An EBP to Promote Early Skin-to-Skin Care Intervention and Mother's Own Milk Feedings in the Extremely Low Birth Weight Population

2020 ◽  
Vol 39 (6) ◽  
pp. 330-338
Author(s):  
Barbara L. Cirrito ◽  
Jessica M. Gordon ◽  
Finette L. Basden ◽  
Janessa Canals-Alonso ◽  
Nakia R. Green ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Intervention Group ◽  
Retrospective Chart Review ◽  
Skin Care ◽  
Extremely Low Birth Weight ◽  
Outcome Variable ◽  
Main Outcome Variable ◽  
Skin To Skin ◽  
Mother’S Own Milk

PurposeDescribe an evidence-based process (EBP) to promote early skin-to-skin care (SSC) intervention and increase mother's-own-milk (MOM) feedings at discharge among extremely low birth weight (ELBW) infants.DesignThis EBP aimed to address the following clinical question: Among ELBW infants, does early SSC &#ξ2264;16 days of life (DOL), compared to SSC >16 DOL, result in more infants receiving MOM feedings at discharge?SampleA retrospective chart review of 199 ELBW infants.Main Outcome VariableEarly SSC intervention among ELBW infants and MOM at discharge.ResultsEarly SSC intervention increased from 46 to 73 percent among ELBW infants over the EBP period. Frequency of SSC intervention was associated with year of EBP and MOM at discharge (p = <.05). ELBW infants in the early SSC intervention group received more MOM at discharge.

Demographic, Social, and Personal Factors Associated with Lactation Cessation by 6 Weeks in Mothers of Very Low Birth Weight Infants

2020 ◽  
pp. 089033442094023
Author(s):  
Leslie A. Parker ◽  
Charlene Krueger ◽  
Sandra Sullivan ◽  
Martina Mueller
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Skin Care ◽  
Personal Factors ◽  
Low Birth Weight Infants ◽  
Factors Associated ◽  
Lactation Duration ◽  
Skin To Skin ◽  
Mother’S Own Milk

Background Although mother’s own milk decreases prematurity-associated morbidities, mothers of infants born preterm and very low birth weight experience a significantly shorter lactation duration. Little is known regarding factors associated with lactation cessation during the hospitalization of a very low birth weight infant. Research aim To determine demographic, social, and personal factors associated with lactation cessation by 6-weeks postpartum in mothers delivering very low birth weight infants. Methods We used a retrospective, longitudinal, two-group comparison design using data from a randomized control study. Mothers of very low birth weight infants ( N = 142) were enrolled from a labor and delivery unit associated with a Level 4 neonatal intensive care unit. Demographic, social, and health information was obtained from the medical records. Participants were surveyed regarding lactation goals, experience, and reason(s) for cessation. Results Participants who did not continue lactating for more than 6 weeks were more likely to be unemployed ( p = .019), Medicaid eligible ( p = .009), less educated ( p < .031), smoke ( p = .002), provide less skin-to-skin care ( p = .007), and to delay the decision to provide their milk to their infant ( p = .007). After Bonferroni adjustment, only minutes of skin-to-skin care remained statistically significant. Insufficient maternal milk production was the most common reason for lactation cessation. Conclusion While the etiology of lactation cessation is often non-modifiable, strategies aimed at maintaining mother’s own milk production, smoking cessation, increasing skin-to-skin care, and promoting an earlier decision to lactate, may prolong lactation duration in this vulnerable population. This RCT was registered (2012-00071) with ClinicalTrials.com on 6/28/2013.

Reticulocyte Count: The Forgotten Factor in Transfusion Decisions for Extremely Low Birth Weight Infants

2021 ◽  
Author(s):  
Daniel Nakhla ◽  
Alla Kushnir ◽  
Rafat Ahmed ◽  
Vineet Bhandari ◽  
Krystal Hunter ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Intensive Care ◽  
Reticulocyte Count ◽  
Retrospective Chart Review ◽  
Extremely Low Birth Weight ◽  
Positive Trend ◽  
Reference Ranges ◽  
Low Birth Weight Infants ◽  
Packed Red Blood Cells

