scholarly journals Mindful Kangaroo Care: mindfulness intervention for mothers during skin-to-skin care: a randomized control pilot study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Marc-Antoine Landry ◽  
Kumar Kumaran ◽  
Juzer M. Tyebkhan ◽  
Valerie Levesque ◽  
Marcello Spinella
Keyword(s):  
Controlled Study ◽  
Parental Distress ◽  
Kangaroo Care ◽  
Mindful Awareness ◽  
Premature Babies ◽  
Newborn Intensive Care Unit ◽  
Group Reduction ◽  
Stress Relieving ◽  
Skin To Skin ◽  
Anxiety Depression

Abstract Background Parents of babies admitted to the Newborn Intensive Care Unit (NICU) undergo considerable stress. There is evidence that mindfulness reduces stress in these parents. Kangaroo Care (KC) is practiced in NICUs across the world and is stress-relieving. Whether mindfulness practiced during KC in the NICU reduces parental distress has not yet been studied. The objective was to explore the feasibility and acceptability of teaching and practicing mindfulness during KC for mothers of premature babies. The objective was also to document preliminary outcomes of Mindful Kangaroo Care (MKC) on maternal stress, anxiety, depression, and mindful awareness. Methods In this pilot randomized controlled study, mothers of premature babies who were expected to stay in the NICU for at least four weeks were taught two mindfulness exercises to practice during KC and compared to mothers who received standard care with no mindfulness teaching. Mothers filled out stress, anxiety, depression and mindful awareness scales at recruitment and after four weeks. Acceptability and feasibility questionnaires were also completed. Results Fifteen mothers per group completed the study. The MKC group demonstrated a significant within-group reduction in anxiety (p = 0.003), depression (p = 0.02) and stress (p = 0.002), and a significant increase in both the curiosity (p = 0.008) and decentering (p = 0.01) scores of the Toronto Mindfulness Scale, all of which had medium to large effect sizes. Only the increases in curiosity and decentering were significant between groups. Fourteen mothers found the intervention acceptable, one neutral. Conclusion MKC was acceptable, feasible and led to a reduction in stress, anxiety and depression in mothers who practiced mindfulness exercises during KC.

EARLY FEEDING OF DEXTROSE AND SALINE SOLUTION TO PREMATURE INFANTS

PEDIATRICS ◽  
1960 ◽  
Vol 26 (5) ◽  
pp. 756-761
Author(s):  
William Allen Bauman
Keyword(s):  
Premature Infants ◽  
Saline Solution ◽  
Treated Group ◽  
Controlled Study ◽  
Early Feeding ◽  
Premature Babies ◽  
Hyaline Membranes ◽  
Average Intake ◽  
Feeding Trials ◽  
Physiologic Responses

Conflicting opinions concerning the optimum age at which to commence feeding premature infants have resulted in either early or late regimens. In order to test the hypothesis that the early administration of fluids to premature babies was beneficial, a controlled study of 50 newborn premature subjects was undertaken. Fluids consisting of 5% dextrose in 0.45% saline were started before the age of 6 hours by constant drip through a nasogastric plastic catheter in 24 subjects selected by a predesigned method using a table of random permutations. The average intake during the test period was 54.5 ml/kg/24 hours. The other 26 control subjects received no fluids until age 36 hours, when both groups were started on formula. There was no alteration of symptoms of respiratory distress in the group receiving early feedings. One-half of these subjects did not lose weight while being fed the dextrose and saline solution. They promptly lost weight, however, when regular milk feedings were commenced. The seven infants who died had similar pathologic findings. It was noted that three of the five in the fluid treated group also had pulmonary hyaline membranes. There were no hyaline membranes in the lungs of the two subjects deprived of water. From this study neither beneficial nor detrimental effects of early feeding could be demonstrated by use of the criteria of dyspnea or mortality. The question of when to start to feed premature babies is still unanswered. There is need for further feeding trials, in which associations among age of commencement, nature of substances fed and the consequent physiologic responses, can be observed.

When Parenthood Comes Early: Enhancing Parent-Child Bonding in the NICU

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Sarantaki A ◽  
Keyword(s):  
Premature Neonate ◽  
Parental Role ◽  
Kangaroo Care ◽  
Skin Contact ◽  
Early Experiences ◽  
Centered Care ◽  
Becoming A Mother ◽  
Skin To Skin ◽  
Family Centered ◽  
Parent Child

Background: Pregnancy is the period nature has provided future parents so they adapt and process the big event of becoming a mother and father. When a pregnancy ends sooner than expected, parents feel unsure and unprepared for their new role and responsibilities. Moreover, the complex feelings they experience when the premature neonate is admitted in the NICU, become enlarged by the disruption of bonding with their child. Aim: The aim of this paper is firstly to understand the importance of bonding for both the neonate and the parents and secondly to propose ways of enhancing parent-child bonding, when the latter is admitted in the NICU. Conclusion: Parent-child bonding is essential for the parental role, the parents’ mental health as well as the infant’s development. NICU environment is possible to become friendlier in a way that enables parents to participate in their child’s care and early experiences. Family-centered care enhances parentchild bonding, with the main contributor being skin-to-skin contact and Kangaroo care.

