INSTRUCTIONS: Preterm Infant Incubator Humidity Levels: A Systematic Review

2021 ◽  
Vol 21 (4) ◽  
pp. E75-E75
Author(s):  
Abdul Razak ◽  
Maheer Faden

ContextThe association between maternal diabetes and outcomes of infants who are born preterm is unclear.ObjectiveTo perform a systematic review and meta-analysis of clinical studies exploring the association between maternal diabetes and preterm infant outcomes.MethodsMedline, PubMed and Cumulative Index of Nursing and Allied Health Literature databases were searched without language restriction from 1 January 2000 until 19 August 2019. Studies examining preterm infants <37 weeks gestational age and reporting prespecified outcomes of this review based on maternal diabetes as primary exposure variable were included.ResultsOf 7956 records identified through database searches, 9 studies were included in the study. No significant association was found between maternal diabetes and in-hospital mortality (adjusted RR (aRR) 0.90 (95% CI 0.73 to 1.11); 6 studies; participants=1 191 226; I2=83%). Similarly, no significant association was found between maternal diabetes and bronchopulmonary dysplasia (aRR 1.00 (95% CI 0.92 to 1.07); 4 studies; participants=107 902; I2=0%), intraventricular haemorrhage or cystic periventricular leukomalacia (aRR 0.91 (95% CI 0.80 to 1.03); 3 studies; participants=115 050; I2=0%), necrotising enterocolitis (aRR 1.13 (95% CI 0.90 to 1.42); 5 studies; participants=142 579; I2=56%) and retinopathy of prematurity (ROP) (aRR 1.17 (95% CI 0.85 to 1.61); 5 studies; participants=126 672; I2=84). A sensitivity analysis where low risk of bias studies were included in the meta-analyses showed similar results; however, the heterogeneity was lower for in-hospital mortality and ROP.ConclusionMaternal diabetes was not associated with in-hospital mortality and severe neonatal morbidities in preterm infants. Future studies should explore the association between the severity of maternal diabetes with preterm infant outcomes.


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Laurie Glass ◽  
Anna Valdez

2016 ◽  
Vol 116 (1) ◽  
pp. 132-141 ◽  
Author(s):  
Pan Huang ◽  
Jianghua Zhou ◽  
Yanan Yin ◽  
Wenjuan Jing ◽  
Biru Luo ◽  
...  

AbstractWe conducted a systematic review and meta-analysis to compare the effect of breast-feeding and formula-feeding on body composition of preterm infants. We searched the literature using PubMed, Cochrane Central Library Issue, Ovid (Medline), Embase and other resources such as Google Scholar, electronic databases and bibliographies of relevant articles; two reviewers collected and extracted data independently. All the authors assessed risk of bias independently using the Newcastle–Ottawa Scale (NOS). A fixed-effects meta-analysis was undertaken with RevMan 5 software (The Cochrane Collaboration) using the inverse variance method (P≥0·05;χ2test). In contrast, a random-effects meta-analysis was carried out. Altogether, 630 articles were identified using search strategy, and the references within retrieved articles were also assessed. A total of six studies were included in this systematic review. In formula-fed infants, fat mass was higher at term (mean difference 0·24 (95 % CI 0·17, 0·31) kg), fat-free mass was higher at 36 weeks of gestational (mean difference 0·12 (95 % CI 0·04, 0·21) kg) and the percentage of fat mass was higher at 36 weeks of gestation (mean difference 3·70 (95 % CI 1·81, 5·59) kg) compared with breast-fed infants. Compared with breast-feeding, formula-feeding is associated with altered body composition from birth to term in preterm infants. The effects of formula-feeding on preterm infant body composition from term to 12-month corrected age are inconclusive in our study. Well-designed studies are required in the future to explore the effects of formula-feeding compared with breast-feeding.


2018 ◽  
Vol 7 (2.25) ◽  
pp. 6 ◽  
Author(s):  
Bethanney Janney.J ◽  
S KrishnaKumar ◽  
Anu Shree.P.B ◽  
Rayshma V ◽  
Sanjana Suresh

A mobile infant incubator is a preterm infant care medical tool which provides warmth, humidity and oxygen all in a controlled state of affairs as required by the New born baby. This incubator offers a clean condition, which has natural air, perfect and clean encompassing conditions for the infants. The main aim of the paper is to design and develop an Arudino based temperature and humidity control in an incubator.In the course of their initial weeks of lives infants are subjected to pain and soreness, so to conquer  this major problem we have introduced a mechanism to traject maternal features to the infant. For this reasons the features are mimicked viva a pillow unit that has embedded with sensors and actuators. Our proposed system consists of sensors for monitoring critical parameters, Pillow unit for comforting the infants, GSM for transferring information to doctors and parents and Labview for output evaluation and all together controlled by Arudino microcontroller. Advances in electronic procedures combined with sparing costs influence humidity and temperature to  govern realistic with fantastically precise and solid performance.  


