scholarly journals Weight gain in preterm low birth weight infants with multisensory intervention

2018 ◽  
Vol 5 (4) ◽  
pp. 1618
Author(s):  
Krupal Modi ◽  
Shilpa Khandare ◽  
Tushar J. Palekar ◽  
Preeti Gazbare ◽  
Vidhi Shah ◽  
...  

Background: Birth weight is a significant determinant of newborn survival. In neonatal deaths, LBW is the underlying cause in 60-80% cases. This study was aimed to assess whether preterm infants receiving Multisensory intervention had more rapid weight gain compared to control group infants during NICU stay.Methods: Subjects for the study were preterm infants between 32 to 37 weeks of gestation age with birth weight between 1500 g to 2500 g and staying in NICU. Participants meeting inclusion criteria were randomly divided into either experimental group (n=15) or control group (n=15). The experimental group received Multisensory stimulation such as Auditory, Tactile, Visual and Vestibular stimulation for 10 consecutive days (15 min. /day) in NICU. Control group received routine NICU care. Weight was measured using an electronic weighing scale at day-1, day-5 and day-10 of intervention in both the groups and collected data was analysed.Results: The preterm infants of the experimental group had shown better growth than those in the control group with statistically significant differences (p<0.05) between the study and the control group at end of 10 days of intervention.Conclusions: From Analysed data, it is concluded that 5-day of Multisensory intervention could not elicit statistically significant improvement in weight gain, but 10 days intervention could elicit significant improvement. The result supports the use of multisensory intervention as a cost-effective therapy to promote growth.

2015 ◽  
pp. 43-47
Author(s):  
Zsolt Győri ◽  
Péter Balogh ◽  
László Huzsvai ◽  
Gabriella Novotniné Dankó

Sow milk production is the major factor limiting pig growth to weaning. Although the milk production of the sows incremental many environmental factors affect the actual performances. The supplemental milk replacer can be an appropriate solution to ward off disparities and try to equalize the available milk quantity to the piglets according to their appetite, to enlarge the weight of pigs at weaning, ultimately. The aim of the present study was to investigate the effects of liquid milk supplement on weight development and litter performance of the piglets during the suckling period. Data were collected from 60 farrowings, the weight of 649 piglets in a total were measured at birth, 14 days old and at weaning (28 days), respectively. In the control group (n=319) the piglets were suckled and got prestarter feed from day 10. In the experimental group (n= 330) the piglets had got liquid milk replacer in 10.71% solution, from day 10 after birth together with suckling and prestarter feed, as well. Based on the Duncan's multiple range tests, there were no significant differences in birth weight between the control and experimental group but we found significant differences between the 14 days weight and the weaning weight, subsequently. Based on the CV% of weight the experimental group became more homogenous, in contrary to the weight of the control group at the end of suckling period. The milk supplementation can be an appropriate solution to ward off disparities and to equalize the available milk quantity to the piglets according to their appetite, to enlarge and uniform the weight of pigs at weaning, ultimately.


2003 ◽  
Vol 89 (4) ◽  
pp. 533-537 ◽  
Author(s):  
Jacqueline Bauer ◽  
Kathrin Maier ◽  
Gerald Hellstern ◽  
Otwin Linderkamp

The aim of the present study was to obtain serial values of O2 consumption (VO2), CO2 production (VCO2) and energy expenditure (EE) in healthy but extremely-low-birth-weight infants (birth weight <1000 g), during the first 5 weeks after birth. A total of seventeen spontaneously breathing and appropriate-for-gestational-age (birth weight and body length above the 10th and below the 90th percentile) preterm infants with gestational age 25–28 weeks and birth weight 590–990 g were enrolled in the study. Calorimetry was performed using an open-circuit calorimeter on days 6, 12, 18, 24, 30 and 36 of postnatal life. During the 5 weeks of observation, VO2 increased from 4·7 (SD 0·5) TO 9·1 (sd 1·0) ml/kg per min, VCO2 from 4·5 (sd 0·4) to 8·3 (SD 0·6) ml/kg per min and EE from 115 (sd 12) to 310 (sd 71) kJ/kg per d. The energy intake was always higher than EE, even at days 6 and 12. The RER decreased from 0·99 (sd 0·09) at day 12 to 0·91 (SD 0·05) at day 30. On all study days, there were highly significant positive correlations between energy intake and weight gain, EE and weight gain, and EE and energy intake (P<0·05). Multiple regression analysis showed that on most study days EE was more affected by energy intake than by weight gain. We conclude that in healthy preterm infants with birth weight <1000 g, EE increases by about 150 % in the first 5 weeks after birth, and that the EE values are related to energy intake and weight gain independent of postnatal age.


