scholarly journals THE EFFECTIVENESS OF COMBINATION OF KANGAROO MOTHER CARE METHOD AND LULLABY MUSIC THERAPY ON VITAL SIGN CHANGE IN INFANTS WITH LOW BIRTH WEIGHT

2017 ◽  
Vol 3 (4) ◽  
pp. 352-359 ◽  
Author(s):  
Nuuva Yusuf ◽  
Suharyo Hadisaputro ◽  
Runjati Runjati ◽  
Ari Suwondo ◽  
Imam D Mashoedi ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Vital Sign ◽  
Vital Signs ◽  
Kangaroo Mother Care ◽  
Control Group ◽  
Music Intervention ◽  
Low Birth Weight Infants ◽  
Sign Changes ◽  
Music Methods

Background: Kangaroo mother care (KMC) and lullaby music methods have been considered as the alternative treatment for vital sign changes in low birth weight infants. However, little is known about the combination of the two methods.Objective: To identify effectiveness of combinations of Kangaroo mother care and Lullaby music methods on changes in vital signs in low birth weight infants.Methods: A quasi experiment with non-equivalent control group design. This study was conducted on October– December 2016 at the General Hospital of Ambarawa and General Hospital of Ungaran, Semarang. There were 36 samples selected using consecutive sampling divided into three groups, namely: 1) a group of LBW infants with the combination of KMC and lullaby music, 2) a LBW infant group with the lullaby music intervention, and 3) a control group given standard care in LBW infants by KMC method. Paired t-test and MANOVA test were used to analyzed the data.Results: Findings revealed that there were significant differences between the combination group, lullaby music group, and control group in temperature (p=0.003), pulse (p=0.001), respiration (p=0.001), and oxygen saturation (p=0.014) with significant value of <0.05, which indicated that there was a statistically significant difference in vital sign changes among the three groups.Conclusion: The combination of KMC method and Lullaby music intervention was effective on vital sign changes (temperature, pulse, respiration, and oxygen saturation) compared with the lullaby music group alone and control group with KMC method in low birth weight infants. It is suggested that the combination of KMC and Lullaby music methods can be used as an alternative to improve LBW care for mothers in the NICU and at home and to reach the stability of the baby's vital signs.

scholarly journals The Effect of Using Murottal Quran Therapy on Low Birth Weight Infants

2018 ◽  
Vol 10 (8) ◽  
pp. 14
Author(s):  
Sri Ramdaniati ◽  
Sri Kusmiati ◽  
Bani Sakti
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Technology Development ◽  
Intervention Group ◽  
Vital Signs ◽  
Sampling Technique ◽  
Control Group ◽  
Low Birth Weight Infants ◽  
Control Group Design

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.

scholarly journals Kangaroo mother care affect stability vital signs of low birth weight babies

2020 ◽  
Vol 8 (5) ◽  
pp. 1702
Author(s):  
Nunik Yuli Astuti ◽  
Regina Vidya Trias Novita
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Vital Signs ◽  
Kangaroo Mother Care ◽  
Control Group ◽  
Skin Contact ◽  
Before And After ◽  
Duration Of Hospitalization ◽  
Quasi Experimental ◽  
The Stability

Background: The Kangaroo Mother Care (KMC) is defined as skin-to-skin contact between mother and her new-born. KMC is a simple way to increase the life expectancy of low birth weight and premature infants. The purpose of this study is to explore the stability of vital signs for Low Birth Weight (LBW) infants before and after using KMC.Methods: the design was a quasi-experimental pre and posttest without a control group has been conducted in private hospital perinatal inward Tangerang with 30 LBW babies.Results: The result shows that the stability of vital signs with t-test the baby's temperature that the resulting p=0.001; α=0:05, heart frequency p=0.004; α=0:05, breath frequency p=0.004; α=0:05 and oxygen saturation p=0.011; α=0:05. The stability of vital signs through KMC could be a complement and alternative to conventional nursing for LBW babies and length of stay in hospital could be minimized.Conclusions: The stability of these vital signs through the KMC can be used as a complementary and alternative in the treatment of LBW, particularly those with low birth weight, which can decrease the duration of hospitalization and use of the incubator is an absolute equipment used.

