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

scholarly journals Effect of Kangaroo Mother Care on Maternal Anxiety and Depression States at the Neonatal ICU: A Prospective Cohort Study

2021 ◽  
Vol 55 (9) ◽  
Author(s):  
Nicole Rosalie Mallonga-Matilac ◽  
Shary May Manuta-Baton ◽  
Maria Esterlita T. Villanueva-Uy
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Depression Scale ◽  
Kangaroo Mother Care ◽  
Maternal Anxiety ◽  
Anxiety And Depression ◽  
Primary Study ◽  
Low Birth Weight Infants ◽  
Depressed Group ◽  
Over Time

Objectives. To determine the effect of kangaroo mother care (KMC) on anxiety and depression of mothers of low-birth-weight neonates during the immediate newborn period. Method. Eligible participants were mothers of low-birth-weight infants (birth weight ≤2500 grams) admitted at a tertiary hospital's neonatal intensive care unit. Mothers were instructed on providing KMC daily to their infants during the study period (first seven days of life). Main Outcome Measure(s). The primary study outcome was the effect of KMC in improving maternal anxiety and depression scores in the immediate postpartum period using the locally validated Hospital Anxiety and Depression Scale-Pilipino (HADS/HADS-P). Results. A total of 171 mothers were enrolled in the study. Only 79 mothers provided KMC, and the rest (92) did not provide KMC. The anxiety and depression scores improved significantly from day 1 to 7 postpartum in both groups (p<0.05). Frequency of mothers categorized as having severe anxiety significantly decreased over time whether they provided KMC or not (KMC: 40.5%, 13.9%, 7.6% at Day 1 and 7 postpartum and day of discharge; No KMC: 35.9% and 27.2% at Day 1 and Day 7 postpartum). There was a significant reduction in the percentage of mothers categorized in the depressed group from Day 1 to Day 7 postpartum, among those who rendered KMC compared with those who did not (KMC: 7.6%, 2.5%, 0% at Day 1 and 7 postpartum and at the day of discharge vs. No KMC: 7.6% and 10.9% at Day 1 and 7 postpartum). There were no significant differences in the anxiety and depression scores at any period between mothers who rendered KMC > 6 hours and KMC ≤ 6 hours/day. Conclusion. Anxiety and depression scores significantly decreased over time in both mothers who rendered and did not render KMC to their infants. However, there was a significant reduction in the percentage of mothers categorized as having severe depression over time among those who rendered KMC compared to those who did not. Other factors aside from KMC may affect the maternal anxiety and depression states, such as instability of the infant.

scholarly journals Hubungan Pengetahuan dan Sikap Dalam Pelaksanaan Perawatan Metode Kangguru

2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Linda Amalia ◽  
Efphi Herawati
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Health Workers ◽  
Sampling Technique ◽  
Kangaroo Mother Care ◽  
Low Birth Weight Infants ◽  
Kangaroo Care ◽  
Chi Square ◽  
Skin Contact ◽  
Knowledge And Attitude

