We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Changes in autonomic regulation due to Kangaroo care remain unaffected by using a swaddling device.
- Authors
Kommers, Deedee R.; Joshi, Rohan; Pul, Carola; Feijs, Loe; Bambang Oetomo, Sidarto; Andriessen, Peter; van Pul, Carola
- Abstract
<bold>Aim: </bold>To investigate the effects of a swaddling device known as the Hugsy (Hugsy, Eindhoven, the Netherlands) towards improving autonomic regulation. This device can be used both in the incubator and during Kangaroo care to absorb parental scent and warmth. After Kangaroo care, these stimuli can continue to be experienced by infants, while in the incubator. Additionally, a pre-recorded heartbeat sound can be played.<bold>Method: </bold>Autonomic regulation was compared in preterm infants before, during and after Kangaroo care with and without the use of a swaddling device in a within-subject study carried out in a level III neonatal intensive care unit. Descriptive statistics and effect sizes were calculated corresponding to changes in heart rate, respiratory rate, oxygen saturation, temperature and heart rate variability on intervention versus control days.<bold>Results: </bold>In this study of 20 infants with a median (interquartile range) gestational age of 28.4 (27-29.9) weeks, Kangaroo care was associated with a decrease in heart rate, respiratory rate and heart rate variability on both intervention and control days. There were no differences between intervention and control days.<bold>Conclusion: </bold>The use of an alternative swaddling device aimed at facilitating Kangaroo care did not enhance autonomic regulation, as measured by vital signs and heart rate variability.
- Subjects
SWADDLING; PREMATURE infants; CRADLEBOARDS; NEWBORN infants; AUTONOMIC nervous system; AUTONOMIC nervous system physiology; CLINICAL trials; COMPARATIVE studies; HEART beat; RESEARCH methodology; MEDICAL cooperation; POSTNATAL care; RESEARCH; RESPIRATORY measurements; EVALUATION research
- Publication
Acta Paediatrica, 2019, Vol 108, Issue 2, p258
- ISSN
0803-5253
- Publication type
journal article
- DOI
10.1111/apa.14484