Pengaruh Perawatan Metode Kanguru (PMK) terhadap Pencegahan Hipotermi pada Bayi Baru Lahir

2020 ◽  
Vol 2 (2) ◽  
pp. 66-71
Author(s):  
Parti ◽  
Sumiati Malik ◽  
Nurhayati
Keyword(s):  
Birth Weight ◽  
Infant Mortality ◽  
Low Birth Weight ◽  
Health Workers ◽  
Kangaroo Mother Care ◽  
Infant Mortality Rate ◽  
P Value ◽  
Low Birth Weight Infants ◽  
Low Birth Weight Babies ◽  
Before And After

Most causes of infant death are problems that occur in newborn/neonatal (0-28 days old), Low Birth Weight Babies (LBW) is one of the factors which has a contribution to infant mortality, especially in the neonatal period. Infant Mortality Rate (IMR) is a benchmark in determining the degree of public health, both at the National and Provincial levels. This study aimed to determine the effect of the Kangaroo Mother Care Method (KMC) on the prevention of hypothermia in low birth weight infants at Morowali District Hospital in 2019. The type of research used was a quasi-experiment. The population is all low birth weight babies born from May to July 2019. The sample in this study was all newborns with low birth weight born from May to July 2019, totaling 30 babies. There is a difference (influence) on the baby's body temperature before and after KMC with a p-value=0,000. The kangaroo mother care can continue to be affiliated considering its benefits for both infants and mothers, as well as increasing the ability of health workers in conducting KMC so that they can provide in-house training for mothers to be carried out at home.

Effect of Community-Initiated Kangaroo Mother Care on Fecal Biomarkers of Gut Function in Low Birth Weight Infants in North India: A Randomized Clinical Trial

2021 ◽  
Author(s):  
Bireshwar Sinha ◽  
Halvor Sommerfelt ◽  
Per Ashorn ◽  
Sarmila Mazumder ◽  
Deepak More ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Period ◽  
Principal Component ◽  
Kangaroo Mother Care ◽  
North India ◽  
Low Birth Weight Infants ◽  
Gut Inflammation ◽  
Skin Contact ◽  
Alpha 1 Antitrypsin

This individually randomized trial was conducted to estimate the effect of promoting community-initiated Kangaroo Mother Care (ciKMC) in low birth weight (LBW) infants on gut inflammation and permeability. Participants included 200 stable LBW infants (weighing 1,500–2,250 g) in North India enrolled between May and October 2017. The ciKMC intervention included promotion and support of continuous skin-to-skin contact and exclusive breastfeeding through home visits. The mothers in the intervention arm were supported to practice ciKMC until 28 days after birth, i.e., the neonatal period, or till the baby wriggled out of KMC position, if earlier. Infant stool specimens were collected during the first week of birth, and within 1 week after end of the neonatal period. Concentrations of fecal neopterin (nmol/L), myeloperoxidase (ng/mL), and alpha-1-antitrypsin (μg/mL) were determined using ELISA, and composite enteric enteropathy (EE) score at the end of the neonatal period was calculated by principal component analysis. We did not find any substantial difference in means between the ciKMC and control arm infants in the log-transformed values of neopterin (0.03; 95% CI −0.15 to 0.21), myeloperoxidase (0.28; 95% CI −0.05 to 0.61) and alpha-1-antitrypsin (0.02; 95% CI −0.30 to 0.34). The mean (SD) composite EE score was 13.6 (7.5) in the ciKMC and 12.4 (8.3) in the control arm infants, and the adjusted difference in means was negligible, 0.4 (95% CI −1.8 to 2.7). Our findings suggest that the promotion of ciKMC did not affect gut inflammation and permeability in our target population of LBW infants in North India.

