scholarly journals Sleep Positioning in Low Birth Weight Infants to Reduce Enteral Feeding Intolerance

Author(s):  
Dyah Dwi Astuti ◽  
Yeni Rustina ◽  
Fajar Tri Waluyanti

Introduction: Enteral feeding intolerance is a common problem in low birth weight infants. This study aimed to analyze the effects of sleep positioning on low birth weight infants on the occurrence of enteral feeding intolerance. Methodology: This quasi experiment was applied on 20 low birth weight infants with a purposive sampling technique. The infants were grouped into control and intervention. Infants in the control group were given intervention with routine procedures; while those in the intervention group were performed prone sleep positioning after enteral feeding with the head of the bed elevated 30 degrees during the enteral feeding. Results: Independent t-test and Fisher’s Exact Test analysis showed that sleep positioning could decrease desaturation event (p value = 0.011), abdominal distension (p value = 0.017), and frequency of vomiting (p value = 0.035). Discussion: Nurses can make sleep positioning as standard operating procedures in low birth weight infants who have enteral feeding intolerance

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.


2021 ◽  
Vol 6 (2) ◽  
pp. 110
Author(s):  
Novi Indrayati ◽  
Dona Yanuar Agus Santoso

Background: low birth weight babies (LBW) weighing less than 2500 are babies at high risk because in general, they are smaller than normal birth weight babies and immature organ function. LBW requires special care to anticipate life-threatening emergency conditions. The care process for meeting the special needs of LBW requires the involvement of parents during the hospital and after discharge from the hospital. Nurses as educators have an important role in preparing parents to care for LBW after returning from the hospital. Purpose: This study aims to determine the effect of child nursing interventions through the education of LBW infant care with parents' readiness to care for LBW. Methods: This research is a quantitative study, using a quasi-experimental design with a pre-post-test with control. The population of this study was parents who had LBW babies in Kendal District Hospital with the sampling technique using accidental sampling, the total sample was 40 parents with LBW babies. The sample was classified into two groups, namely, 20 respondents as the intervention group and 20 respondents as the control group. Results: The results of this study indicate that there was a significant differences in parent readiness scores in caring for LBW between those who were given and not given education with a P value of 0.000, used an independent sample t-test and there was an effect of education on the readiness of parents in caring for LBW used the Chi-square test with a p value of 0.002. Conclusion: Providing education to parents with LBW is one of the implementations of pediatric nursing to prepare parents to care for LBW.


2014 ◽  
Vol 1 (2) ◽  
pp. 91
Author(s):  
Fatimah Sari ◽  
Evy Ernawati ◽  
Indartik Indartik

Background: One of the most common causes of death of neonates are low birth weight (LBW) either at term or preterm (premature). As a result of the premature births, children born will experience a variety of health problems due to lack of maturation of the fetus at birth which resulted in many organs of the body that have not been able to work perfectly. factors that can lead to preterm labor (preterm) or low birth weight infants is mother's first factor is less than 20 years of age or over 35 years . Method: This study aims to determine the relationship between maternal age with the incidence of preterm labor. Objective: This research is the type of observational analytic study with cross sectional approach. The sampling technique using saturated sample and the number of samples in this study were 75 respondents. Result: The results showed no association with maternal age on the incidence of preterm labor Puskesmas Kaliangkrik Magelang Regency in 2012 with a p value of 0.000 (0.000 < 0.05) and the relationship is strong enough that the value of the Contingency Coefficient .431. Conclusion: There is a relationship with the mother's age incidence of preterm labor.


Author(s):  
Arash Bordbar ◽  
Azade Noroozi Vahid ◽  
Mandana Kashaki

Very Low Birth Weight (VLBW) infants have higher nutritional needs than term infants. Energy and protein are two important factors influencing their growth. Breastfeeding is not enough to meet VLBW infants’ needs, for this reason, complementary protein is required by them. Hence, the present study aimed at investigation of renal function among VLBW infants receiving complementary proteins. The study was conducted on two groups of intervention and control (n= 18 in each group) (Case study: VLBW infants born in Akbarabadi hospital of Tehran in 2014 2015). The intervention group includes 3-year-old children who weighting less than 1200 grams at birth and have received protein supplementation at the course of NICU hospitalization, protein was added to maternal milk when the amount of milk reaches to 100 cc/kg/day, at this time parenteral nutrition was discontinued and the volume of feeding was increased 20cc/kg/day until reached to 150-180cc/kg/day. We also added the fortifier to breast milk at this time. The fortification and the protein supplementation were stopped when the weight of the baby reached to 1500 grams. The control group was fed similar to the intervention group but had received no complementary protein . The renal function was evaluated by measuring such criteria as BUN, Cr, ALB and U/A. After data collection, a statistical analysis was performed using SPSS software Ver. 22. Following to BUN evaluation, a significant correlation was seen between BUN and received protein (p-value=0.010). However, there was no significant correlation between Cr and received protein as well as mean values of the two groups (p-value=0.0766). Similarly, an insignificant correlation was found between the two groups following to investigation of ALB (p-value=0/257), while the mean values of the two groups were similar. The both groups were also equal in U/A. The complementary protein increased the BUN with no effect on Cr, ALB and U/A, providing no impact on renal function. Therefore, complementary protein intake made no conflict in renal function.