ABSTRAKPada dasarnya setiap ibu hamil menghendaki agar anak yang dilahirkannya mempunyai berat badan lahir cukup sebab bayi dengan Berat Badan Lahir Rendah (BBLR) selain memerlukan perawatan yang lebih rumit dan intensif juga meningkatkan kesakitan dan kematian bayi.Tujuan Penelitian ini untuk mengetahui Hubungan Pengetahuan dan sikap Ibu  Bayi BBLR dengan Pelaksanaan Perawatan Metode Kanguru di Ruang Perinatologi RSUD Cianjur Tahun 2014. Perawatan metode kanguru adalah perawatan bayi baru lahir dengan meletakkan di dada ibu (kontak kulit dengan bayi) sehingga suhu bayi tetap hangat. Perawatan metode kanguru ini sangat menguntungkan terutama untuk bayi berat badan lahir rendah (Depkes RI, 2008).Metode penelitian ini menggunakan deskriptif korelasi. Populasi dalam penelitian ini adalah seluruh ibu yang melahirkan bayi BBLR di Rumah Sakit Umum Daerah Cianjur pada bulan Desember sampai dengan Februari yaitu sebanyak 296 orang. Sampel dalam penelitian ini sebanyak 75 ibu. Teknik sampling dalam penelitian ini adalah dengan purposive sampling.Analisa data yang digunakan univariat dan bivariat dengan menggunakan uji chi-square. Hasil Penelitian menunjukan bahwa kurang dari setengahnya berpengetahuan baik, lebih dari setengahnya bersikap mendukung dan lebih dari setengahnya mau melakukan  perawatan metode kanguru. Dari hasil uji Chi Square terdapat hubungan antara pengetahuan dan sikap ibu dengan pelaksanaan perawatan metode kanguru. Sehingga Diharapkan pada tenaga kesehatan khususnya bidan dan perawat perinatologi untuk terus memberikan informasi yang berguna bagi ibu tentang perawatan pada bayi berat badan lahir rendah seperti pelaksanaan perawatan metode kanguru.ABSTRACTBasically every expectant mother wants a son was born to her birth weight has enough for babies with low birth weight in addition to requiring more complex care and intensive also increase pain and mortality.The purpose of this research is to know the relation of knowledge and attitude of mother of a baby who had low birth weight infant with implementation of kangaroo mother care in perinatologi RSUD Cianjur 2014. Kangaroo mother care is treatment of newborn with putting on chest of mother (skin contact with baby) so the baby’s temperature keep warm. Kangaroo mother care is very beneficial, especially for low birth weight infants ( Depkes RI, 2008 ).This research uses descriptive method of correlation, the population of the entire mother who gives birth to a baby of low birth weight in the RSUD Cianjur on the Desember to march as many as 296 people. The sample used as many as 75 mother. The sampling technique in this study is the purposive sampling. Data analysis univariate and bivariat use by using the chi square test.Results of the study showed that less than half of knowledgeable good, more than half of them being supportive and more than half of them want to do kangaroo care method. From the test results, there is a relationship between the square of knowledge and attitude of mother with kangaroo care method implementation, so expect on health workers, especially nurses, midwives and perinatologi to continue to provide useful information for mothers about infant care on low birth weight as implementation of kangaroo mother care.

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 Cerebral oxygenation responses during kangaroo care in low birth weight infants

2008 ◽  
Vol 8 (1) ◽  
Author(s):  
Esmot Ara Begum ◽  
Motoki Bonno ◽  
Noriko Ohtani ◽  
Shigeko Yamashita ◽  
Shigeki Tanaka ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Cerebral Oxygenation ◽  
Low Birth Weight Infants ◽  
Kangaroo Care

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

Jurnal NERS ◽  
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.

scholarly journals Hospital Regimens Including Probiotics Guide the Individual Development of the Gut Microbiome of Very Low Birth Weight Infants in the First Two Weeks of Life

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1256 ◽  
Author(s):  
Stefan Kurath-Koller ◽  
Charlotte Neumann ◽  
Christine Moissl-Eichinger ◽  
Raimund Kraschl ◽  
Claudia Kanduth ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Bacterial Load ◽  
Oxygen Demand ◽  
Individual Development ◽  
Low Birth Weight Infants ◽  
Multicenter Cohort Study ◽  
Fecal Microbiome ◽  
Significant Difference

Background: It is unknown to what extent the microbiome of preterm infants is influenced by hospital regimens including the use of different probiotics when it comes to the prevention of necrotizing enterocolitis (NEC). Methods: Prospective controlled multicenter cohort study including very low birth weight infants from three neonatal intensive care units (NICUs) between October 2015 and March 2017. During this time span, stool was sampled every other day during the first two weeks and samples were subjected to amplicon-based microbiome analyses. Out of these, seventeen negative controls were processed (German Registry of Clinical Trials (No.: DRKS00009290)). Results: The groups (3 × 18 infants) showed no statistically significant difference regarding gestational age, birth weight, APGAR scores and oxygen demand. 2029 different taxa were detected, including Enterococcus and Staphylococcus, as well as the probiotic genera Lactobacillus and Bifidobacterium predominating. The bacterial load was found to increase earlier on when probiotics were used. Without probiotics administration, Lactobacillus and Bifidobacterium contributed only marginally to the fecal microbiome. Some infants did not respond to probiotic administration. The samples from all centers participating reached a very similar diversity after two weeks while the microbiome samples from all three centers clustered significantly yet varied from each other. Conclusion: Probiotics proved to be safe and initiated an earlier increase of bacterial load (with marked individual divergences), which might play a crucial role in the prevention of neonatal morbidities. Meconium was found not to be free of bacterial DNA, and oral antibiotics did not influence the fecal microbiome development negatively, and hospital regimes led to a center-specific, distinct cluster formation.

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