Effects of daily kangaroo care on cardiorespiratory parameters in preterm infants

Mitchell, Anita; Yates, Charlotte; Williams, Keith D.; Hall, Richard

doi:10.3233/npm-1370513

Cited by 48 publications

(39 citation statements)

References 29 publications

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“…In both arms of the study, Kangaroo care was associated with a reduced heart rate and respiratory rate. In agreement with the literature, these findings may suggest reduced metabolic expenditure during Kangaroo care . This effect, however, did not remain in the post‐Kangaroo care period since both the heart rate and the respiratory rate increased to pre‐Kangaroo care values.…”

Section: Discussionsupporting

confidence: 90%

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

et al. 2018

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Section: Discussionsupporting

confidence: 90%

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

et al. 2018

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“…Similar to observations in premature infants, 20,21 heart rates in this case study infant during sustained SSC (SSC-3) were essentially unchanged when compared with pre-SSC values and the standard deviation was small (3.99). However, there was a significant difference in slope of heart rate when comparing the pre-SSC and SSC-3 periods.…”

Section: Discussionsupporting

confidence: 85%

“…Reports of oxygen saturation changes during SSC have been mixed: arterial oxygen saturation (SaO 2 ) has increased, 21,24,27 decreased, 20,28 and not changed at all. 25,29,30 The most common finding in previous SSC studies is that SaO 2 remains relatively unchanged from baseline during SSC 31 and metanalyses have confirmed stability during SSC.…”

Section: Discussionmentioning

confidence: 99%

A Case Study of Infant Physiologic Response to Skin-to-Skin Contact After Surgery for Complex Congenital Heart Disease

Harrison

Ludington‐Hoe

2015

Journal of Cardiovascular Nursing

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Background Infants with complex congenital heart disease requiring surgical intervention within the first days or weeks of life may be the most seriously ill infants needing intensive nursing and medical care immediately after birth. Skin to skin contact (SSC) is well-accepted and practiced as a positive therapeutic intervention in premature infants, but is not routinely offered to infants in cardiac intensive care units. Physiologic effects of SSC in the congenital heart disease population must be examined before recommending incorporation of SSC into standard care routines. Objective The purpose of this case study was to describe the physiologic response to a single session of SSC in an 18-day-old infant with hypoplastic left heart syndrome. Methods Repeated measures of heart rate, respiratory rate, oxygen saturation, blood pressure, and temperature were recorded 30 minutes prior to SSC, during SSC (including interruptions for bottle and breast feedings), and 10 minutes after SSC was completed. Results All physiologic parameters were clinically acceptable throughout the 135-minute observation. Conclusion This case study provides beginning evidence that SSC is safe in full-term infants following surgery for complex congenital heart disease. Further research with a larger sample is needed to examine effects of SSC on infant physiology before surgery and earlier in the postoperative time period as well as on additional outcomes such as length of stay, maternal-infant interaction, and neurodevelopment.

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“…Hud-mot-hud-kontakt kan bidra til å stabilisere fysiologiske parametere som saturasjon, hjertefrekvens, respirasjon og temperatur hos premature barn (3)(4)(5)(6). Hud-mot-hud-kontakt kan også redusere smerte og stress ved smertefulle prosedyrer og har vist seg å kunne føre til bedret men-tal utvikling senere i livet (4,(7)(8)(9).…”

Section: Introduksjonunclassified

Bruk av hud-mot-hud-kontakt i norske nyfødt intensivavdelinger

Lode¹,

Andersen²,

Eriksson³

2015

Sykepleien

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Skin-to-skin care in Norwegian neonatal intensive care unitsBackground: Skin-to-skin care (SSC) has advantages for parents and child.Objective: To describe similarities and differences between Neonatal Intensive Care Units at university and county hospitals regarding practical and organisational conditions and staff's perceptions of SSC. Methods:A questionnaire study was carried out, with one questionnaire at unit level (N=19) and one for a sample of staff at these units (N=463). Results:All units and a sample of staff (n=322; 69.5%) filled in the questionnaires. All units offered SSC, and a majority attempted to initiate the first SSC as early as possible. A majority of stable premature infants received SSC up to 6 hours a day. Infant-parent interaction, bonding and the infant's development were considered the most important factors for SSC by staff. Concerns about the child's stability were considered the most important barrier. Practical and organisational conditions were arranged best for SSC at county hospitals, while the staff at university hospitals was more comfortable in arranging SSC for the most fragile infants. Approximately half of all units had written guidelines and parental information regarding SSC. Conclusion:Our findings indicate a need for changes in neonatal care to ensure that parents and child are not separated unnecessarily during the hospital stay.Keywords: Skin-to-skin care, premature, neonatal intensive care unit, staff perceptions, questionnaire Bakgrunn: Hud-mot-hud-kontakt har fordeler for foreldre og barn.Hensikt: Beskrive likheter og forskjeller mellom nyfødt intensivavdelinger ved universitetssykehus og øvrige helseforetak, vedrørende praktisk og organisatorisk tilrettelegging og personalets oppfatninger om hud-mot-hud-kontakt.Metode: Spørreskjemaundersøkelse, ett spørreskjema på avdelingsnivå (N=19) og ett til et utvalg ansatte i avdelingene (N=463).Hovedresultat: Alle avdelingene og et utvalg ansatte (n=322; 69,5 prosent) besvarte undersøkelsen. Alle avdelingene tilrettela for hudmot-hud og flertallet prøvde å få til den første kontakten så tidlig som mulig. Majoriteten av stabile premature fikk hud-mot-hud-kontakt inntil seks timer per døgn. De viktigste argumentene for hud-mot-hudkontakt, ifølge personalet, var positive effekter på samspill, tilknytning og barnets utvikling. Bekymring for barnets stabilitet var den viktigste hindringen. I helseforetak som ikke var universitetssykehus var forholdene best tilrettelagt, mens personalet ved universitetssykehusene var stort sett mer komfortable med å anvende hud-mot-hud for de sykeste barna. Rundt halvparten av alle avdelingene hadde retningslinjer for og skriftlig foreldreinformasjon om hud-mot-hud-kontakt.Konklusjon: Funnene kan synliggjøre et behov for endring av nyfødtomsorgen for å sikre at foreldre og barn får muligheten til å vaere sammen hele døgnet under hele sykehusoppholdet.ORIGINALARTIKKEL > Bruk av hud-mot-hud-kontakt i norske nyfødt intensivavdelinger Arkivfoto: Stig M. Weston forskning nr 2, 2015;10:152-160

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Effects of daily kangaroo care on cardiorespiratory parameters in preterm infants

Cited by 48 publications

References 29 publications

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

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

A Case Study of Infant Physiologic Response to Skin-to-Skin Contact After Surgery for Complex Congenital Heart Disease

Bruk av hud-mot-hud-kontakt i norske nyfødt intensivavdelinger

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