Randomized Controlled Trial of Kangaroo Care: Cardiorespiratory and Thermal Effects on Healthy Preterm Infants

2004 ◽  
Vol 23 (3) ◽  
pp. 39-48 ◽  
Author(s):  
Susan Ludington-Hoe ◽  
Gene Cranston Anderson ◽  
Joan Swinth ◽  
Carol Thompson ◽  
Anthony Hadeed
Keyword(s):  
Randomized Controlled Trial ◽  
Preterm Infants ◽  
Thermal Effects ◽  
Controlled Trial ◽  
Periodic Breathing ◽  
Control Group ◽  
Kangaroo Care ◽  
Control Group Design ◽  
Group Design ◽  
Randomized Controlled

Purpose: To determine the safety and effects on healthy preterm infants of three continuous hours of kangaroo care (KC) compared to standard NICU care by measuring cardiorespiratory and thermal responses.Design: Randomized controlled trial—pretest-test-posttest control group design.Sample: Twenty-four healthy preterm infants (33–35 weeks gestation at birth) nearing discharge. Eleven of the infants received KC; 13 received standard NICU care.Main Outcome Variables: Heart rate, respiratory rate, oxygen saturation, and abdominal skin temperature were manually recorded every minute. Apnea, bradycardia, periodic breathing, and regular breathing were captured continuously on a pneumocardiogram printout. Three consecutive interfeeding intervals (three hours each) on one day constituted the pretest, test, and posttest periods.Results: Mean cardiorespiratory and temperature outcomes remained within clinically acceptable ranges during KC. Apnea, bradycardia, and periodic breathing were absent during KC. Regular breathing increased for infants receiving KC compared to infants receiving standard NICU care.

scholarly journals Efektifitas Aktivitas Peer Group terhadap Penurunan Berat Badan dan Persen Lemak Tubuh pada Remaja Overweight

2018 ◽  
Vol 30 (2) ◽  
pp. 127
Author(s):  
Mohammad Jaelani ◽  
Meirina Dwi Larasati ◽  
Ana Yuliah Rahmawati ◽  
Ria Ambarwati
Keyword(s):  
Randomized Controlled Trial ◽  
Peer Group ◽  
Controlled Trial ◽  
Repeated Measure ◽  
Control Group ◽  
Chi Square ◽  
Control Group Design ◽  
Group Design ◽  
Randomized Controlled ◽  
Chi Square Test

<p><br />Diet rendah energi dan peningkatan aktivitas secara individual belum efektif dalam penurunan berat badan. Oleh karena itu, perlu dicari metode lain atau memodifikasi metode dengan membentuk kelompok peer group aktivitas. Tujuan penelitian ini menganalisis efektifitas aktivitas peer group terhadap kepatuhan aktivitas fisik, kepatuhan diet, penurunan berat badan dan persen lemak tubuh pada remaja overweight. Desain penelitian menggunakan Randomized Controlled Trial dengan rancangan eksperimental ulang pre-posttest control group design. Subjek penelitian adalah remaja putri overweight sebanyak 13 orang kelompok kontrol dan 13 orang kelompok perlakuan. Subjek dilakukan intervensi berupa jogging minimal 30 menit dan naik turun tangga sebanyak 10 kali per hari selama empat minggu. Ukuran kepatuhan diet diambil setiap minggu berdasarkan hasil recall 2x24 jam selama 4 minggu. Perbedaan kepatuhan aktivitas fisik dan kepatuhan diet diuji menggunakan Chi Square Test sedangkan perubahan berat badan dan persen lemak tubuh menggunakan ANOVA Repeated Measure Test. Ada perbedaan yang signifikan antara kepatuhan aktivitas fisik (p=0,000) dan penurunan berat badan (p=0,004) antara kelompok perlakuan dan kontrol namun tidak ada perbedaan yang signifikan antara kepatuhan diet (p&gt;0,05) dan penurunan persen lemak tubuh (p=0,382) antara kelompok perlakuan dan kontrol. Peer group efektif dalam meningkatkan aktivitas fisik dan menurunkan berat badan pada remaja overweight.</p>

scholarly journals Longer duration of kangaroo care improves neurobehavioral performance and feeding in preterm infants: a randomized controlled trial

