Effect of Colostrum Feeding Intervention on the Clinical and Nutritional Outcomes of Very Low Birth Weight Infant

Context: Having premature and very low birth weight infants in the Neonatal Intensive Care Unit (NICU), is disempowering for mothers as they lost autonomy over their behavior and lost autonomy over beginning to establish a close relationship with their neonates. Mothers highly value Breastfeeding/breast milk feeding as it is the ‘one thing that only the mother can do to protect and improve their neonates' health. Aim: Evaluate the effect of colostrum feeding intervention on the clinical and nutritional outcomes of very low birth weight infant. Methods: A quasi-experimental research design utilized to achieve the aim of this study. A convenient sample of 80 mothers of very low birth weight infants subjected to colostrum feeding intervention program. Their 80 very low birth weight infants (divided randomly into two groups) study and control groups to examine the effect of the colostrum feeding intervention on their clinical and nutritional outcomes versus artificial milk feeding. Three research tools used that were structured interview questionnaire, mothers’ practice observation checklist, and very low birth weight clinical and Nutritional outcomes’ record. Results: the study reveals a significant improvement of mother knowledge and practices after colostrum feeding intervention at post and follow up compared to their pre-intervention level. The study also revealed a statistically significant difference in all clinical and nutritional outcomes between infants of the study and control groups. Conclusion: A significant improvement in mothers’ knowledge and practice regarding colostrum feeding intervention. The study group of very low birth weight infants had a rapid growth rate, better nutritional outcomes, lesser complications compared with the control group. The study recommended tailored intervention programs for mother that expecting a very low birth weight infant. Besides, policies for training midwives at maternity centers and hospitals early to initiate colostrum feeding. Further research with larger sample size recommended to determine if early colostrum administration can affect positively on very low birth weight infants outcomes.

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The Effectiveness of Auditory Stimuli from Murottal Quran to Improve Comfort and Weight in Low Birth Weight Infants: Randomized Controlled Trial

Jurnal NERS ◽

10.20473/jn.v13i2.14823 ◽

2019 ◽

Vol 14 (1) ◽

pp. 111

Author(s):

Desriati Devi ◽

Yeni Rustina ◽

Defi Efendi

Keyword(s):

Randomized Controlled Trial ◽

Birth Weight ◽

Low Birth Weight ◽

Controlled Trial ◽

Auditory Stimuli ◽

Control Groups ◽

Low Birth Weight Infants ◽

Randomized Controlled ◽

Significant Difference ◽

And Control

Introduction: Low birth weight (LBW) infants who have been hospitalized are exposed to various conditions that provoke discomfort, which could trigger a stress response and growth disorders. This study aimed to identify the effects of auditory stimuli from Murottal Quran when it comes to the comfort and weight of LBW infants.Methods: This study used a clinical randomized controlled trial design involving 52 low birth weight infants. The infants were randomly assigned to either the intervention group (n=26) or the control (n=26). The intervention of Murottal Quran was given using a speaker 4 times a day for 20 minutes every 3 hours. This intervention was conducted for three days.Results: The results of this study show that there is a significant difference in the comfort of low birth weight infants after Murottal Qur’an on the first, second, and third days between the intervention and control groups (p=0.014; <0.001; <0.001). There was no significant difference in the weight between the intervention and control groups in the first, second, and third days (p=0.481; 0.481; 0.464).Conclusion: The auditory stimuli of Murottal Quran can help to improve the comfort level of low birth weight infants during hospitalization. It can therefore be used as a supportive therapy to facilitate low birth weight infant and premature infant development.

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Anatomic accuracy, physiologic characteristics, and fidelity of very low birth weight infant airway simulators

Pediatric Research ◽

10.1038/s41390-021-01823-w ◽

2021 ◽

Author(s):

Patricia Lengua Hinojosa ◽

Frank Eifinger ◽

Michael Wagner ◽

Jochen Herrmann ◽

Monika Wolf ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Reference Values ◽