Kangaroo Mother Care Reduces Noninvasive Ventilation and Total Oxygen Support Duration in Extremely Low Birth Weight Infants

2019 ◽  
Author(s):  
Xiaohua Xie ◽  
Xueyu Chen ◽  
Panpan Sun ◽  
Aifen Cao ◽  
Yanzhu Zhuang ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Supplemental Oxygen ◽  
Kangaroo Mother Care ◽  
Extremely Low Birth Weight ◽  
Positive Pressure ◽  
Low Birth Weight Infants ◽  
Cpap Ventilation ◽  
Objective Evidence ◽  
Tertiary Center

Abstract Objective Evidence on the safety and influence of kangaroo mother care (KMC) in extremely low birth weight infants (ELBWIs) on ventilation is lacking. Study Design This is a retrospective cohort study performed in 145 ELBWIs on noninvasive mechanical ventilation from a tertiary center. Results The duration of nasal intermittent positive pressure ventilation (nIPPV) and continuous positive airway pressure (CPAP) ventilation was significantly shorter in infants with KMC compared with infants without (21 vs. 13.5 days, p = 0.001 and 29.5 days vs. 20.5 days, p = 0.001, respectively). The frequency of apnea during hospital stay was fewer in KMC infants, compared with no KMC (23 vs. 20 times, p = 0.002). Multiple linear regression analysis showed that KMC was an independent protective factor for shortening nIPPV/CPAP duration (β = −9.90, 95% confidence interval [CI] [−13.20, −6.60], p < 0.001), total supplemental oxygen support (β = −10.52, 95% CI [−16.73, −4.30], p = 0.001), and reducing times of apneas (β = −5.88, 95% CI [−8.56, −3.21], p < 0.001). Conclusion KMC benefits ELBWIs by shortening nIPPV/CPAP ventilation duration and total supplemental oxygen support, and reducing the frequency of apneas.

scholarly journals Penurunan Kecemasan Ibu dan Perbaikan Status Bangun-Tidur BBLR melalui Perawatan Metode Kanguru

2011 ◽  
Vol 14 (3) ◽  
pp. 193-198 ◽  
Author(s):  
Qori’Ila Saidah ◽  
Yeni Rustina ◽  
Nani Nurhaeni
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Kangaroo Mother Care ◽  
Maternal Anxiety ◽  
Friedman Test ◽  
Low Birth Weight Infants ◽  
Kangaroo Care ◽  
Consecutive Sampling ◽  
Significant Difference ◽  
Wake State

AbstrakKondisi klinis dan perawatan di ruang rawat intensif pada Bayi Berat Lahir Rendah (BBLR) mempengaruhi status banguntidurnyadan menyebabkan kecemasan pada ibu. Tujuan penelitian ini mengidentifikasi pengaruh perawatan metode kanguruterhadap kecemasan ibu dan status bangun-tidur BBLR. Rancangan penelitian one group pretest posttest design dengan sampel16 ibu dan BBLR di sebuah rumah sakit Surabaya secara consecutive sampling. Kecemasan ibu diukur dengan PSS: NICU danstatus bangun tidur dengan modifikasi skala Brazelton oleh Priya. Hasil analisis uji statistik menggunakan Wilcoxon Sign RankTest dan uji Friedman menunjukkan ada perbedaan bermakna (p= 0,000; α= 0,05). PMK mempunyai pengaruh signifikanterhadap perubahan kecemasan ibu dan status bangun-tidur BBLR. Tenaga kesehatan disarankan mengembangkan PMK untukpeningkatan status kesehatan ibu, juga tumbuh kembang bayi yang optimal.Kata kunci: kecemasan ibu, perawatan metode kangguru, status bangun-tidur BBLR.AbstractClinical condition and treatment at Low Birth Weight Infants (LBW) in the intensive care unit affects sleep-wake status andcauses anxiety for the mother. The aims of this study is to identify the influence of methods of kangaroo care on maternalanxiety and sleep-wake status of LBW. The design of this study was one group pretest posttest design with sample of 16 mothersand low birth weight in a hospital in Surabaya by consecutive sampling. Maternal anxiety was measured with the PSS: NICUand sleep-wake status with Brazelton scale modified by Priya. The result of statistical analysis test using Wilcoxon Sign RankTest and Friedman test showed there are significant difference (p= 0.000; α= 0.05). KMC has a significant influence onchanges in maternal anxiety and sleep-wake status of LBW. Health care provider are recommended to develop KMC forimprovement of maternal health status, as well as the optimal infant growth and development.Keywords: maternal anxiety, kangaroo mother care, sleep-wake state in low birth weight baby

