Effect of Using Kangaroo Mother Care on the Sleep State and Physiological Parameters Among Preterm Neonates
DOI:
https://doi.org/10.53555/hsn.v6i2.1236Keywords:
Preterm Neonates, Kangaroo Mother Care, Sleep State, Physiological ParametersAbstract
Kangaroo Mother Care (KMC)refers to the care of the preterm neonates carried skin-to-skin with the mother. Early, prolonged and continuous mother- neonate contact provides exclusive breastfeeding and improves maternal–neonate bonding as well.It also guards against bradycardia and apneic episodes. In addition, it provides stability of transcutaneous oxygen level. Moreover, it improvesthe maturation of the prefrontal cortex and facilitates better organization of sleep pattern.
Aim of the study was to determine the effect of using KMC on the sleep state and physiological parameters among preterm neonates.
ResearchDesign:A quasi experimental research design was used.
Setting: This study was conducted at the NICU ofMaternity University Hospital at El-Shatbyin Alexandria. Subjects:A convenient sample of 60 preterm neonates and their mothers attending the previously mentioned setting. The preterm neonates fulfilled the following criteria: Feeder and grower as well asgestational age ranged from 32-<37 weeks were equally divided into a study group (received KMC intervention plus routine NICU care) and a control group (received NICU routine care in conventional position inside the incubator).
Tools: Two tools were used tocollect necessary data namely;Characteristics of the Mothers and the Preterm Neonates and Medical History of the Preterm Neonatesas well asPreterm Neonates’Sleep State Assessment Observational Checklist.
Results: The mean heart rates after KMC of the preterm neonates in the study group were lower than the mean heart rates of those in the control group after the conventional position inside the incubator (144.39±13.98 and 159.93 ± 22.98 respectively) and the differences were statistically significant (P= 0.001). Additionally, the mean preterm neonates’ respiratory rates were 45.92 ± 4.85 after KMC compared to 54.56 ± 6.07 of those in the control group with statistical significant differences, where P<0.001. Moreover, the mean oxygen saturations of preterm neonates in the study group after KMC were higher than the mean oxygen saturations of those in the control group (97.70 ± 0.93 and 94.93 ± 18.3 respectively) and the differences were statistically significant (P<0.001). Additionally, 80.0% of the preterm neonates in the study group were in deep sleep state compared to 33.3% of those in the control group. Highly aroused and agitated/crying state was found among 43.3% of the preterm neonates in the control group compared to none of those in the study group and the differences were statistically significant (P= 0.000).
Conclusion:It can be concluded that KMC was effective in improving the sleep state and the physiological parameters of the preterm neonates.
Recommendation: ApplyingKMC for all preterm neonates as a part of routine care within NICU.
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References
- Lan H,Yang L,Hsieh K,Yin T,Chang Y&Liaw G. Effects of a supportive care bundle on sleep variables ofpreterm infants during hospitalization.Res Nurs Health.2018;41:281–91.
- Centers for Disease Control and Prevention: Reproductive Health. 2019; Available form: https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pretermbirth.htm. Retrieved on 2 January 2020.
- Liu L, MSc S, Hogan D, MSPH Y, Perin J, Cousens S, Mathers C, E Black R. Global, regional, and national causes of under-5 mortality in 2000–15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet. 2016 Dec 17; 388(10063): 3027–35.doi: 10.1016/S0140-6736(16)31593-8
- Johnston CC, Fernandes AM, Campbell-Yeo M. Pain in neonates is different. Pain 2011; 152(3):S65-S73.
- Ahmed AA. Effect of Facilitated Tucking Versus Swaddling Positions on Orogastric Tube Insertion Pain among Preterm Neonates.IOSR Journal of Nursing and Health Science 2018; 7(5):75-86.e- ISSN: 2320–1959.p- ISSN: 2320–1940. DOI: 10.9790/1959-0705017586.
- Indra V, Mony SR. Effect of Nesting versus Non Nesting on Sleep Pattern and Physiological Parameters among Premature Infants. International Journal of Advances in Nursing Management 2018; 6(2): 149-51.
- Abd El-Naby BA. Effect of Kangaroo Care on Heel Stick Pain of Neonates. [Unpublished Master Thesis]. Faculty of Nursing, Alexandria University. 2016.1, 58, 62.
- Conde-Agudelo A, Belizán J M, Díaz-Rossello J. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. The Cochrane Database of Systematic Reviews 2011:3, CD002771. doi:10.1002/14651858.CD002771.
- Feldman R, Rosenthal Z, Eidelman AI. Maternal-preterm skin-to-skin contact enhances child physiologic organization and cognitive control across the first 10 years of life. Biological Psychiatry2014: 75(1):56–64. doi:10.1016/j.biopsych.2013.08.012.
- Akhtar K, Haque M, Khatoon S. Kangaroo mother care: A simple method to care for low- birth-weight infants in developing countries. J ShaheedSuhrawardy Med Coll 2013; 5(1): 49-54.
- Website of KMC India Network. Guidelines for Parents and Health Providers. KMC India Network; 2012. Available from: www.kmcindia.org. Retrieved on 10 December 2019.
- Conde-Agudelo A, Diaz-Rossello J. Kangaroo mother care to reduce morbidity and mortality in low birth weight infants. Cochrane Database Syst Rev. 2016; (8): CD002771.
- Shrivastava S. Utility of kangaroo mother care in preterm and low birthweight infants. S AfrFamPract. 2013; 55(4): 340-4.
