scholarly journals Tactile-kinesthetic stimulation to gain weight and reduce the length of stay care for premature baby at public hospitals of Semarang, Indonesia

2019 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Freya Nazera Iskandar ◽  
Ari Suwondo ◽  
Bedjo Santoso
Keyword(s):  
Birth Weight ◽  
Length Of Stay ◽  
Low Birth Weight ◽  
Intervention Group ◽  
Premature Baby ◽  
Kangaroo Mother Care ◽  
Public Hospitals ◽  
Control Group ◽  
Hospital Unit ◽  
Premature Babies

Background: Premature babies are susceptible to a variety of health problems in early of their lives, thus, management of premature care should be designed to optimize the growth and development, with no more cost extension. The management of premature care by non-pharmacological treatments becomes popular nowadays, and applied in the hospital unit care, including the Tactile-Kinesthetic Stimulation (TKS) and Kangaroo Mother Care (KMC).Aims: This study is to present the effect of Tactile-Kinesthetic Stimulation (TKS) on weight gain and reduction length of stay care for premature babies, and to compare the results with the standard Kangaroo Mother Care (KMC) given at the hospital care unit.Methods: The study used a quasi-experimental design with pretest-posttest with a control group. A total of 32 premature babies was equally divided to a control group given a standard KMC procedure and an intervention group receiving the TKS. Sampling was done using a consecutive sampling method where the low birth weight infants were selected from two public hospitals in Semarang of Indonesia, with consent from the parents. Data was then analyzed by a repeated measure ANOVA, general linear model and Mann-Whitney test to find the significant mean difference at p value less than 0.05.Results: The data shows that the babies’ weight significantly increased day by day only if the premature neonates received Tactile-Kinesthetic Stimulation, gained 148.75 gram only 3 days after the initial measurement. However, from this study we noted that the premature babies’ weight at the control group provided only with Kangaroo Mother Care slightly decreased at 35.69 gram at the third day of observation. In average, premature babies receiving TKS need only 3 days before return home, while if receiving the standard KMC the preterm babies required 5 days in the hospital care.Conclusion: Not only effective to gain the weight, giving Tactile-Kinesthetic Stimulation to the low birth weight baby shorter the length of stay in the hospital unit care. It suggests that the TKS intervention will provide good result in maintaining the weight of the low birth weight baby and will reduce the costs of staying in the hospital unit care. Keywords: Tactile-Kinesthetic Stimulation, Kangaroo Mother Care, Low birth weight, Length of stay care, Premature baby.

scholarly journals Atuação do terapeuta ocupacional em uma unidade neonatal do Recife/ Occupational Therapist’s Action in a Neonatal Unit of Recife

2020 ◽  
Vol 4 (1) ◽  
pp. 116-122
Author(s):  
Sandra Yoshie Uraga Morimoto ◽  
Débora Danielle Andrade dos Santos ◽  
Valéria Moura Moreira Leite
Keyword(s):  
Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Multidisciplinary Team ◽  
Kangaroo Mother Care ◽  
Occupational Therapist ◽  
Neonatal Unit ◽  
University Hospital ◽  
Hospital Environment ◽  
Premature Babies

Tendo em vista a importância do terapeuta ocupacional como profissional componente na unidade neonatal, buscou-se relatar de que forma o mesmo atua junto aos recém-nascidos prematuros e de baixo peso em um hospital universitário do Recife. O terapeuta ocupacional atua nos três contextos que constituem a unidade neonatal, sendo responsável pelos cuidados ligados ao desenvolvimento do bebê, a humanização do ambiente e orientações aos pais e profissionais. Assim, através dessa experiência percebeu-se de que forma este profissional atua, no que tange sua participação na equipe multidisciplinar, bem como sua importância na assistência humanizada a esses bebês e suas famílias. Abstract: Bearing in mind the importance of the occupational therapist in the neonatal unit, this paper seeks to report how that professional performs with low-birth- weight premature babies in a University Hospital in Recife. The occupational therapist is responsible for health care related to the baby's development, for the humanization of the hospital environment and for orienting parents and other professionals. It was possible to realize, through this experience, how the occupational therapist performs when it comes to taking part in a multidisciplinary team, as well as this professional's importance is assisting babies and their families in a humanized way.Key words: Occupational Therapy; Infant, Premature; Kangaroo-Mother Care MethodResumen: Devido la importancia del terapeuta ocupacional como profesional componente en la unidad neonatal, se buscó relatar de qué forma actúa junto a los recién nacidos prematuros y de bajo peso en un hospital universitario del Recife. El terapeuta ocupacional actúa en los tres contextos que constituyen la unidad, siendo responsable por los cuidados ligados al desarrollo del bebé, la humanización ambiental y orientaciones a las familias y profesionales. Através de esa experiencia se percibió de qué forma este profesional actúa, dentro de um equipo multidisciplinario, así como su importancia en la asistencia humanizada a esos bebés y sus familias.Palabras claves: Terapia Ocupacional; Recien Nacido Prematuro; Método Madre-Canguro

