Kangaroo (Skin-to-Skin) Care with a Preterm Infant Before, During, and After Mechanical Ventilation

2003 ◽  
Vol 22 (6) ◽  
pp. 33-38 ◽  
Author(s):  
Joan Swinth ◽  
Gene Cranston Anderson ◽  
Anthony Hadeed
Keyword(s):  
Mechanical Ventilation ◽  
Data Collection ◽  
Respiratory Distress ◽  
Preterm Infant ◽  
Maternal Stress ◽  
Supplemental Oxygen ◽  
Skin Care ◽  
Kangaroo Care ◽  
Skin To Skin

Using kangaroo care (KC) with unstable and/or ventilated infants remains controversial. In this article, potential advantages for ventilated infants and their mothers are discussed. The 33-week-gestation infant in this case study presented with mild respiratory distress at birth, requiring supplemental oxygen at hour 2. With no improvement by hour 18, KC was also begun, first for 1.25 hours and then, 2 hours later, for 3.5 hours. The infant was intubated at hour 45 for increasing respiratory distress, and KC resumed 24 hours later for 1 hour and 3 hours after that for an additional 3 hours. Extubation occurred at hour 90. Kangaroo care resumed 2 hours later for periods of 1.5, 1.5, and 1 hour over the next 8 hours, 2.5 hours more later that day (day 5, the last day of data collection). Thereafter, KC was done intermittently until discharge on day 9. Total KC times for pre-vent, vent, and immediate post-vent periods were 4.75, 4, and 6.5 hours, respectively. The data from this study suggest that KC may assist in, rather than retard, recovery from respiratory distress. KC may also foster maternal relaxation and minimize maternal stress.

scholarly journals Skin-to-Skin Care and the Development of the Preterm Infant Oral Microbiome

2015 ◽  
Vol 32 (13) ◽  
pp. 1205-1216 ◽  
Author(s):  
Jie Xu ◽  
Hardik Parikh ◽  
Ping Xu ◽  
Jennifer Fettweis ◽  
Yang Kim ◽  
...  
Keyword(s):  
Preterm Infant ◽  
Skin Care ◽  
Oral Microbiome ◽  
Skin To Skin

scholarly journals Kangaroo Care (Skin-to-Skin) for Clustered Pain Procedures: Case Study

2016 ◽  
Vol 06 (01) ◽  
pp. 43-51 ◽  
Author(s):  
Raouth R. Kostandy ◽  
Susan M. Ludington-Hoe
Keyword(s):  
Kangaroo Care ◽  
Skin To Skin

Lost in Transition: Is Early Respiratory Support in Newborn Infants the Best Option?

Neonatology ◽  
2020 ◽  
Vol 117 (4) ◽  
pp. 517-521
Author(s):  
Adam Buckmaster ◽  
Gaston Arnolda ◽  
Louise Owen ◽  
Calum Roberts ◽  
Peter Davis ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Respiratory Distress ◽  
Treatment Failure ◽  
Newborn Infants ◽  
Supplemental Oxygen ◽  
Late Preterm ◽  
Respiratory Support ◽  
Severe Illness ◽  
Intravenous Fluids ◽  
Using Data

<b><i>Background:</i></b> Late preterm and term newborns with respiratory distress are increasingly treated with non-invasive ventilation (NIV) including nasal high-flow or continuous positive airway pressure. For infants with mild distress, NIV may be unnecessary. <b><i>Objectives:</i></b> We speculated that treatment with supplemental oxygen (SO) prior to NIV could help clinicians select infants for NIV treatment, and examined this hypothesis using data from a recently completed trial. <b><i>Method:</i></b> Post hoc analysis of data from a subset of infants enrolled in the HUNTER trial. Infants born at ≥36 weeks’ gestation were categorized by whether they were receiving SO prior to randomization. The 2 groups were compared for illness severity (indicated by treatment failure at 72 h, mechanical ventilation, need for up-transfer, SO requirement post-randomization, and length of time receiving respiratory support), use of selected medical interventions (antibiotics, intravenous fluids), and breastfeeding at discharge. <b><i>Results:</i></b> Analysis included 380 infants. Infants not receiving SO had less severe illness; lower rates of treatment failure (7.3 vs. 17.2%), mechanical ventilation (0.6 vs. 5.9%), need for transfer (6.8 vs. 13.8%), and more often did not receive any SO post-randomization (75.1 vs. 3.0%). Most infants in both groups received intravenous fluids (93 and 98%) and antibiotics (81 and 93%); the rate of full breastfeeding was low in both groups (51 and 45%). <b><i>Conclusions:</i></b> Late preterm and term newborn infants without SO requirement at the time of commencing NIV for respiratory distress are at lower risk of requiring treatment escalation. Close observation of these infants (watch and wait strategy) may avoid unnecessary treatment.