Very Low Birth Weight ◽

List Type ◽

Preterm Baby ◽

Low Birth Weight Infants ◽

Low Birth Weight Infant ◽

Ventilation Technique ◽

One Simulator

Abstract Background Medical simulation training requires realistic simulators with high fidelity. This prospective multi-center study investigated anatomic precision, physiologic characteristics, and fidelity of four commercially available very low birth weight infant simulators. Methods We measured airway angles and distances in the simulators Premature AirwayPaul (SIMCharacters), Premature Anne (Laerdal Medical), Premie HAL S2209 (Gaumard), and Preterm Baby (Lifecast Body Simulation) using computer tomography and compared these to human cadavers of premature stillbirths. The simulators’ physiologic characteristics were tested, and highly experienced experts rated their physical and functional fidelity. Results The airway angles corresponded to those of the reference cadavers in three simulators. The nasal inlet to glottis distance and the mouth aperture to glottis distance were only accurate in one simulator. All simulators had airway resistances up to 20 times higher and compliances up to 19 times lower than published reference values. Fifty-six highly experienced experts gave three simulators (Premature AirwayPaul: 5.1 ± 1.0, Premature Anne 4.9 ± 1.1, Preterm Baby 5.0 ± 1.0) good overall ratings and one simulator (Premie HAL S2209: 2.8 ± 1.0) an unfavorable rating. Conclusion The simulator physiology deviated significantly from preterm infants’ reference values concerning resistance and compliance, potentially promoting a wrong ventilation technique. Impact Very low birth weight infant simulators showed physiological properties far deviating from corresponding patient reference values. Only ventilation with very high peak pressure achieved tidal volumes in the simulators, as aimed at in very low birth weight infants, potentially promoting a wrong ventilation technique. Compared to very low birth weight infant cadavers, most tested simulators accurately reproduced the anatomic angular relationships, but their airway dimensions were relatively too large for the represented body. The more professional experience the experts had, the lower they rated the very low birth weight infant simulators.

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Goals for Human Milk Feeding in Mothers of Very Low Birth Weight Infants: How Do Goals Change and Are They Achieved During the NICU Hospitalization?

Breastfeeding Medicine ◽

10.1089/bfm.2015.0047 ◽

2015 ◽

Vol 10 (6) ◽

pp. 305-311 ◽

Cited By ~ 26

Author(s):

Rebecca Hoban ◽

Harold Bigger ◽

Aloka L. Patel ◽

Beverly Rossman ◽

Louis F. Fogg ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Human Milk ◽

Very Low Birth Weight ◽

Low Birth Weight Infants ◽

Milk Feeding

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The Effectiveness of Auditory Stimuli from Murottal Quran to Improve Comfort and Weight in Low Birth Weight Infants: Randomized Controlled Trial

Jurnal NERS ◽

10.20473/jn.v14i1.14823 ◽

2019 ◽

Vol 14 (1) ◽

pp. 111

Author(s):

Desriati Devi ◽

Yeni Rustina ◽

Defi Efendi

Keyword(s):

Randomized Controlled Trial ◽

Birth Weight ◽

Low Birth Weight ◽

Controlled Trial ◽

Auditory Stimuli ◽

Control Groups ◽

Low Birth Weight Infants ◽

Randomized Controlled ◽

Significant Difference ◽

And Control

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Indomethacin Therapy for Large Patent Ductus Arteriosus in the Very Low Birth Weight Infant: Results and Complications

PEDIATRICS ◽

10.1542/peds.64.2.154 ◽

1979 ◽

Vol 64 (2) ◽

pp. 154-159

Author(s):

H. L. Halliday ◽

T. Hirata ◽

J. P. Brady

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Patent Ductus Arteriosus ◽

Very Low Birth Weight ◽

Ductus Arteriosus ◽

Base Deficit ◽

Low Birth Weight Infants ◽

Low Birth Weight Infant ◽

Surgical Ligation ◽

Patent Ductus

Of 36 very low birth weight infants (<1,500 gm) with large patent ductus arteriosus, 24 (67%) showed satisfactory constriction or closure after indomethacin therapy (mean total dose 0.4 mg/kg). Twelve infants (33%) responded inadequately with seven infants requiring surgical ligation. Response was better in infants 8 to 14 days old compared to those more than 14 days old (89% vs 33%, P = .048) irrespective of birth weight or gestational age. Major complications were renal and unrelated to ductus response. Urine output fell significantly (3.65 to 1.63 ml/kg/hr, P < .001) and in 47% of infants serum creatinine increased ≥1.5 mg/dl. Creatinine was less likely to rise in infants more than 14 days old. Hyponatremia was found in 36% of infants. Serum potassium increased more frequently in infants more than 8 days old and was >6.0 mEq/liter in 25%. Indomethacin caused a reduction in PaCO2 (41 to 37 mm Hg, P < .01) and an increase in pH (7.32 to 7.36, P < .02) with no change in base deficit. These changes occurred even in the absence of clinical ductus closure. No other side effects of indomethacin therapy were noted. Three infants died but death was unrelated to indomethacin therapy. Overall survival was 92%, and nine infants (25%) developed mild bronchopulmonary dysplasia.

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