Early Vital Sign Differences in Very Low Birth Weight Infants with Severe Intraventricular Hemorrhage

2021 ◽  
Author(s):  
Santina A. Zanelli ◽  
Maryam Abubakar ◽  
Robert Andris ◽  
Kavita Patwardhan ◽  
Karen D. Fairchild ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Vital Sign ◽  
Intraventricular Hemorrhage ◽  
Neonatal Intensive Care ◽  
Very Low Birth Weight ◽  
Cranial Ultrasound ◽  
Low Birth Weight Infants ◽  
Vlbw Infants ◽  
Arterial Blood

Objective Severe intraventricular hemorrhage (sIVH, grades 3 and 4) is a serious complication for very low birth weight (VLBW) infants and is often clinically silent requiring screening cranial ultrasound (cUS) for detection. Abnormal vital sign (VS) patterns might serve as biomarkers to identify risk or occurrence of sIVH. Study Design This retrospective study was conducted in VLBW infants admitted to two level-IV neonatal intensive care units (NICUs) between January 2009 and December 2018. Inclusion criteria were: birth weight <1.5 kg and gestational age (GA) <32 weeks, at least 12 hours of systemic oxygen saturation from pulse oximetry (SpO2) data over the first 24 hours and cUS imaging. Infants were categorized as early sIVH (sIVH identified in the first 48 hours), late sIVH (sIVH identified after 48 hours and normal imaging in the first 48 hours), and no IVH. Infants with grades 1 and 2 or unknown timing IVH were excluded. Mean heart rate (HR), SpO2, mean arterial blood pressure (MABP), number of episodes of bradycardia (HR < 100 bpm), and desaturation (SpO2 < 80%) were compared. Results A total of 639 infants (mean: 27 weeks' gestation) were included (567 no IVH, 34 early sIVH, and 37 late sIVH). In the first 48 hours, those with sIVH had significantly higher HR compared with those with no IVH. Infants with sIVH also had lower mean SpO2 and MABP and more desaturations <80%. No significant differences in VS patterns were identified in early versus late sIVH. Logistic regression identified higher HR and greater number of desaturations <80% as independently associated with sIVH. Conclusion VLBW infants who develop sIVH demonstrate VS differences with significantly lower SpO2 and higher mean HR over the first 48 hours after birth compared with VLBW infants with no IVH. Abnormalities in early VS patterns may be a useful biomarker for sIVH. Whether VS abnormalities predict or simply reflect sIVH remains to be determined. Key Points

scholarly journals Oropharyngeal Administration of Colostrum Increases Salivary Secretory IgA Levels in Very Low-Birth-Weight Infants

2017 ◽  
Vol 34 (14) ◽  
pp. 1389-1395 ◽  
Author(s):  
Coleen Greecher ◽  
Kim Doheny ◽  
Kristen Glass
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Late Onset ◽  
Multicenter Trial ◽  
Secretory Iga ◽  
Control Group ◽  
Low Birth Weight Infants ◽  
Vlbw Infants ◽  
Late Onset Sepsis

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.

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