Objective Extremely low birth weight (ELBW) infants often receive transfusions of packed red blood cells (PRBCs). Long-term outcomes of infants treated with liberal versus restricted transfusion criteria have been evaluated with conflicting results. Clinicians incorporate a reticulocyte count (RC) in their transfusion decisions. There is a lack of information on reference ranges for RCs in growing ELBW infants and whether infant's chronologic age or corrected gestational age (GA) generates a specific trend in the RCs. Our aim was to evaluate the levels of RCs obtained from ELBW infants over the course of the initial hospitalization. Study Design A retrospective chart review of ELBW infants treated in the neonatal intensive care unit (NICU) and had RCs performed. We analyzed the RCs to observe trends based on the chronologic age and corrected GA. Results A total of 738 RCs were analyzed. A positive trend in RCs that reached a peak at 32 to 34 weeks' corrected GA and then experienced a downward trend was observed. Conclusion Our report examines a very common hematologic test that is theoretically helpful but is in need of guidelines concerning the appropriate frequency of testing and its utility in making transfusion decisions in ELBW infants. Key Points

Reticulocyte Count: The Forgotten Factor in Transfusion Decisions for Extremely Low Birth Weight Infants

2021 ◽  
Author(s):  
Daniel Nakhla ◽  
Alla Kushnir ◽  
Rafat Ahmed ◽  
Vineet Bhandari ◽  
Krystal Hunter ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Gestational Age ◽  
Reticulocyte Count ◽  
Retrospective Chart Review ◽  
Extremely Low Birth Weight ◽  
Positive Trend ◽  
Reference Ranges ◽  
Low Birth Weight Infants ◽  
Packed Red Blood Cells

Background: Extremely low birth weight (ELBW) infants often receive transfusions of packed red blood cells. Long-term outcomes of infants treated with liberal versus restricted transfusion criteria have been evaluated with conflicting results. Clinicians incorporate a reticulocyte count (RC) in their transfusion decisions. There is a lack of information on reference ranges for RCs in growing ELBW infants and whether infant’s chronologic age or corrected gestational age generates a specific trend in the RCs. Objective: Our aim was to evaluate the levels of RCs obtained from ELBW infants over the course of the initial hospitalization. Study Design: A retrospective chart review of ELBW infants treated in the neonatal intensive care unit and had RCs performed. We analyzed the RCs to observe trends based on the chronologic age and corrected gestational age. Results: A total of 738 RCs were analyzed. A positive trend in RCs that reached a peak at 32-34 weeks corrected gestational age and then experienced a downward trend was observed. Conclusions: Our report examines a very common hematologic test that is theoretically helpful but is in need of guidelines concerning the appropriate frequency of testing and its utility in making transfusion decisions in ELBW infants.

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
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Room Temperature ◽  
Delivery Room ◽  
Outcome Variable ◽  
Control Group ◽  
Nursing Interventions ◽  
Low Birth Weight Infants ◽  
Main Outcome Variable ◽  
Nicu Admission

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.

Brazilian Mothers’ Experiences of Home Care for Their Low Birth Weight Infants

2002 ◽  
Vol 21 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Débora Falleiros Mello ◽  
Semiramis Melani Melo Rocha ◽  
Carmen Gracinda Silvan Scochi ◽  
Regina Aparecida Garcia Lima
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Home Care ◽  
Hospital Discharge ◽  
Outcome Variable ◽  
Low Birth Weight Infants ◽  
Main Outcome Variable ◽  
Mothers Experiences

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.

Introducing home based skin-to-skin care for low birth weight newborns: a pilot approach to education and counseling in Ghana

2012 ◽  
Vol 19 (3) ◽  
pp. 42-49 ◽  
Author(s):  
Alessandra Bazzano ◽  
Zelee Hill ◽  
Charlotte Tawiah-Agyemang ◽  
Alexander Manu ◽  
Guus ten Asbroek ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Skin Care ◽  
Home Based ◽  
Skin To Skin

CEREBRAL OXYGENATION RESPONSES DURING SKIN-TO-SKIN CARE IN LOW BIRTH WEIGHT INFANTS

PEDIATRICS ◽  
2008 ◽  
Vol 121 (Supplement 2) ◽  
pp. S136.2-S137
Author(s):  
Esmot Ara Begum ◽  
Motoki Bonno ◽  
Noriko Ohtani ◽  
Shigeko Yamashita ◽  
Shigeki Tanaka ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Cerebral Oxygenation ◽  
Skin Care ◽  
Low Birth Weight Infants ◽  
Skin To Skin
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