A Clinical Comparison of Radiant Warmer and Incubator Care for Preterm Infants From Birth to 1800 Grams

Purpose: To describe temperature changes that occur in preterm infants following bed surface transfers.Design: The design was descriptive.Sample: The convenience sample was comprised of 20 preterm infants (<1,500 gm birth weight).Main outcome variable: Temperature stability after a bed transfer (i.e., radiant warmer to incubator) was the main outcome variable.Results: There were no significant differences in temperatures after bed surface transfer. However, the temperatures one hour after bed surface transfer were lower than baseline temperature before bed surface transfer.

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The Mood Variation in Mothers of Preterm Infants in Kangaroo Mother Care and Conventional Incubator Care

Journal of Tropical Pediatrics ◽

10.1093/tropej/fmm076 ◽

2007 ◽

Vol 53 (5) ◽

pp. 344-346 ◽

Cited By ~ 30

Author(s):

E. C. de Macedo ◽

F. Cruvinel ◽

K. Lukasova ◽

M. E. F. D'Antino

Keyword(s):

Preterm Infants ◽

Kangaroo Mother Care ◽

Mothers Of Preterm Infants ◽

Incubator Care ◽

Mood Variation

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Kangaroo care versus incubator care in the management of well preterm infants—A pilot study

Journal of Clinical Epidemiology ◽

10.1016/s0895-4356(97)87201-0 ◽

1997 ◽

Vol 50 ◽

pp. S13 ◽

Cited By ~ 1

Author(s):

Rose Kambarami ◽

O. Chidede ◽

D.T. Kowo

Keyword(s):

Pilot Study ◽

Preterm Infants ◽

Kangaroo Care ◽

Incubator Care

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Effects of Kangaroo Mother Care in the NICU on the Physiological Stress Parameters of Premature Infants: A Meta-Analysis of RCTs

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph19010583 ◽

2022 ◽

Vol 19 (1) ◽

pp. 583

Author(s):

Delia Cristóbal Cañadas ◽

Antonio Bonillo Perales ◽

Rafael Galera Martínez ◽

María del Pilar Casado-Belmonte ◽

Tesifón Parrón Carreño

Keyword(s):

Preterm Infants ◽

Premature Infants ◽

Neonatal Intensive Care ◽

Physiological Stress ◽

Meta Analysis ◽

Kangaroo Mother Care ◽

Controlled Trials ◽

Kangaroo Care ◽

Incubator Care ◽

Stress Parameters

Objective: The aim of this study was to analyze the randomised controlled trials that explored the effect of kangaroo mother care on physiological stress parameters of premature infants. Methods: Two independent researchers performed a systematic review of indexed studies in PubMed, Embase, CINAHL, Cochrane and Scopus. We included data from randomized controlled trials measuring the effects of kangaroo care compared to standard incubator care on physiological stress outcomes, defined as oxygen saturation, body temperature, heart rate and respiratory rate. The PRISMA model was used to conduct data extraction. We performed a narrative synthesis of all studies and a meta-analysis when data were available from multiple studies that compared the same physiological parameters with the kangaroo method as an intervention and controls and used the same outcome measures. Results: Twelve studies were eligible for inclusion in this meta-analysis. According to statistical analysis, the mean respiratory rate of preterm infants receiving KMC was lower than that of infants receiving standard incubator care (MD, −3.50; 95% CI, −5.17 to −1.83; p < 0.00001). Infants who received kangaroo mother care had a higher mean heart rate, oxygen saturation and temperature, although these results were not statistically significant. Conclusions: Current evidence suggests that kangaroo care in the neonatal intensive care unit setting is a safe method that may have a significant effect on some of the physiological parameters of stress in preterm infants. However, due to clinical heterogeneity, further studies are needed to assess the effects of physiological stress in the neonatal intensive care unit on the development of preterm infants.

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Randomized Crossover Trial of Kangaroo Care to Reduce Biobehavioral Pain Responses in Preterm Infants: A Pilot Study

Biological Research For Nursing ◽

10.1177/1099800410385839 ◽

2010 ◽

Vol 13 (2) ◽

pp. 204-216 ◽

Cited By ~ 61

Author(s):

Xiaomei Cong ◽

Susan M. Ludington-Hoe ◽

Stephen Walsh

Keyword(s):

Data Collection ◽

Preterm Infants ◽

Salivary Cortisol ◽

Serum Cortisol ◽

Kangaroo Care ◽

Skin Contact ◽

Infant Pain ◽

Skin To Skin ◽

Incubator Care ◽

Pain Responses

Kangaroo care (KC), skin-to-skin contact between mother and infant, is a promising method for blunting pain responses. This crossover pilot tested KC effects on biobehavioral responses to heel stick in preterm infants (30—32 weeks’ gestational age, 2—9 days old) measured by Premature Infant Pain Profile (PIPP) and salivary and serum cortisol. Mother—infant dyads were randomly assigned to KC heel stick (KCH) first or incubator heel stick (IH) first. Study 1 (80-min study, N = 18) tested the effect of 80 min of KC before and throughout the heel stick procedure versus incubator care. Study 2 (30-min study, N = 10) tested 30 min of KC before and throughout the heel stick versus incubator care. KCH and IH began during a premeasurement phase and continued through four data collection phases: baseline, heel warming, heel stick, and recovery. PIPP responses were measured every 30 s during data collection; salivary cortisol was measured at the end of baseline and recovery; and serum cortisol was measured during heel stick. Study 1 showed no differences between KCH and IH. Study 2 showed lower PIPP scores at four time points during recovery (p < .05 to p < .001), lower salivary cortisol at the end of recovery (p < .05), and lower serum cortisol during heel stick for the KCH condition (p < .05) as well as clinically lower PIPP scores in the KCH condition during heel stick. Thirty minutes of KC before and throughout the heel stick reduced biobehavioral responses to pain in preterm infants.

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