Premature Birth of Newborn
Conditions
Keywords
kangaroo care, sleep, heart rate, respiratory rate, preterm infant
Brief summary
90 preterm infants were randomly assigned to kangaroo care (skin-to-=skin, chest-to-chest) group (n=50) or control (remained in incubator, prone (n=40) for a pretest period of 2- 3 hours, then fed, then KC group was placed in KC and control group remained in incubator for a 2-3 hr test period. EEG measures of sleep, HR, and RR were taken. .
Detailed description
The neonatal intensive care unit (NICU) environment is not conducive to sleep, and infant sleep in incubators is fragmented. Sleep contributes to brain maturation so interventions to foster sleep are needed. During Kangaroo Care (KC) behavioral indicators of Quiet Sleep have been observed but, not confirmed by objective electroencephalographic (EEG) analysis.The purpose was to determine the effects of Kangaroo Care (KC) on EEG-based sleep using Nihon Koden polysomnography and cardiorespiratory patterns by comparing KC sleep to incubator sleep.. A randomized controlled study with 90 preterms (KC = 50; control = 40) in which KC infants received 2-3 hours of KC between feeds after a comparable pretest period in an incubator and control infants remained in an incubator during the 2-3 hour pretest and test periods. In the incubator infants were inclined, prone, and nested; in KC infants were inclined, prone, and chest-to-chest underneath a blanket. The medically stable preterm infants were a mean 32 weeks postmenstrual age.
Interventions
OTHERKangaroo Care
skin-to-skin, chest-to-chest placement of diaper clad preterm infant up against his mother's chest and covered by a receiving blanket folded into fourths for 2-3 hours from one feeding to the next.
Sponsors
Case Western Reserve University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
7 Days to 37 Weeks
Healthy volunteers
No
Inclusion criteria
* Subjects whose five-minute APGARS were greater than 6, gestational age was 28 or more weeks at birth, and whose testing weight was greater than 1000 grams were included.
Exclusion criteria
* Infants with encephalopathy, intraventricular hemorrhage greater than grade II, white matter lucencies on cranial ultrasound, seizures, meningitis, or congenital brain malformations were excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| EEG-based sleep | 2-3 hours | Infants attached to EEG machine and Respiratory impedance plethysmography bands prior to beginning of pretest period and remainded on EEG until end of study |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart rates during pretest | 2-3 hours of pretest | Heart Rate was detected by Nihon Koden polysomnograph |
| Respiratory rate during pretest | 2-3 hours pretest | Impedance plethysmography belts attached to Nihon Koden polysomnograph machine |
| Heart rates during test | 2-3 hours of test | Heart rate was detected by Nihon Koden polysomnograph |
| Respiratory rate during test period | 2-3 hours test period | Impedance plethysmography belts attached to Nihon Koden polysomnograph machine |
Countries
United States
Outcome results
None listed