scholarly journals Kangaroo mother care practice and its associated factors among postnatal mothers who gave birth in public general hospitals of Eastern and Central zone, Tigray, North Ethiopia

2020 ◽  
Author(s):  
Haftay Gebremedhin ◽  
Hagos Degefa Hidru ◽  
Berihu Gidey ◽  
Medhin Mehari ◽  
Meresa Berwo ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Associated Factors ◽  
Occupational Status ◽  
Central Zone ◽  
Kangaroo Mother Care ◽  
Public Hospitals ◽  
Outcome Variable ◽  
Care Practice ◽  
Study Participants

Abstract Background:Kangaroo mother care (KMC) practice ‘is the early, prolonged and continuous skin-to skin contact between the mother and her low birth weight baby that practiced in the hospital and after early discharge until at least the 40 th weeks of postnatal period with exclusive breast feeding and proper follow-up’. Low birth weight is an underling factor in 60-80% of all neonatal deaths. Therefore, this study aimed to assess kangaroo mother care practice and its associated factors among post natal mothers who gave birth in public hospitals of Eastern and Central zone, Tigray, North Ethiopia.Methods:An institutional based cross-sectional study was conducted in Eastern and central zone of Tigray Region from March –August/2019. A total of 411 study participants were selected using simple random sampling technique. Binary and Multiple logistic regression analysis were used to see the association of independent variables to the outcome variable at a P<0.05 using SPSS version 20.0 software.Results:A total of 397 study participants were included in the study with a response rate of 96.6%. Of these, the mean age of the respondents was 27.4(±5.7). More than half (54.4%) of mothers were practiced KMC to their low birth weight baby. Mothers age [AOR (95%CI):0.21(0.05,0.95)], occupational status of mothers [AOR (95%CI): 0.11(0.04,0.34)], occupational status of fathers [AOR (95%CI): 4.1(1.54,11.07)], monthly income[AOR(95%CI): 0.27(0.09,0.76)], place of delivery [AOR(95%CI):0.29(0.11,0.76) and complications of newborn baby at birth [AOR(95%):3.1(1.21,8.09)] were the factors significantly associated with kangaroo mother care practice.Conclusion:There was low proportion of mothers practiced kangaroo mother care to their low birth weight baby. Hence, health care providers should demonstrate for family members and mothers on how to practice kangaroo mother care immediately after delivery in health institution and to be continued at home.

scholarly journals A Randomized Controlled Trial of Intermittent Kangaroo Mother Care versus Conventional Care in Increasing the Rate of Weight Gain among Low-Birth-Weight Neonates

2021 ◽  
Vol 55 (9) ◽  
Author(s):  
Fay S. De Ocampo ◽  
Ma. Esterlita Villanueva-Uy
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Kangaroo Mother Care ◽  
Conventional Care ◽  
Chest Circumference ◽  
Care Group ◽  
Control Group ◽  
Skin Contact

Objective. To determine the effectiveness of Kangaroo Mother Care (KMC) in increasing the rate of weight gain and decreasing hypothermia, apnea, and sepsis rate, and shorten hospital stay among low-birth-weight infants. Methods. Very low birth weight (VLBW) infants (≤1500 grams) were randomized to either the KMC or conventional care group. KMC provided skin-to-skin contact at least 6 hours per day while the conventional group received the usual care in the newborn intensive care unit (NICU). Daily weight measurements and weekly measurements of length, head, and chest circumference were recorded until discharge. Occurrence of hypothermia, apnea, sepsis, and length of stay was noted. Results. KMC group had a higher mean weight gain per day (p=0.0102). There was no difference in the length, head, and chest circumference between the two groups. Sepsis and apnea rates were not significant between the two groups. Significantly more neonates experience hypothermia in the control group (p<0.0069). Conclusion. KMC is effective in increasing the weight per day compared with the control group. KMC protects the neonates against hypothermia. There is not enough evidence to show a difference in the incidence of sepsis, apnea, and the length of hospital stay between the two groups.