scholarly journals Long-Term Changes of Symptoms of Anxiety, Depression, and Fatigue in Cancer Patients 6 Months After the End of Yoga Therapy

2019 ◽  
Vol 18 ◽  
pp. 153473541882209 ◽  
Author(s):  
Anna Lundt ◽  
Elisabeth Jentschke
Keyword(s):  
Cancer Patients ◽  
Controlled Study ◽  
Life Questionnaire ◽  
Long Term Effects ◽  
European Organization ◽  
Yoga Therapy ◽  
Randomized Controlled ◽  
Long Term Changes ◽  
Anxiety Depression

Background: Symptoms of anxiety, depression, and cancer-related fatigue are commonly associated with cancer. Cancer patients increasingly use complementary and alternative treatments, such as yoga, to cope with psychological and physical impairments. In the present article, long-term changes of anxiety, depression, and fatigue in cancer are examined 6 months after a yoga intervention. Method: We used an observational design based on a randomized controlled study in cancer patients with mixed diagnoses to evaluate long-term changes of symptoms of anxiety, depression, and fatigue 6 months after the end of yoga therapy. We measured anxiety symptoms with the Generalized Anxiety Disorder scale (GAD-7), depressive symptoms with the Patient Health Questionnaire–2 (PHQ-2), and fatigue with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire–Fatigue Scale (EORTC QLQ-FA13). Yoga therapy was provided in yoga classes of 60 minutes each once a week for 8 weeks in total. The exercises provided contained both body and breathing activities as well as meditation. Results: A total of 58 patients participated in the study. Six months after the end of yoga therapy, symptoms of anxiety, depression, and fatigue were significantly reduced compared with baseline. However, symptoms of anxiety and fatigue slightly increased during the follow-up period, whereas symptoms of depression remained stable. Conclusion: Our results are promising and support the integration of yoga interventions in supportive cancer treatment concepts but should be confirmed by randomized controlled trials. Long-term effects of yoga therapy on cancer patients should be the subject of further research.

scholarly journals Effectiveness of Kangaroo Care for a Patient with Postpartum Depression and Comorbid Mother-Infant Bonding Disorder

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Youji Takubo ◽  
Takahiro Nemoto ◽  
Yohei Obata ◽  
Yoko Baba ◽  
Taiju Yamaguchi ◽  
...  
Keyword(s):  
Major Depression ◽  
Postpartum Depression ◽  
Standard Treatment ◽  
Kangaroo Care ◽  
Supportive Psychotherapy ◽  
Healthy Baby ◽  
Her Family ◽  
Skin Contact ◽  
Peripartum Depression ◽  
Skin To Skin

The presently reported patient was a 37-year-old married primipara with peripartum depression comorbid with bonding disorder. Care anxiety and a lack of affection towards her baby first appeared at around the time of delivery, and the patient developed major depression at one month after the birth of her healthy baby. At first, standard treatment for major depression including the use of antidepressants, electroconvulsive therapy, and supportive psychotherapy were provided. However, bonding problems appeared to impede and obstruct the amelioration of depression. Although treatment methods for bonding disorder have not yet been established, Kangaroo Care was introduced to facilitate skin-to-skin contact. We also educated her in better parenting behavior and provided repeated motivational interviews with her family because a lack of partner and social support and personal temperament (low self-directedness and cooperativeness) were thought to be related to her bonding disorder. This case suggests the effectiveness of Kangaroo Care, which promotes a humanizing maturation of both baby and parent alike, for mothers with postpartum depression and comorbid severe bonding disorder.

Ergonomic Procedure for Heel Sticks and Shots in Kangaroo Care (Skin-to-Skin) Position

2013 ◽  
Vol 32 (5) ◽  
pp. 353-358 ◽  
Author(s):  
Xiaomei Cong ◽  
Susan Ludington-Hoe ◽  
Victoria Vazquez ◽  
Di Zhang ◽  
Sharon Zaffetti
Keyword(s):  
Clinical Practice ◽  
Additional Benefit ◽  
Procedural Pain ◽  
Kangaroo Care ◽  
Step Procedure ◽  
Blood Drawing ◽  
Infant Pain ◽  
Skin To Skin ◽  
Pain Responses

Kangaroo Care (KC) has been recommended as a pain-reducing strategy in neonates; however, KC has not been widely used to minimize procedural pain caused in part by nurses’/phlebotomists’ discomfort when positioning themselves and the infant for blood drawing and injections. Therefore, an ergonomically designed setup incorporating the use of KC was introduced into clinical practice to facilitate blood draws and injections. The step-by-step procedure used for heel sticks and injections is presented in this manuscript. After implementing the ergonomic step-by-step protocol, complaints of discomfort by nurses and phlebotomists ceased, and an additional benefit was that infant pain responses were significantly reduced.

A controlled study of the effect of temperature on premature babies

1962 ◽  
Vol 60 (6) ◽  
pp. 889-894 ◽  
Author(s):  
H. Jolly ◽  
P. Molyneux ◽  
D.J. Newell
Keyword(s):  
Effect Of Temperature ◽  
Controlled Study ◽  
Premature Babies
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