2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
Amira J. Zaylaa ◽  
Mohamad Rashid ◽  
Mounir Shaib ◽  
Imad El Majzoub

Preterm infants encounter an abrupt delivery before their complete maturity during the third trimester of pregnancy. Polls anticipate an increase in the rates of preterm infants for 2025, especially in middle- and low-income countries. Despite the abundance of intensive care methods for preterm infants, such as, but not limited to, commercial, transport, embrace warmer, radiant warmer, and Kangaroo Mother Care methods, they are either expensive, lack the most essential requirements or specifications, or lack the maternal-preterm bond. This drove us to carry this original research and innovative idea of developing a new 3D printed prototype of a Handy preterm infant incubator. We aim to provide the most indispensable intensive care with the lowest cost, to bestow low-income countries with the Handy incubator’s care, preserve the maternal -preterm’s bond, and diminish the rate of mortality. Biomedical features, electronics, and biocompatible materials were utilized. The design was simulated, the prototype was 3D printed, and the outcomes were tested and evaluated. Simulation results showed the best fit for the Handy incubator’s components. Experimental results showed the 3D-printed prototype and the time elapsed to obtain it. Evaluation results revealed that the overall performance of Kangaroo Mother Care and the embrace warmer was 75 ± 1.4% and 66.7 ± 1.5%, respectively, while the overall performance of our Handy incubator was 91.7 ± 1.6%, thereby our cost-effective Handy incubator surpassed existing intensive care methods. The future step is associating the Handy incubator with more specifications and advancements.


2021 ◽  
Vol 7 (2) ◽  
pp. 77
Author(s):  
CH.R. Yeni Suryandari ◽  
Yuni Sufyanti Arief ◽  
Sri Utami

Introduction: Developmental care-based preterm infant care management that aims to protect the neurological system and reduce adverse effects has developed over the last few decades. The study aimed to explore the factors that influence the implementation of developmental care among NICU nurses.Methods: The study was systematically identified by searching an electronic database using keywords "preterm infant" AND "developmental care" AND "nursing care" AND "NICU" and consisted of 2130 articles from Scopus, Science Direct, goggle scholar, ProQuest, and PubMed. Data sources were limited to articles published from 2015 to 2020 and those published in English. Thirteen studies were included in this systematic review. The inclusion criteria were nurses caring for preterm infants at the NICU, a cross-sectional descriptive study of quantitative or qualitative research.Results: Thirteen articles indicated that the developmental care implementation among NICU nurses was influenced by positive, perceptions knowledge, attitudes of developmental care. Professional skills are the most substantial impact on developmental care implementation to improve nurses' nursing development and increase the competence of individual nurses.Conclusion: Positive perceptions about organizational support and developmental care are needed. The training care program also benefits to nurses by increase self-confidence in implementing developmental care for premature babies.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Lisa Moloney ◽  
Mary Rozga ◽  
Kathleen Gura ◽  
Camilia Martin

Abstract Objectives To investigate the evidence for the effect of omega 3 fatty acids via enteral nutrition on identified outcomes in the very low birthweight preterm infant population. Methods A literature search was conducted in EMBASE, CINAHL, Cochrane Central, PubMed databases for the period of January 1980-November 2017 for all peer-reviewed articles examining preterm infant nutrition. A multidisciplinary volunteer expert Workgroup and staff screened articles according to defined inclusion criteria (randomized controlled trials, enteral fed preterm infants < 1500 gm, economically developed nations). Data was extracted and risk of bias was evaluated for each included article using the Academy's Quality Criteria Checklist and Cochrane's Risk of Bias Tool. Data was summarized and conclusion statements were developed and graded for each identified outcome using the GRADE framework and Academy methodology. Results The search identified in 25,264 articles, and six studies published in 13 articles were included. Two included studies had low risk of bias. Remaining studies had bias in the following Cochrane domains: attrition (2), detection (3), selection (2), performance (2), and reporting (1). Eleven conclusion statements were developed, 4 were graded as good, 2 as fair, 5 as limited. Though evidence quality describing the effect of 64mg of omega 3s daily on mortality and retinopathy of prematurity was good, there were no significant effects reported [RR (95% CI) was 1.31 (0.88 to 1.96) and 0.96 (0.61, 1.50), respectively]. Similarly, there were no significant effects found for type of fat intake by VLBW infants on bronchopulmonary disease, atopy, necrotizing enterocolitis, anthropometrics, neuro- or visual development or gastrointestinal health. Conclusions This systematic review revealed high heterogeneity amongst interventions, including in feeding types (formula, formula or human milk, or human milk), mode of supplementation, and amount and composition of supplement (DHA, EPA, ARA, MCT). Funding Sources Academy of Nutrition and Dietetics.


PEDIATRICS ◽  
2017 ◽  
Vol 139 (3) ◽  
pp. e20162045 ◽  
Author(s):  
Tanis R. Fenton ◽  
Hilton T. Chan ◽  
Aiswarya Madhu ◽  
Ian J. Griffin ◽  
Angela Hoyos ◽  
...  

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