2020 ◽  
Author(s):  
Minoo Fallahi ◽  
Seyed Masoud Shafiei ◽  
Naeeme Taslimi Taleghani ◽  
Maryam Khoshnood Shariati ◽  
Shamsollah Noripour ◽  
...  

Abstract Background: Most premature and very low birth weight infants cannot tolerate feedings in the first few days of life and are deprived of breast milk's beneficial effects. This study aims to evaluate the breast milk cells' effects on neonates' clinical outcomes with a birth weight of ≤1800 grams.Methods: This research is a randomized controlled trial conducted on 156 infants in the neonatal intensive care unit of Mahdieh maternity Hospital in Tehran, Iran, from May 2019 to April 2020. All neonates with a birth weight of ≤1800 grams were enrolled and randomly divided into intervention and control groups. During the first 6-12 hours of delivery, neonates in the intervention group received the extracted breast milk cells (BMCs) provided by centrifuging their own mothers' breast milk for one time. Demographic data and clinical outcomes were compared between the two groups. We also had a subgroup analysis in neonates with birth weight less than 1500 grams.Results: A total of 156 neonates entered the final analysis. We divided participants into two groups by using a computer-generated block randomization sequence, including 75 patients in the intervention group and 81 neonates in the control group. The mean birth weight of neonates was 1390.1±314.4 grams, with a total mortality rate of 12.2% (n=19). We found that in-hospital mortality was significantly lower in neonates who received BMCs (6.7% vs. 17.3%; P-value: 0.043) compared to the control group, and it was more prominent in neonates with birth weight less than 1500 grams (9.5% vs. 30.2%; P-value: 0.017). We did not find any other significant differences in major complications such as retinopathy of prematurity, necrotizing enterocolitis, and bronchopulmonary dysplasia between the two groups.Conclusion: Our research demonstrated a significantly lower mortality rate in neonates (with a birth weight of ≤1800 grams) who received breast milk cells on the first day of life. Since this is a novel method with minimal intervention, we are looking forward to developing and evaluating this method in larger studies, with more frequent use of BMCs in very low birth weight infants.Trial registration: Iranian Registry of Clinical Trials, IRCT20190228042868N1. Registered 25 May 2019, https://irct.ir/trial/38230.


2019 ◽  
Vol 17 (2) ◽  
pp. 39-42
Author(s):  
Niraj Acharya ◽  
Diwas Dhungana ◽  
Veena Gupta

Background: Hypertensive disorders of pregnancy (HDP) are one of the maternal diseases that cause the most detrimental effects to the mother and the fetus. Objective: This study was conducted to compare the perinatal outcomes of neonates delivered by hypertensive mothers and normal mothers. Methods: This comparative hospital based study was conducted in Nepalgunj Medical College Teaching Hospital, Kohalpur from December 2014 to December 2015. Fifty mothers fulfilling the inclusion criteria and their fetal outcome in form of still birth and newborn babies were taken for the study and 50 healthy mothers with normotensive pregnancies and their newborn babies or fetal outcome were taken as control. They were followed up till their hospital stay in NICU or postnatal ward and final outcomes were noted. Results: The prevalence of HDP in our hospital was 2.16%. Among neonates, 27(54%) in case group and 9(18%) in control group were low birth weight which is statistically significant. It was found that 18(36%) neonates in case group and 7(14%) neonates in control group were IUGR(Intrauterine growth retardation). Seventeen (34%) neonates in case group were preterm as compared to 2(4%) neonates in control group (p value < 0.001). Conclusion: Pregnancies complicated by hypertension were characterized by an increase in the rate of preterm delivery and low birth weight infants compared with normal pregnancies.