scholarly journals Renal function in the third year among very low birth weight infants fed by supplemental proteins

2020 ◽  
Author(s):  
Arash Bordbar ◽  
Azade Noroozi Vahid ◽  
Mandana Kashaki
Keyword(s):  
Renal Function ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Intervention Group ◽  
Protein Supplementation ◽  
Control Group ◽  
P Value ◽  
Mean Values ◽  
Vlbw Infants

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.

scholarly journals EFFECTIVENESS OF POLYETHYLENE SKIN WRAP IN PREVENTION OF HYPOTHERMIA IN PRETERM AND LOW BIRTH WEIGHT NEONATES

2021 ◽  
Vol 71 (3) ◽  
pp. 810-13
Author(s):  
Goher Ali Khan ◽  
Usman Riaz ◽  
Sara Iqbal ◽  
Tariq Aziz Qureshi ◽  
Hina Kanwal Shafaat
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Intensive Care ◽  
Intervention Group ◽  
Military Hospital ◽  
Control Group ◽  
Quasi Experimental ◽  
Group A ◽  
Group B ◽  
Neonatal Hypothermia

Objective: To establish the effectiveness of polyethylene skin wrap in prevention of neonatal hypothermia in preterm and low birth weight neonates. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Pediatrics, Combined Military Hospital Quetta, from May 2015 to Apr 2017. Methodology: A total of 176 neonates were enrolled according to the inclusion and exclusion criteria, through non-probability consecutive sampling. Eighty eight newborns were randomly distributed to each of group “A” and “B” by lottery method. The intervention group “A” infants were wrapped in a polyethylene skin wrap from shoulders down while the control group “B” newborns were wrapped with conventional blankets. After shifting to neonatal intensive care unit, axillary temperatures were recorded with similar pediatric digital thermometers upon admission and after one hour and two hours following admission in the two groups. Results: The mean temperatures measured at one hour and two hours after admission showed significant statistical improvements in the intervention group as compared to the control group (<0.05). Conclusion: The use of polyethylene skin wrap in preterm and low birth weight neonates potentially offers a useful intervenetion in prevention of neonatal hypothermia.

Effects of the Use of Semipermeable Membranes on Fluid Loss in Low-Birth-Weight Premature Newborns

2011 ◽  
Vol 15 (2) ◽  
pp. 200-204 ◽  
Author(s):  
Eloah de Paula Pessoa Gurgel ◽  
Marcos Venícios de Oliveira Lopes ◽  
Joselany Áfio Caetano ◽  
Karla Maria Carneiro Rolim ◽  
Paulo Cesar de Almeida ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Controlled Trial ◽  
Intervention Group ◽  
Sodium Concentration ◽  
Hydration Status ◽  
Control Group ◽  
Fluid Loss ◽  
Semipermeable Membranes ◽  
Premature Newborns

Studies have shown that the application of semipermeable membranes to the skin of premature newborns (NBs) can aid in protecting the skin, reduce disturbances in fluid and electrolyte levels, and decrease neonatal mortality. The aim of this study was to verify the effect of using semipermeable membranes in low-birth-weight preterm newborns (PTNBs). A randomized controlled trial was carried out in the neonatal intensive care unit (NICU) with 42 NBs split evenly into an intervention group (IG), in which semipermeable membranes were used to cover large areas of the skin for the first 7 days of life, and a control group (CG), which received normal care. The variables investigated for the study were weight, hydration status, urinary density, glycemic control, sodium concentration, and daily hydration quota. The following variables displayed significant daily variation: weight, hydration quota, and sodium concentration. Statistically significant individual effects by day and by group were found only for sodium concentration. In the overall analysis of the intersubject effects, sodium concentration, alone, proved to be significant ( p = .055). Significant effects by group in relation to the sodium concentration were found, with the IG showing a lower average sodium concentration than the CG. Thus, the use of semipermeable membranes reduced fluid loss in premature NBs in the current study, confirming the findings of previous studies. Guidelines for practice may now be warranted.

scholarly journals A randomised comparative study of coconut oil massage for effect on weight change in low birth weight neonates