2020 ◽  
Vol 26 (1) ◽  
pp. 90-97 ◽  
Author(s):  
Gun Ja Jang ◽  
Yeon Ran Hong

Purpose: The purpose of this study was to investigate the effects of a breastfeeding support program (BSP) on the prevalence of exclusive breastfeeding and growth in late-preterm infants.Methods: A quasi-experimental study was conducted. The participants were 40 late preterm infants (LPIs), of whom 20 were assigned to the experimental group and 20 to the control group. For the mothers in the experimental group, a BSP was provided prior to the LPIs’ discharge and reinforced once a week for 4 weeks. Information on the feeding type was collected by observation and the LPIs’ body weight was measured.Results: There were significant differences in feeding type by group and time. Exclusive breastfeeding was 5.18 times more common in the experimental group than in the control group (odds ratio=5.18, 95% confidence interval=1.11~16.70). However, weekly weight gain did not show a significant relationship with group and time (F=0.40, <i>p</i>=.712).Conclusion: The BSP was helpful for increasing the rate of exclusive breastfeeding in LPIs. Furthermore, the LPIs in the experimental group, which had a higher likelihood of being exclusively breastfed, showed an equivalent amount of weight gain as the LPIs in the control group, in which infants were more likely to be formula-fed.


2020 ◽  
Vol 6 (3) ◽  
pp. 79-85
Author(s):  
Diondra Eka Rizkiawan ◽  
Adhie Nur Radityo ◽  
Rina Pratiwi ◽  
Kusmiyati Tjahjono

Background: Human milk fortifier (HMF) is defined as a supplement added to breastmilk to increase calories, proteins, vitamins, and various nutrition of breastmilk. The purpose of HMF administration is to increase the concentration of breastmilk nutrients to improve the weight of very low birth weight preterm infants. The administration of HMF is insufficient to fulfill protein needs in 20-40% very low birth weight babies, thus the weight gain did not meet the expected target.Objective: To analyze characteristic differences between very low birth weight preterm infants who experienced weight gain according to the target and not according to the target on the administration of HMF.Methods: An analytical study with a case-control approach comparing case and control group, which was observed to determine characteristic differences between both groups. The samples were 52 very low birth weight preterm infants obtained by consecutive sampling. Data analysis includes descriptive analysis and hypothesis testing. Results: Data were obtained from medical records and consisted of 52 participants, including 26 very low birth weight premature infants who experienced weight gain according to the target and 26 who experienced weight gain not according to the target. There was no characteristic difference of cyanosis clinical symptoms (OR 2.3; 95% CI 0.51-10.4), chest retraction (OR 1.0; 95% CI 0.32-3.1), apnea of prematurity comorbid (OR 1.0; 95% CI 0.25-3.9), neonatal infections (OR 0.62; 95% CI 0.21-1.9), starting age of HMF administration (OR 0.62; 95% CI 0.21-1.89), bloating (OR 0.57; 95% CI 0.17-1.9), and vomiting (OR 1.18; 95% CI 0.38-3.7) in both groups.Conclusion: There was no characteristic difference between very low birth weight preterm infants who experienced weight gain according to the target and not according to the target on the administration of HMF.


2018 ◽  
Vol 10 (8) ◽  
pp. 14
Author(s):  
Sri Ramdaniati ◽  
Sri Kusmiati ◽  
Bani Sakti

The birth of infants with low birth weight in Indonesia is still quite high. This condition largely causes neonatal mortality which is currently ranked the 10th highest in the world. Baby with Low birth weight may have health problems that will influence their life. The current health technology development has been able to improve the resistance of infants, although some previous research has explained that the medical and nursing procedures can cause stress in infants with low birth weight. Stress conditions in infants can lead to excessive use of energy so that it can lose a baby’s weight. Murottal therapy is one form of music therapies that can be used to reduce stress, decrease pain and stabilize physiological conditions such as vital signs and oxygen saturation. This study aimed at knowing the effect of Murrotal Therapy on the weight gain of premature infants. The research design was quasi experiment using pre post test control group design. The sampling technique used was consecutive sampling. 94 low birth weight infants who were being treated in perinatology taken as the sample of this study. Intervention was given for 30 minutes in the morning and afternoon for 7 days in row. The result of the research showed that there was an increase in infant weight that was 72.87 grams in the intervention group and the statistical test results revealed that there was a significant weight gain between the intervention group and the control group (p = 0.023). Therefore it can be concluded that the use of Murrotal Alquran Theraphy gave an effect on the infants’ weight gain, thus it is suggested to use this theraphy as part of nursing interventions for low birth weight infants in perinatology.