2019 ◽  
Vol 87 (4) ◽  
pp. 683-688 ◽  
Author(s):  
Rania A. El-Farrash ◽  
Dina M. Shinkar ◽  
Dina A. Ragab ◽  
Ramy M. Salem ◽  
Wessam E. Saad ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Preterm Infants ◽  
Controlled Trial ◽  
Kangaroo Care ◽  
Neurobehavioral Performance ◽  
Randomized Controlled

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.

scholarly journals The Effect of Problem-Solving-Approach-Based Counselling on Maternal Role Adaptation in Women with Late Preterm Infant: A Randomized Controlled Trial

2021 ◽  
Vol 10 (2) ◽  
pp. 62-69
Author(s):  
Atefeh Rajabi ◽  
Azam Maleki ◽  
Mohsen Dadashi ◽  
Farzaneh Karami Tanha
Keyword(s):  
Randomized Controlled Trial ◽  
Problem Solving ◽  
Preterm Infants ◽  
Controlled Trial ◽  
Block Design ◽  
Late Preterm ◽  
Control Group ◽  
Maternal Role ◽  
Late Preterm Infants ◽  
Randomized Controlled

Abstract Introduction: Mothers with preterm infants experience numerous stressful problems which can have negative effects on maternal role adaptation. This study aimed to investigate the effectiveness of consultation using a problem-solving approach on adaptation to the maternal role in women with late preterm infants. Methods: This randomized controlled trial (RCT) was carried out on 80 women with spontaneous late preterm infants recruited at Ayatollah Mousavi Hospital of Zanjan. Using convenience sampling method, the participants were assigned into two groups of intervention and control according to block design. Taking a problem-solving approach, counselling was carried out individually in four sessions. The control group received only routine care. The data were collected using adaptation to maternal role questionnaire including 33 items based on a five-point Likert scale ranging in seven areas, in two steps (before counselling and one month after the last counselling session). Data analysis was performed using the SPSS ver. 16.0 software (SPSS, Inc., Chicago, IL). Results: The total score of adaptations to maternal role and its areas was significantly higher in the intervention group after the follow-up period. Conclusion: A comprehensive counselling including various dimensions of maternity adaptation had a positive effect on improving the adaptation to maternal role in mothers with late preterm infants.

Randomized controlled trial of music during kangaroo care on maternal state anxiety and preterm infants’ responses

2006 ◽  
Vol 43 (2) ◽  
pp. 139-146 ◽  
Author(s):  
Hui-Ling Lai ◽  
Chia-Jung Chen ◽  
Tai-Chu Peng ◽  
Fwu-Mei Chang ◽  
Mei-Lin Hsieh ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Preterm Infants ◽  
State Anxiety ◽  
Controlled Trial ◽  
Kangaroo Care ◽  
Randomized Controlled

scholarly journals Oropharyngeal administration of colostrum for preventing necrotizing enterocolitis and late-onset sepsis in preterm infants with gestational age ≤ 32 weeks: a pilot single-center randomized controlled trial

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Xia OuYang ◽  
Chang-Yi Yang ◽  
Wen-Long Xiu ◽  
Yan-Hua Hu ◽  
Su-Su Mei ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Preterm Infants ◽  
Enteral Feeding ◽  
Late Onset ◽  
Controlled Trial ◽  
Control Group ◽  
Single Center ◽  
Randomized Controlled ◽  
Late Onset Sepsis ◽  
Full Enteral Feeding

Abstract Background Oropharyngeal administration of colostrum (OAC) may provide immunoprotective and anti-inflammatory effects that potentially reduce the incidence of necrotizing enterocolitis (NEC) and late-onset sepsis and improve short-term outcomes. Our objective was to evaluate the role of OAC in the early prevention of NEC and late-onset sepsis in preterm infants with gestational age (GA) ≤ 32 weeks. Methods A pilot, single-center, 1:1 parallel randomized controlled trial was conducted in a 40-bed tertiary neonatal intensive care unit (NICU) in China from 1 January 2019 to 30 September 2020. Preterm infants were randomly divided into two groups with GA ≤ 32 weeks. The OAC group included preterm infants who received 0.4 ml of maternal colostrum via the oropharyngeal route every 3 h for 10 days beginning within the first 48 h after birth, and the control group included preterm infants who received normal saline instead. Data from the two groups were collected and compared. Results A total of 127 infants in the OAC group and 125 infants in the control group were enrolled. The incidence of NEC (Bell stage 2 or 3) and late-onset sepsis were lower in the OAC group [2.36% vs. 10.40%, relative risk (RR) 0.23 (95% confidence interval (CI) 0.07, 0.78), adjusted RR 0.23 (95% CI 0.06, 0.84); 4.72% vs. 13.60%, RR 0.35 (95% CI 0.14, 0.85), adjusted RR 0.36 (95% CI 0.14, 0.95)]. In addition, the incidence of proven sepsis and intraventricular hemorrhage (IVH) (stage 3 or 4) were lower in the OAC group [2.36% vs. 8.80%, RR 0.27 (95% CI 0.08, 0.94); 1.57% vs. 7.20%, RR 0.22 (95% CI 0.05, 0.99)], and the time to achieve full enteral feeding was shorter (23.13 ± 9.45 days vs. 28.50 ± 14.80 days). No adverse reactions were observed in either group. Conclusions Oropharyngeal administration of colostrum is a safe and simple NICU procedure that may yield a potential effect in decreasing the incidences of NEC, late-onset sepsis, and severe IVH and shorten the time to achieve full enteral feeding in preterm infants with GA ≤ 32 weeks. Trial registration Chinese Clinical Trial Registry, ChiCTR1900023697, Registered 8 June 2019, retrospectively registered.

