scholarly journals Chest-to-Back Skin-to-Skin Contact to Regulate Body Temperature for Low Birth Weight and/or Premature Babies: A Crossover Randomized Controlled Clinical Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Sisay Gere ◽  
Yemane Berhane ◽  
Alemayehu Worku

Skin-to-skin contact (SSC) is one of the critical components of kangaroo mother care (KMC), which is an intervention to enhance the survival of low birth weight (LBW) and/or premature infants in low-income settings. Chest-to-chest (CC) contact has been practiced widely; however, mothers face practical challenges to continuously provide CC-SSC. Hence, we assessed the efficacy of chest-to-back (CB) SSC as an alternative to CC-SSC in regulating body temperature for LBW and/or premature babies in Ethiopia. We applied a noninferiority clinical trial among LBW and/or premature infants admitted to a referral hospital neonatal intensive care unit (NICU) in Ethiopia. The study randomized the infants into two crossover arms; arm 1 applied first CB-SSC followed by CC-SSC, and arm 2 applied first CC-SSC followed by CB-SSC. The outcome measure was a change in skin temperature. We used a linear mixed-effect model for analysis. The result showed no statistically significant difference in the mean temperature between the comparison arms. In conclusion, we found that the CB-SSC was not inferior to the CC-SSC in regulating body temperature of the babies. Thus, CB-SSC can be further investigated as an alternative to CC-SSC in the kangaroo care model in low-income settings.

2020 ◽  
Vol 9 (2) ◽  
pp. 1186-1195
Author(s):  
S. Tauriana ◽  
Joni Haryanto ◽  
Retnayu Pradanie

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  


1993 ◽  
Vol 14 (1) ◽  
pp. 1???7 ◽  
Author(s):  
WENDY L. CONSTANTINE ◽  
CHRISTINE W. HAYNES ◽  
DONNA SPIKER ◽  
KATHLEEN KENDALL-TACKETT ◽  
NORMAN A. CONSTANTINE

1989 ◽  
Vol 35 (6) ◽  
pp. 321-326 ◽  
Author(s):  
R. P. Mondlane ◽  
A. M. P. de Graca ◽  
G. J. Ebrahim

2020 ◽  
Vol 7 (3) ◽  
pp. 520
Author(s):  
Tushar R. Jadhav ◽  
Shailaja S. Jaywant

Background: Premature infants with Peri-natal asphyxia leading to a hypoxic-ischemic encephalopathy (HIE) are at greater risk for cerebral palsy. HIE grade II infants have long term neurological complications due to maladaptive brain wiring during NICU stay. Ladder approach, with graded stimulation program is administered by Occupational therapist, plays a vital role to minimize the maladaptive responses to environment. Objective of this study was to effect of Ladder Approach on preterm low birth weight Infants with HIE-2 as compared to conventional treatment. Design of this study was to Prospective Block Randomized Convenient Sampling Control Trial, Experimental design study. The study was carried out in the NICU and PU ward of Tertiary care hospital in metropolitan city from April 2015 to October 2016. The study subjects included a convenient sample of 30 preterm Low birth weight HIE-2 infants randomly selected into study or control groups. Neonatal behavioural Assessment scale (NBAS), Infant Neurological International Battery (INFANIB).Methods: The preterm infants from study group who received Ladder Approach and control group who received routine conventional care only. Outcome measures NBAS was at baseline and first follow up. INFANIB was administered at second follow up to assess neurodevelopment.Results: Showed that the premature infants of the study had significant difference in neuro behavioral status with mean for all subcomponents from to post intervention mean 39.6 in experimental group and from baseline mean of 24.3 to post intervention mean score of 33.2 in control group on neurobehavioral scale. Further neurodevelopmental status showed similar results on INFANIB in experimental group.Conclusions: The premature Infants with HIE grade 2, receiving ladder approach have shown more mature responses resulting into well-organized Neurobehavioral status, and resulted in improved brain wiring as evident in INFANIB.


2016 ◽  
Vol 2 (1) ◽  
pp. 103
Author(s):  
Solfiani Ebrin Toni ◽  
Monalisa Sitompul ◽  
Evelyn Hemme Tambunan

