore, the effect of head elevated body tilt position (HETP) of 30% following HETP determined by near infrared spectroscopy. After stabilization within several minutes, prolonged tilting did not result in any further significant changes of tHb, heart rate, mean arterial pressure and oxygen saturation measured by pulseoxymetry. Respiratory frequency was reduced by 6–12%. Spectral analysis of heart rate variability revealed a greater increase in low frequency than high frequency activity following HETP reflecting a relative increase in sympathetic versus vagal activation. Only preterm infants ≤1,500 g showed a significant decrease of regional cerebral oxygen saturation (rSO₂) of about 2–5% from day 2 to 8. As this mild decrease in rSO₂ is clinically insignificant, there were no severe side effects of prolonged tilting in stable preterm infants even during the first days of life. However, the initial decline of tHb might be critical in very immature infants and needs further investigations.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of Head-Up Body Tilt Position on Autonomic Function and Cerebral Oxygenation in Preterm Infants

Schrod

Walter

2002

Neonatology

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“…This position in practical use intensifies parent-child relationship [8] , has influence on breast-feeding behavior [9] , and neurological development [10] , is no barrier for phototherapy [11] , may decrease pain reception [12][13][14][15][16][17] , and in one study was shown to reduce blood transfusions [18] . Therefore, 90% of neonatal intensive care units in Germany apply SSC [19] .…”

Section: Introductionmentioning

confidence: 99%

Impact of Skin to Skin Care, Prone and Supine Positioning on Cardiorespiratory Parameters and Thermoregulation in Premature Infants

et al. 2009

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Background: Skin to skin care (SSC), prone (PP) and supine (SP) positions are standard positions in daily care for premature infants. Their influence on cardiorespiratory parameters and thermoregulation is discussed controversially. Objectives: We compared SSC with PP, the recommended position for preterm infants, and SP, the safest position for term infants, and tested the hypothesis that SSC has no impact on cardiorespiratory parameters and thermoregulation. Methods: In 18 spontaneously breathing premature infants [median gestational 28 weeks (24–32); chronological age 36 days (7–64), and weight 1,543 g (750–2,100)], heart and respiratory rate, breathing pattern, episodes of desaturation (<85 but ≧80 and <80%), oxygen saturation and rectal temperature were analyzed with polygraphy (Alice 3® and 3.5®) in a 6-hour measuring cycle of three subsequent series (120 min each in SP, SSC and PP) and compared (Wilcoxon test). Results: During SSC, we found no increase in apneic attacks and bradycardic episodes and no difference in respiratory rate, breathing pattern, oxygen saturation, episodes and duration of desaturation compared to SP and PP. Episodes of desaturation <85 but ≧80 and <80% were more frequent in SP compared to PP (p = 0.0421 and p = 0.0319). Heart rate increased in SSC and PP compared to SP (154.86 bpm, SD 11.55, and 153.33 bpm, SD 15.95 vs. 150.25 bpm, SD 14.64; p = 0.0013 and p = 0.0346). Temperature level was not significantly higher during SSC and PP compared to SP except a rise between the start and the end of the 6-hour measuring cycle (37.05°C, SD 0.2 vs. 37.30°C, SD 0.3; p = 0.0436). Conclusion: We found no significant SSC-mediated changes in quality and quantity of desaturations and in body temperature compared to PP in preterm infants.

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“…Des Weiteren konnte für die psychologische Betreuung der Eltern gezeigt werden, dass sie deren Stressbewältigung unterstützt [1,16] und dazu beiträgt, längerfristige Traumatisierungen der Mütter abzuwenden [7,8] [14]. Eine Befragung zur "Verbreitung des kindzentrierten Umgangs und der psychosozialen Betreuung Frühgeborener und ihrer Eltern" [13] ergab folgende Häufigkeiten der Angebote an den Kliniken: F routinemäßige Kängurumethode (88%), F basale Stimulation (49%), F auditive Stimulation (45,5%) und F Säuglingsmassage (31,5%).…”

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