Potential Therapeutic Benefits of Babywearing

2016 ◽  
Vol 22 (1) ◽  
pp. 17-23
Author(s):  
Robyn L. Reynolds-Miller
Keyword(s):  
Special Needs ◽  
Children With Disabilities ◽  
Skin Care ◽  
Future Research ◽  
Kangaroo Care ◽  
Therapeutic Benefits ◽  
Or Practice ◽  
Skin To Skin ◽  
Supporting Device

Babywearing is defined as the act or practice of keeping an infant close to an adult’s torso by using a supporting device that straps to the front of the adult’s body (Merriam-Webster, n.d.). The practice of babywearing as an adjunct to therapy is likely to be beneficial to children and caregivers. Although research on babywearing is limited, the therapeutic benefits of “skin-to-skin care” or “kangaroo care” have been empirically established. Building on this research, this article attempts to raise awareness about babywearing by elucidating the likely therapeutic benefits for children with disabilities or special needs and areas for future research.

Kangaroo Care and Breastfeeding of Mother–Preterm Infant Dyads 0–18 Months: A Randomized, Controlled Trial

2008 ◽  
Vol 27 (3) ◽  
pp. 151-159 ◽  
Author(s):  
Sara Hake-Brooks ◽  
Gene Cranston Anderson
Keyword(s):  
Randomized Controlled Trial ◽  
Breast Milk ◽  
Preterm Infant ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Kangaroo Care ◽  
Randomized Controlled ◽  
Skin Contact ◽  
Skin To Skin

Purpose: To determine the effects of kangaroo care (KC) (skin-to-skin contact) on breastfeeding status in mother–preterm infant dyads from postpartum through 18 months.Design: Randomized, controlled trial. The control group received standard nursery care; in the intervention group, unlimited KC was encouraged.Sample: A subsample of 66 mothers and their preterm infants (32–36 completed weeks gestation, 1,300–3,000 g, 5 minute Apgar ≥6) who intended to breastfeed.Main Outcome Variables: Breastfeeding status at hospital discharge and at 1.5, 3, 6, 12, and 18 months as measured by the Index of Breastfeeding Status.Results: KC dyads, compared to control dyads, breastfed significantly longer (5.08 months vs 2.05 months), p = .003. KC dyads also breastfed more exclusively at each measurement, p = .047. More KC dyads than control dyads breastfed at full exclusivity (100 percent breast milk, index of breastfeeding status levels 1 or 2) at discharge and at 1.5, 3, and 6 months. Mean KC contact per day was 4.47 hours.

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

2010 ◽  
Vol 13 (2) ◽  
pp. 204-216 ◽  
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.

scholarly journals Skin-to-Skin Contact (Kangaroo Care) Analgesia for Preterm Infant Heel Stick

2005 ◽  
Vol 16 (3) ◽  
pp. 373-387 ◽  
Author(s):  
Susan M. Ludington-Hoe ◽  
Robert Hosseini ◽  
Deborah L. Torowicz
Keyword(s):  
Preterm Infant ◽  
Kangaroo Care ◽  
Skin Contact ◽  
Skin To Skin

On-line Tropical Epidemiology -A Case-Study from The Gambia

1987 ◽  
Vol 26 (02) ◽  
pp. 73-76 ◽  
Author(s):  
Kathryn Rowan ◽  
P. Byass ◽  
R. W. Snow
Keyword(s):  
Data Collection ◽  
Field Trial ◽  
Error Rates ◽  
Database Management System ◽  
Bed Nets ◽  
Completion Rates ◽  
On Line ◽  
Access To Data ◽  
Rapid Processing

SummaryThis paper reports on a computerised approach to the management of an epidemiological field trial, which aimed at determining the effects of insecticide-impregnated bed nets on the incidence of malaria in children. The development of a data system satisfying the requirements of the project and its implementation using a database management system are discussed. The advantages of this method of management in terms of rapid processing of and access to data from the study are described, together with the completion rates and error rates observed in data collection.

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