2021 ◽  
Vol 8 (9) ◽  
pp. 1575
Author(s):  
Kumari Mohini ◽  
Munna Lal Jaipal ◽  
Surender Singh Bisht ◽  
Amita Tyagi
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Comparative Study ◽  
Neonatal Intensive Care ◽  
Intervention Group ◽  
Coconut Oil ◽  
Neurological Complications ◽  
Control Group ◽  
Positive Effects

Background: Low birth weight (LBW) babies have more the risk of the neurological complications, physiological problems and mental retardation. Topical massage with natural oil is routinely practiced in India. The positive effects of massage are weight gain, improved sleep/wake pattern, decreased the stress, early discharge from the neonatal intensive care unit (NICU), improve the skin integrity and enhanced parent’s infant bonding.Methods:This prospective interventional randomised comparative study was conducted among 64 LBW babies at Paediatric department of Swami Dayanand hospital (SDH), Delhi. Out of which 31 were in intervention group and 33 were in control group.  In the intervention group, mothers were encouraged to massage their babies with 10 ml of coconut oil for 15 min, twice a day until 10 days of life. Those allocated to the control group were received care as usual. Weight and head circumference was measured at enrolment and on day 11 in both the groups.Results: Basic characteristics of neonates of intervention and control group were almost similar. Mean weight gain in intervention group was 352.26±101.05 g while it was 209.70±124.66 g in control group (p=0.0001). Similarly mean weight gain velocity was significantly higher in intervention group (32.02±19.19 g/day) as compared to control group (19.09±11.33 g/day, p=0.0001).Conclusions:The present study supports significant increase in weight gain in LBW preterm and term neonates with coconut oil massage. Coconut oil is easily available in the market and it should be recommended to LBW babies for their better weight gain.

scholarly journals The Effect of Health Education on Mother's Knowledge Attitudes and Behavior in Giving Care to Low Birth Weight Babies

2021 ◽  
Vol 19 (2) ◽  
pp. 97-109
Author(s):  
Dian Pratiwi ◽  
Djauhar Ismail ◽  
Mufdlilah Mufdlilah ◽  
Panyada Cholsakhon
Keyword(s):  
Birth Weight ◽  
Health Education ◽  
Low Birth Weight ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Inclusion Criteria ◽  
Significant Difference ◽  
Low Birth Weight Babies

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.

scholarly journals Does trans fatty acid affect low birth weight? A randomized controlled trial

2020 ◽  
Author(s):  
Parvin Mirmiran ◽  
Masoumeh Simbar ◽  
Parvaneh Mirabi ◽  
Golaleh Asghari ◽  
Seideh Hanieh Alamolhoda
Keyword(s):  
Randomized Controlled Trial ◽  
Birth Weight ◽  
Prenatal Care ◽  
Low Birth Weight ◽  
Dietary Pattern ◽  
Controlled Trial ◽  
Intervention Group ◽  
Hazard Ratio ◽  
Control Group ◽  
Randomized Controlled

Abstract Objective: To evaluate the effect of low trans fatty acids (TFAs) dietary pattern during pregnancy on risk of low birth weight (LBW).Methods: All pregnant women who received prenatal care with gestational age <8 weeks and aged ≤35 years were included in this randomized controlled trial study that took place in Tehran from December 2014 to August 2016. Women in the intervention group received individualized dietary pattern with TFAs content of < 1%; those in control group had dietary intake with no change on TFAs content. Dietary intakes were assessed by 3 non-consecutive 24-hour recalls at first prenatal care visit and at gestation age 13, 25 and 35 week. Hazard ratio was calculated using Cox proportional‐hazards models. Incidence and hazard ratio (95% CI) for low birth weight based on multivariable adjusted models were calculated.Result: Of the 800 women (n=407 in control and n=393 in intervention groups), 108 (13.5%) women were diagnosed with low birth weight. The incidence of LBW in intervention group was 12% and in control group was 19%. After multivariable adjustment for confounders, the hazard ratios for incident low birth weight in intervention group were 0.65 (0.44-0.96). Kaplan-Meier plot showed significant difference between two groups in incidence of LBW.Conclusion: Intake of low TFAs dietary pattern during pregnancy reduced risk of LBW.Trial registration The trial has been registered in the Iranian Registry of Clinical. Registration number: IRCT2016092729902N3. Registered 8 November 2016, https://en.irct.ir/trial/23919

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.

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