The Effect of Three Nursing Interventions on Thermoregulation in Low Birth Weight Infants

2011 ◽  
Vol 30 (3) ◽  
pp. 160-164 ◽  
Author(s):  
Debra A. Lewis ◽  
Lynda P. Sanders ◽  
Dorothy Y. Brockopp

ABSTRACTPurpose: The primary aim of this study was to evaluate the use of three nursing interventions—occlusive wrap, chemical mattress, and regulation of delivery room temperature—singly and in combination in consecutive years on thermo-regulation in six groups of low birth weight infants.Design: A quasi-experimental design was used. Prospective data were collected on 133 infants weighing <1,500 g. Interventions were tested on different groups of infants in each of three years. The control group comprised 295 infants on which retrospective chart data were available over an earlier three-year period.Sample: Infants weighing <1,500 g participated in the study.Main Outcome Variable: The main outcome variable was NICU admission temperatures of infants weighing <1,500 g. For data analysis, infants were divided into two groups: those weighing <1,000 g and those weighing between 1,000 and 1,500 g.Results: For each of the three interventions, the percentage having a normal NICU admission temperature in each intervention group exceeded the control group percentage, but the increase was not significant. Use of each intervention—occlusive wrap alone, occlusive wrap in addition to chemical mattress, and occlusive wrap in addition to chemical mattress and increased delivery room temperature—appeared to influence thermoregulation positively.

2002 ◽  
Vol 21 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Débora Falleiros Mello ◽  
Semiramis Melani Melo Rocha ◽  
Carmen Gracinda Silvan Scochi ◽  
Regina Aparecida Garcia Lima

Purpose: To describe Brazilian mothers’ experiences of home care for their low birth weight (LBW) infants.Design: Descriptive.Sample: Eleven Brazilian mothers whose LBW infants were hospitalized at birth and followed up for a period of four weeks.Main Outcome Variable: Brazilian mothers’ recollections about the home care of their infants.Results: The study identified the infants’ and mothers’ profiles and the mothers’ concerns about disruption in attachment due to hospitalization and their infants’ growth. After hospital discharge, these mothers mainly worried about their infants’ weight gain, breathing, and overall development, as well as breastfeeding, feeding, and medication preparation.


PEDIATRICS ◽  
1999 ◽  
Vol 104 (4) ◽  
pp. e40-e40 ◽  
Author(s):  
Neil N. Finer ◽  
Thomas Tarin ◽  
Yvonne E. Vaucher ◽  
Keith Barrington ◽  
Raul Bejar

2017 ◽  
Vol 34 (14) ◽  
pp. 1389-1395 ◽  
Author(s):  
Coleen Greecher ◽  
Kim Doheny ◽  
Kristen Glass

Aim Oropharyngeal administration of colostrum (OAC) has been proposed to provide mother's early milk to very low-birth-weight (VLBW) infants in the first few days of life. The aim of this study was to test the hypothesis that OAC would increase salivary secretory IgA (SsIgA). Patients and Methods Overall, 30 VLBW infants randomized to receive OAC or sterile water had salivary sampling for SsIgA on the day of life (DOL) 2, 7, and 14. The incidence of late-onset sepsis (LOS) and necrotizing enterocolitis (NEC) was determined prospectively. Within and between-group comparisons were made by paired and independent samples t-tests. Results Baseline characteristics were similar between groups. SsIgA was higher in OAC versus the control group (p < 0.05) on DOL 7, but not subsequently on DOL 14. There was no difference in LOS or NEC. Conclusion OAC increased SsIgA at DOL 7. A large, multicenter trial is needed to determine if OAC decreases LOS or NEC in VLBW infants.


2021 ◽  
Vol 12 ◽  
Author(s):  
Ayako Horigome ◽  
Ken Hisata ◽  
Toshitaka Odamaki ◽  
Noriyuki Iwabuchi ◽  
Jin-zhong Xiao ◽  
...  

The colonization and persistence of probiotics introduced into the adult human gut appears to be limited. It is uncertain, however, whether probiotics can successfully colonize the intestinal tracts of full-term and premature infants. In this study, we investigated the colonization and the effect of oral supplementation with Bifidobacterium breve M-16V on the gut microbiota of low birth weight (LBW) infants. A total of 22 LBW infants (12 infants in the M-16V group and 10 infants in the control group) were enrolled. B. breve M-16V was administrated to LBW infants in the M-16V group from birth until hospital discharge. Fecal samples were collected from each subject at weeks (3.7–9.3 weeks in the M-16V group and 2.1–6.1 weeks in the control group) after discharge. qPCR analysis showed that the administrated strain was detected in 83.3% of fecal samples in the M-16V group (at log10 8.33 ± 0.99 cell numbers per gram of wet feces), suggesting that this strain colonized most of the infants beyond several weeks post-administration. Fecal microbiota analysis by 16S rRNA gene sequencing showed that the abundance of Actinobacteria was significantly higher (P &lt; 0.01), whereas that of Proteobacteria was significantly lower (P &lt; 0.001) in the M-16V group as compared with the control group. Notably, the levels of the administrated strain and indigenous Bifidobacterium bacteria were both significantly higher in the M-16V group than in the control group. Our findings suggest that oral administration of B. breve M-16V led to engraftment for at least several weeks post-administration and we observed a potential overall improvement in microbiota formation in the LBW infants’ guts.


2020 ◽  
Vol 7 (3) ◽  
pp. 520
Author(s):  
Tushar R. Jadhav ◽  
Shailaja S. Jaywant

Background: Premature infants with Peri-natal asphyxia leading to a hypoxic-ischemic encephalopathy (HIE) are at greater risk for cerebral palsy. HIE grade II infants have long term neurological complications due to maladaptive brain wiring during NICU stay. Ladder approach, with graded stimulation program is administered by Occupational therapist, plays a vital role to minimize the maladaptive responses to environment. Objective of this study was to effect of Ladder Approach on preterm low birth weight Infants with HIE-2 as compared to conventional treatment. Design of this study was to Prospective Block Randomized Convenient Sampling Control Trial, Experimental design study. The study was carried out in the NICU and PU ward of Tertiary care hospital in metropolitan city from April 2015 to October 2016. The study subjects included a convenient sample of 30 preterm Low birth weight HIE-2 infants randomly selected into study or control groups. Neonatal behavioural Assessment scale (NBAS), Infant Neurological International Battery (INFANIB).Methods: The preterm infants from study group who received Ladder Approach and control group who received routine conventional care only. Outcome measures NBAS was at baseline and first follow up. INFANIB was administered at second follow up to assess neurodevelopment.Results: Showed that the premature infants of the study had significant difference in neuro behavioral status with mean for all subcomponents from to post intervention mean 39.6 in experimental group and from baseline mean of 24.3 to post intervention mean score of 33.2 in control group on neurobehavioral scale. Further neurodevelopmental status showed similar results on INFANIB in experimental group.Conclusions: The premature Infants with HIE grade 2, receiving ladder approach have shown more mature responses resulting into well-organized Neurobehavioral status, and resulted in improved brain wiring as evident in INFANIB.


Sign in / Sign up

Export Citation Format

Share Document