Body temperature regulation, heart rate,oxygen consumption, hydrocortisone levels and behavior in preterm infants
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Maximum adjusted gestational age of 36 weeks and 6 full days on the date of data collection;Preterm newborn over 24 hours of life;Spontaneous breathing;Release to immersion bath;No diagnosis of congenital anomalies and heart disease;Newborns no in use of sedative medication;Newborns who are not in the postoperative period; Clinically stable with heart rate between 120-160 and oxygen saturation greater than 85% whitin 6 hour prior to data collection (immersion bath) and infants fed for at least 1 hour
Exclusion criteria
Exclusion criteria: Diagnosis of neuropathies and diseases identified after inclusion and data collection or any adverse event as cyanosis or vomiting during the intervention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Axillary temperature variation 10 and 30 minutes post immersion bath compared to axillary temperature immediately pre bath, measured by a digital thermometer in Celsius degree. | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate variation 10 and 30 minutes post immersion bath compared to heart rate values immediately pre bath. The heart rate will be measured by a multiparametrical monitor put in one of the newborn lower limbs. ;Oxygen saturation variation 10 and 30 minutes post immersion bath compared to oxygen saturation values immediately pre bath. The oxygen saturation will be measured by a multiparametrical monitor put in one of the newborn lower limbs. ;Salivary cortisol variation 20 minutes post bath compared to values pre bath. The salivary cortisol will be collected by a ophthalmic sponge which will be keep up for 10 minutes in one of the corners of the mouth to obtain at least 1 ml of saliva. ;Sleep-wake state variation of preterm newborn 10 minutes pre bath compared to sleep-wake state 20 minutes post bath. The sleep-wake state will be filmed for 10 minutes pre bath and for 20 minutes post bath. | — |
Countries
Brazil
Contacts
Escola de Enfermagem da Universidade de São Paulo;Escola de Enfermagem da Universidade de São Paulo