2018 ◽  
Vol 3 (2) ◽  

Low birth weight infants are highly vulnerable as they have to make several adjustments to achieve equilibrium in metabolic processes, circulation and breathing. Therefore, the aim of this study was to examine the effect of Kangaroo Care on physiological measurements and weight in Low birth weight infants. The study was conducted at the neonatal Intensive Care Units in Menoufia University hospital (Shebin El-Kom) and Mansheat Sultan village (Menoufia). The study sample was composed of sixty Low birth weight infants. A simple random sample was done to assign them into study and control groups (n=30). A quasi experimental design was used. The results of this study showed that low birth weight infants who attended kangaroo care sessions had better weight gain (2.06±0.21 Vs1.90±0.26), fewer duration of hospitalization (11.33+1.81Vs 15.57+2.81) and better physiological adjustments than low birth weight infants in the control group. Therefore, it was concluded that low birth weight infants who attended kangaroo care sessions had better physiological measurements, weight gain and shorter duration of hospitalization than low birth weight infants in the control group. It was recommended that kangaroo care sessions should be conducted at neonatal intensive care units.


2001 ◽  
Vol 20 (7) ◽  
pp. 31-36 ◽  
Author(s):  
Barbara Kellam ◽  
Jennifer Waller ◽  
Christa McLaurin ◽  
Stephanie Schnaible ◽  
Linda Sacks ◽  
...  

Purpose: To compare the amount of time required to collect a blood specimen, the number of heel punctures required, and the rate of hematology re-collections required when using a Monolet lancet vs a Tenderfoot Preemie device.Design: Randomized, two-group, quasi-experimental.Sample: Neonates with a birth weight >800 gm were eligible to participate in the study. Twenty subjects were randomized to the Monolet lancet (control) group and 20 to the Tenderfoot Preemie (experimental) group. A total of 157 blood specimens was collected, 89 of which were for hematology testing.Results: For this sample population of preterm infants, less collection time was required, fewer heel punctures were necessary, and a lower re-collection rate occurred with use of the Tenderfoot Preemie than with use of the Monolet lancet.


2021 ◽  
pp. 105477382110189
Author(s):  
Woon Ae Lee ◽  
Jin Suk Ra

Maintaining stable physiological responses may be important for the growth and development of preterm infants. The purpose of our study was to evaluate the effects of olfactory stimulation with maternal breast milk on the occurrence of abnormal physiological responses in preterm infants. With a non-equivalent control group pretest-posttest design, 13 preterm infants in the experimental group and 18 preterm infants in the control group completed the intervention. The intervention was implemented three times a day for 5 days in a row with 2 hours of administration per intervention. The frequency of abnormal physiological responses was assessed over 6 days (one day before intervention administration and 5 days during intervention administration). With repeated-measures analysis of variance, the experimental group showed a significantly lower frequency of apnea than the control group ( p = .021). Olfactory stimulation with maternal breast milk may be an effective nursing intervention for reducing apnea episodes in preterm infants.


Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2089
Author(s):  
Machiko Suganuma ◽  
Alice R. Rumbold ◽  
Jacqueline Miller ◽  
Yan Fong Chong ◽  
Carmel T. Collins

Human milk (HM) is the gold standard for feeding infants but has been associated with slower growth in preterm infants compared with preterm formula. This systematic review and meta-analysis summarises the post-1990 literature to examine the effect of HM feeding on growth during the neonatal admission of preterm infants with birth weight ≤1500 g and/or born ≤28 weeks’ gestation. Medline, PubMed, CINAHL, and Scopus were searched, and comparisons were grouped as exclusive human milk (EHM) vs. exclusive preterm formula (EPTF), any HM vs. EPTF, and higher vs. lower doses of HM. We selected studies that used fortified HM and compared that with a PTF; studies comparing unfortified HM and term formula were excluded. Experimental and observational studies were pooled separately. The GRADE system was used to evaluate risk of bias and certainty of evidence. Forty-four studies were included with 37 (n = 9963 infants) included in the meta-analyses. In general, due to poor quality studies, evidence of the effect of any HM feeds or higher versus lower doses of HM was inconclusive. There was a possible effect that lower doses of HM compared with higher doses of HM improved weight gain during the hospital admission, and separately, a possible effect of increased head circumference growth in infants fed EPTF vs. any HM. The clinical significance of this is unclear. There was insufficient evidence to determine the effects of an exclusive HM diet on any outcomes.


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