- Samra N, El Taweel A, Cadwell K. Effect of intermittent kangaroo mother care on weight gain of low birth weight neonates with delayed weight gain. The Journal of Perinatal Education 2013; 22(4): 194–200.
- Saad N. Monitoring low birth weight infants on kangaroo mother care and conventional care. Thesis. Pediatrics Department, Faculty of Medicine: Benha University, 2012.
- Als H. Manual for the Naturalistic Observation of Newborn Behavior (NIDCAP). Behavioral Definition. In Goldson E. (Ed.), Developmental Interventions in the Neonatal Intensive Care Nursery (pp. 18–85). New York, NY: Oxford University Press;1999.
- Ranjan A, Malik S. Effect of Kangaroo mother care on physiological parameters in low birth weight neonates. International Journal of Contemporary Pediatrics 2019; 6(2): doi: http://dx.doi.org/10.18203/2349-3291.ijcp20190731.
- Sathish Y, Lewis LE, Noronha JA, George A, Snayak B, Pai MS, Bhat R, Purkayastha J. Clinical outcomes of snuggle up position using positioning aids for preterm (27-32 weeks) infants. Iranian Journal of Neonatology 2017;8 (1):1-6.
- Holditch-Davis D, and Blackburn ST. Neurobehavioral Development in Comprehensive Neonatal Nursing Care. 5th ed. Kenner C, and Lott JW, Eds. New York: Springer Publishing, 2010; 689–721.
- Flacking R, Ewald U, Wallin L. Positive effect of kangaroo mother care on longterm breastfeeding in very preterm infants. J ObstetGynecol Neonatal Nurs. 2011; 40(2): 190-7.
- Ghorbani F, Asadollahi M, Valizadeh S.Comparison the effect of sleep positioning on cardiorespiratory rate of noninvasive ventilated premature infants. Kahsan University Medical Sciences.
Nursing and Midwifery Studies 2013;2 (2): 182-7.
- Grunau R, Linhares M. Effect of multisensory stimulation on analgesia in preterm neonates. Pediatrics. 2014; 13(8): 460-3.
- Parsa P, Karimi S, Basiri B, RoshanaeiG. The effect of kangaroo mother care on physiological parameters of premature infants in Hamadan City, Iran.Pan Afr Med J. 2018; 30: 89.doi: 10.11604/pamj.2018.30.89.14428
- Nourian M, Yalgha M, Yaghmaei F, Akbarzadehbaghbani AR, Heydarzadeh H. Compare the effect of KMC and traditional care on Physiological measures of LBW. Journal of Nursing & MidwiferyFaculty 2009;19(65):19–24.
- Sarparast L, Farhadi R, Sarparast M, Shafai S. The Effect of Kangaroo Mother Care on Neonatal Outcomes in Iranian Hospitals: A review. J Pediatr Rev. 2015;3(1):e195.
- Seyedrasooli A, Jabreili M, Valizade S. The Physiological Parameters in Preterm Infant in Kangaroo and Traditional Methods. IJNR. 2010;4(14):67–75.
- Brannagan M. Normal oxygen saturation for neonates; 2015. Available from: http://www. Livestrong.com. Retrieved on 22 November 2019.
- Nordqvist C. Factors affecting massage therapy. Journal of Obstetric and Neonatal Nursing 2013; 5(1): 34-7.
- BeheshtipoorN, MemarizadehA, Hashem F, PorarianSh, RambodM.The Effect of Kangaroo Care on Pain and Physiological Parameters in Preterm Infants on Heelstick Procedure: A Randomized Controlled, Cross-over Study. Galen Medical Journal 2013;2(4):ISSN Print:2588-2767, ISSN Online:2322-2379.
- Basiri B, Shokouhi M, Heydari Farah S. The Effect of Kangaroo Mother Care (KMC) Duration on Physical Growth of Low Birth Weight Infants. Sci J Hamadan Univ Med Sci. 2014;21(1):8–15.
- El-Farrash RA, Shinkar DM, Ragab DA, Salem RM, Saad WE, Farag AS, Salama DH, Sakr NF. Longer duration of kangaroo care improves neurobehavioral performance and feeding in preterm infants: A randomized controlled trial. Pediatric Research 2019; https://doi.org/10.1038/s41390-019-0558-6.
- Tarullo AR, Balsam PD, Fifer WP. Sleep and infant learning. Infant Child Dev.2011Jan 1; 20 (1): 35-46.
- Mosayebi Z, Javidpour M, Rahmati M, Hagani H, Movahedian AH. The Effect of kangaroo mother care on pain from heel lance in preterm newborns admitted to Neonatal Intensive Care Unit: A Crossover Randomized Clinical Trial. Journal of Comprehensive Pediatrics 2014; 5(4): e22214. doi : 10.17795/compreped-22214.
- Bastani F, Farsi Z, Rajai N, Als H. The Effects of kangaroo care on the sleep and wake states of preterm infants. Journal of Nursing Research 2017; 25(3):231–9. doi: 10.1097/jnr.0000000000000194
- Cong X, Cusson RM, Hussain N, Zhang D, Kelly S P. Kangaroo care and behavioral and physiologic pain responses in very-low-birth-weight twins: A case study. Pain Management Nursing 2012; 13(3): 127–38. doi:10.1016/j.pmn.2010.10.035.
- Arnon S, Diamant C, Bauer S, Regev R, Sirota G, Litmanovitz I. Maternal singing during kangaroo care led to autonomic stability in preterm infants and reduced maternal anxiety. Acta Paediatrica. 2014; 103(10): 1039–44. doi:10.1111/apa.12744.
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