ABSTRAK Pendahuluan: perawatan Metode Kanguru (Kangaroo Mother Care) adalah perawatan untuk bayi berat lahir rendah atau bayi yang lahir prematur dengan melakukan kontak kulit antara bayi dan kulit ibu atau skin to skin contact, dimana ibu menggunakan suhu tubuhnya untuk menghangatkan bayi. Tujuan: penelitian ini bertujuan untuk mengidentifikasi pengalaman ibu mengenai pelaksanaan perawatan metode kanguru di rumah pada BBLR di Wilayah kerja Puskesmas Parongpong Kecamatan Bandung Barat. Metode: penelitian ini menggunakan metode kualitatif fenomenalogi. Penelitian ini melibatkan 3 orang Key Informant dengan teknik proposive sampling, memenuhi kriteria memiliki BBLR dan berpengalaman menggunakan PMK selama di rumah. Pengumpulan data dilakukan dengan cara wawancara yang dilengkapi dengan pedoman wawancara. Wawancara direkam kemudian di buat transkrip verbatim dan dianalisis dengan metode Colaizzi. Hasil: dalam penelitian ini adalah tiga tema dan dua belas kategori yang muncul. Diskusi: hasil penelitian memberikan saran bagi ibu, institusi kesehatan keluarga agar mendukung ibu yang memiliki BBLR dalam melaksanakan PMK dan menjadi pedoman penelitian lanjutan bagi bidang penelitian. ABSTRACT Introduction: : Kangaroo Care (Kangaroo Mother Care) is a treatment for low birth weight baby or infants born prematurely with contact the skin between baby and mother's skin or skin to skin contact, which is body temperature can be spark the baby. Objective: this study aims to identify the mother's experience over the treatment method of kangaroo in the house for low birth weight in the work area of the Puskesmas Parongpong West Bandung. Method: this research is a qualitative phenomenology which involved three Key Informants using proposive sampling technique with criteria experienced using kangaroo care at home for baby with low birth weight. The data collected through indepth interview, which is equipped with the guidelines interview. The interview recorded and transcript to using verbatim and analyzed by the method of Collaizzi. Results: there are three themes and twelve categories merges in this study. Discussion: this study provided advice for mothers, the family's health to support mothers with LBW in implementing the PMK and to guide further research for the wide research field of research.


Author(s):  
Nur Fildzah Hidayati ◽  
Endro Yulianto ◽  
Abd. Kholiq

Baby Incubator is one of the electromedical equipment used to provide protection to premature babies or low birth weight. Baby care in the baby incubator causes separation of mother and baby. A new innovation in the care of premature babies who bring their babies and mothers closer is Kangaroo Method Management (PMK). Kangaroo method treatment aims to create emotional attachment to the baby, so that the mother will confidently take care. The research and manufacture of this module uses a method of treating baby incubator by adding a reading of the room temperature when the kangaroo mode runs at a setting of 34 ° C - 37 ° C with the effect of room temperature at 18 ° C, 24 ° C, and 30 ° C and setting the humidity control automatically by measuring at a temperature of 32 ° C, then measuring the results immediately. Sensors used to detect temperature are LM35 sensors and sensors used to detect humidity using DHT22. Based on the measurement results obtained uncertainty values ​​on the measurement of humidity 2.1, the measurement of temperature stability can be seen from the results of the graph which shows that the room temperature is not too influential at the temperature of the baby incubator. This study has shown the development of baby incubators to help mothers who have babies born prematurely so that they can have a good bond with how to treat skin to skin. This study has proven that its accuracy is appropriate to be used to stabilize the condition of babies born prematurely and help to treat PMK in some hospitals. In the future, this research can be made and used in small clinics in villages at low costs.


1993 ◽  
Vol 14 (1) ◽  
pp. 1???7
Author(s):  
WENDY L. CONSTANTINE ◽  
CHRISTINE W. HAYNES ◽  
DONNA SPIKER ◽  
KATHLEEN KENDALL-TACKETT ◽  
NORMAN A. CONSTANTINE

2021 ◽  
Vol 4 (6) ◽  
pp. 1428-1433
Author(s):  
Ike Pudji Wahyuningsih ◽  
Febi Ratna Sari ◽  
Iis Kuraesin ◽  
Kristina Natalya Rewo ◽  
Nida Laila ◽  
...  