scholarly journals Effect of Physiotherapy on the Promotion of Bone Mineralization in Preterm Infants. A Randomized Controlled Trial.

2021 ◽  
Author(s):  
Galaad Torró-Ferrero ◽  
Francisco Javier Fernández-Rego ◽  
Juan Jose Agüera-Arenas ◽  
Antonia Gómez-Conesa
Keyword(s):  
Randomized Controlled Trial ◽  
Physical Therapy ◽  
Preterm Infants ◽  
Speed Of Sound ◽  
Repeated Measures ◽  
Bone Mineralization ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled

Abstract BackgroundPreterm infants have a low level of bone mineralization compared to those born at term, since 80% of calcium incorporation occurs at the end of pregnancy. The purpose of the present study was to investigate the effect of reflex locomotion therapy on bone mineralization and growth in preterm infants and compare its effect against other physiotherapy procedures.MethodsA randomized controlled trial carried out over four years from February 2016 to July 2020 was conducted. 52 preterm infants born at 29-34 weeks with hemodynamical stability, full enteral nutrition, and without any metabolic, congenital, genetic, neurological or respiratory disorders, were evaluated for inclusion; 6 were discarded due to exclusion criteria; finally 46 were randomized to three groups but only 76.08% completed the study: One group received reflex locomotion therapy (EGrlt); other group received passive movements with gentle compression (EGpmc); and control group received massage (CG). All treatments were carried out at the neonatal unit lasting one month. The main outcome measure was the bone mineralization measured with Tibial Speed of Sound (Tibial-SOS). A repeated measures ANOVA was used to compare the results of Tibial-SOS, and anthropometric measurements. All the personnel who carried out the measurement tests were blinded to which intervention group the patients belonged. Likewise, participants, family, and data analysts were also blinded. The physiotherapist who carried out the treatments was blinded against the objectives of the study.ResultsInfants were randomized into EGrlt (n=17), EGpmc (n=14), and CG (n=15). All groups were similar in terms of gestational age (31.8±1.18) and birth weight (1583.41±311.9), age (33.5±1.24) and Tibial Speed of Sound (1604.7±27.9), at the beginning of the intervention. At the end of the study, significant differences were found among groups in Tibial Speed of Sound [F(4,86)=2.77, P=0.049, ηp2=0.114] in benefit of EGrlt.ConclusionsThe reflex locomotion therapy has been effective in the improvement of Tibial Speed of Sound, and has been more effective than other physical therapy modalities; therefore it could be considered as one of the most effective physiotherapeutic modalities for the prevention and treatment of osteopenia of prematurity.Trial registrationClinicalTrials.gov Identifier: NCT04356807. Registered 22/04/2020 – Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04356807?cond=Physical+Therapy+to+Prevent+Osteopenia+in+Preterm+Infants&draw=2&rank=1

A Randomized Controlled Trial of Early Kangaroo Care for Preterm Infants: Effects on Temperature, Weight, Behavior, and Acuity

2002 ◽  
Vol 10 (2) ◽  
pp. 129-142 ◽  
Author(s):  
Miao-Ju Chwo ◽  
Gene C. Anderson ◽  
Marion Good ◽  
Donna A. Dowling ◽  
Shiow-Hwa H. Shiau ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Preterm Infants ◽  
Controlled Trial ◽  
Kangaroo Care ◽  
Randomized Controlled
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