2021 ◽  
Vol 19 (2) ◽  
pp. 97-109
Author(s):  
Dian Pratiwi ◽  
Djauhar Ismail ◽  
Mufdlilah Mufdlilah ◽  
Panyada Cholsakhon

The number of low-birth-weight babies (LBW) who returned to the hospital after returning home had increased from 2015 to 2016. The results of the interview revealed that mothers who had LBW did not thoroughly understand providing care for LBW after returning from the hospital. This study aims to determine the effect of health education on a mother's knowledge, attitude and behaviour in providing care to LBW. This study is quasi-experimental with a pre-posttest approach non-equivalent to the control group, with 66 respondents fulfilling the inclusion criteria. The inclusion criteria in this study were post-partum mothers on the second day who had babies with a birth weight of 1500 grams-2499 grams and were willing to be respondents. The sampling technique was purposive sampling. The statistical test employed independent t-test, paired t-test, and chi-square. Knowledge scores before and after treatment were significantly different in the intervention group and control group, with a p-value in the intervention group 0.00, while the knowledge and attitude scores in the control group were 0.00 and the behavioural scores were 0.11. There was a significant difference in the increase in knowledge, attitudes and behaviour scores in both groups. The p-value of knowledge and attitudes is 0.00, and the p-value of behaviour is 0.01. Hence, there is an increase in mothers' knowledge, attitudes, and behaviour after being provided with health education using a booklet.


Author(s):  
Dian Ramawati ◽  
Hikmi Muharromah Pratiwi ◽  
Candra Andodo

Introduction. Hypothermia is low-body temperature (less than 36,5°C) that can caused morbidity and mortality in premature newborn and or low-birth weight newborn. Plastic has often been used to prevent the heat loss in newborn.The aim of study was to measure the effectiveness of plastic bag wrap to prevent hypothermia in preterm and low-birth weight infant. Method. The study design was quasy expertment non randomized pretest-posttest with control group. In intervention group, there were five premature and or low-birth weight newborns that were being wrapped with special design plastic bag from neck to toe after been given neonatal standard care protocol. While, in control group, there were six newborns with the same baseline criteria as intervention group without plastic bag wrap. The measurement of body temperature used digital thermometer on babies’ axilla before and after one-hour intervention. Data analysis used t test. Result. The result showed there was almost significant difference in body temperature in newborn before and after intervention (pvalue 0.056). Discussion. Plastic bag wrap is effective to prevent hypothermia in premature and or low-birth weight newborn as much as 60% with body temperatur changes +0.4°C. Keywords: Plastic Bag Wrap, Hypothermia, Preterm, Low-Birth weight


2019 ◽  
Vol 4 (1) ◽  
pp. 26
Author(s):  
Weni Lidya Hendayani

<p><em>Low Birth Weight (LBW) is a baby with a birth weight less than 2500 grams regardless of gestation. The one of complication  is body temperature instability, and to maintain it, the infants are exposed to the Kangaroo Mother Care (KMC) Method. Data WHO and UNICEF in 2013 with 22 million baby birth in the world, where 16 % birth with low birth weight infants. The purpose of this study was to determine the effect of implementation kangaroo mother care on body temperature stability of low birth weight infants at the perinatology room Dr.Achmad Mochtar Hospital Bukittinggi. This research is a Pre-Eksperimental with one-group pretest-postest design in Agust 2018 as many 15 respondents with accidental sampling technique. The statistical test used is dependent T-test. The result of statistical test show a significant influence between body temperature stability before and after implementation kangaroo mother care with p-value = 0,000 (α ≤ 0.05). So it can be concluded that there is a relationship of The Effectiviness kangaroo mother care on body temperature stability of low birth weight infants. Suggestions to hospital can implementation kangaroo mother care because this method an effective, simple, and cheap method to care low birth weight infant.</em></p><p><strong>Kata Kunci</strong><strong>   </strong><strong>: </strong><strong><em>Kangaroo Mother Care, Body Temperature</em></strong></p>


2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Setiyawan Setiyawan ◽  
Wahyu Deda Prajani ◽  
Wahyu Dwi Agussafutri

Background: Low birth weight has the highest contribution to neonatal mortality rate. One of its complications is body temperature instability, and to maintain it, the infants are exposed to the Kangaroo Mother Care (KMC) method. The objective of this research is to investigate the one-hour KMC implementation on the body temperature of low birth weight infants at the Perinatology Room of Pandan Arang Local General Hospital of Boyolali. Method: This research used the quasi experimental method. It was conducted from October to November 2016. Its samples consisted of 22 infants and were determined through the accidental sampling technique. Its data were analyzed by using the Wilcoxon signed ranks test. Result: The result of the research shows that the average body temperatures prior to and following the implementation of one-hour KMC in Days 1, 2, and 3 were 36.660C and 37.070C. There was an effect of the implementation of one-hour KMC on the body temperature of low birth weight infants as indicated by the p-value which was less than 0.05. Conclusion: Thus, the future research is expected to develop the research by adding the research variables that may influence the body temperature stability of low birth weight infants in addition to the one-hour KMC.


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