ABSTRAK Perawatan metode kanguru adalah perawatan untuk bayi berat lahir rendah dengan melakukan kontak langsung antara kulit bayi dengan kulit ibu. Perawatan metode kangguru adalah cara yang sederhana untuk merawat bayi baru lahir dimana ibu menggunakan suhu tubuhnya untuk menghangatkan bayi. Manfaat Perawatan Metode Kanguru : menghangatkan bayi dan menstabilkan tanda vital bayi karena berat badan bayi premature cenderung rendah, jaringan lemak di dalam tubuhnya juga cenderung lebih tipis. Meningkatkan durasi tidur mekanisme yang terjadi pada saat kontak kulit dengan kulit ibu dan bayi dapat meningkatkan hormone kortisol pada bayi yang berdampak pada kualitas tidur bayi meningkat. Mengurangi tangisan dan kalori yang terbuang dari bayi. Meningkatkan berat badan bayi dan perkembangan otak bayi premature cenderung memiliki berat badan lahir rendah dan terkadang sulit mencapai berat badan ideal. Metode ini dapat membuat tidur bayi lebih nyenyak, sehingga energinya bisa tersalurkan untuk memperbaiki fungsi tubuh dan membangun jaringan tubuh dengan lebih baik. Dengan demikian berat badannya pun bisa naik lebih cepat. Meningkatkan hubungan emosional bayi dan ibu KMC meningkatkan bounding ibu dan bayi serta merupakan intervensi terapeutik untuk meningkatkan kedekatan ibu, mempromosi perilaku alami untuk stimulasi pertumbuhan dan perkembangan. Mempemudah pemberian ASI posisi metode kanguru memudahkan bayi dapat menyusu pada ibunya sekaligus memicu ASI agar lebih mudah keluar. Beberapa riset menunjukan bahwa metode ini juga baik untuk mengatasi masalah ASI kurang. Ibu dan keluarga merasa lebih puas karena berperan dalam perawatan bayi selama di RS dan di rumah. Tujuan penelitian ini adalah mengetahui bagaimana gambaran pengetahuan masyarakat tentang perawatan metode kanguru pada bayi berat badan lahir rendah. Penelitian ini menggunakan metode presentasi ppowerpoint dan video. Hasil dari presentasi dan demonstrasi yang dilakukan adalah  sebanyak 20.8% pengetahuan masyarakat meningkat setelah pemaparan materi. Kata kunci: BBLR, Perawatan Metode Kanguru  ABSTRACT Kangaroo method care is a treatment for low birth weight babies by making direct contact between the baby's skin and the mother's skin. Kangaroo care is a simple way of caring for a newborn in which the mother uses her body temperature to warm the baby. Benefits of Kangaroo Treatment Method: warms the baby and stabilizes the baby's vital signs because premature babies tend to be low in weight, fat tissue in their bodies also tends to be thinner. Increasing the duration of sleep, the mechanism that occurs during skin contact with the skin of the mother and baby can increase the hormone cortisol in the baby which has an impact on the quality of the baby's sleep. Reduces crying and wasted calories from babies. Increasing baby weight and brain development Premature babies tend to have low birth weight and sometimes find it difficult to reach the ideal weight. This method can make the baby sleep more soundly, so that the energy can be channeled to improve body functions and build body tissues better. This way, you can gain weight more quickly. Improving the emotional connection of the baby and the mother KMC increases the bonding between the mother and the baby and is a therapeutic intervention to increase the closeness of the mother, promoting natural behavior to stimulate growth and development. Facilitate breastfeeding The position of the kangaroo method makes it easier for babies to suckle from their mothers while triggering breast milk to come out more easily. Some research shows that this method is also good for dealing with the problem of insufficient breast milk. Mothers and families feel more satisfied because they play a role in caring for the baby while in the hospital and at home. The purpose of this study was to find out how the description of public knowledge about kangaroo care methods in low birth weight infants. This research uses PowerPoint and video presentation methods. The results of the presentations and demonstrations carried out were as much as 20.8% of public knowledge increased after the presentation of the material. Keywords: LBW, Kangaroo Method Care


2019 ◽  
Vol 6 (4) ◽  
pp. 1737
Author(s):  
Dinesh Mekle ◽  
Amit Kumar Kumar Singh ◽  
Jagdamba Dixit

Background: Kangaroo mother care (KMC) is skin-to-skin contact between mother and low birth weight (LBW) baby. It keeps the baby warm, increases accessibility to breast feeding, and protects the baby from infections. This study was done to identify supportive factors and barriers in practicing KMC as perceived by mothers of LBW babies and health care personnel (HCP).Methods: It was a questionnaire based descriptive study. Mothers of LBW babies and HCP were enrolled in study. Mothers and HCP were sensitized regarding KMC and after practicing KMC for 3 days, mothers were interviewed with the help of a predefined proforma. Feedback from the HCP was also taken. Data analysis was performed by using IBM SPSS ver. 20 software.Results: Most common factor in initiation and practice of KMC were, knowledge regarding KMC after training (100%), environmental factors (privacy and resources) (87.27%) and support from HCP (94.54%). Most common barriers perceived during performance of KMC were lack of knowledge about KMC during pregnancy (80%), pain due to LSCS/episiotomy (64.54%) and lack of support from family members (51.81%). Majority of the HCP strongly agree that parents must be encouraged to adopt KMC (82.92%), KMC is hampered due to presence of visitors in the ward (73.17%). KMC needs separate room (68.29%) and it is difficult due to LSCS (51.21%).Conclusions: To increase KMC practice, mother’s knowledge about KMC can be improved by educating them in antenatal clinics and all HCP should receive training on KMC.


Sign in / Sign up

Export Citation Format

Share Document