Changes in autonomic regulation due to Kangaroo care remain unaffected by using a swaddling device

Deedee R. Kommers, Rohan Joshi, Carola van Pul, Loe Feijs, Sidarto Bambang Oetomo, Peter Andriessen

Onderzoeksoutput: Bijdrage aan tijdschriftTijdschriftartikelAcademicpeer review

Uittreksel

Aim: 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. Method: 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. Results: 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. Conclusion: 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.

TaalEngels
Pagina's258-265
TijdschriftActa Paediatrica
Volume108
Nummer van het tijdschrift2
Vroegere onlinedatum30 jun 2018
DOI's
StatusGepubliceerd - 1 feb 2019

Vingerafdruk

Macropodidae
Heart Rate
Equipment and Supplies
Incubators
Respiratory Rate
Vital Signs
Neonatal Intensive Care Units
Premature Infants
Netherlands
Gestational Age
Oxygen
Temperature

Trefwoorden

    Citeer dit

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    title = "Changes in autonomic regulation due to Kangaroo care remain unaffected by using a swaddling device",
    abstract = "Aim: 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. Method: 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. Results: 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. Conclusion: 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.",
    keywords = "Autonomic regulation, Heart rate variability, Kangaroo care, Preterm infants, Swaddling",
    author = "Kommers, {Deedee R.} and Rohan Joshi and Pul, {Carola van} and Loe Feijs and {Bambang Oetomo}, Sidarto and Peter Andriessen",
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    Changes in autonomic regulation due to Kangaroo care remain unaffected by using a swaddling device. / Kommers, Deedee R.; Joshi, Rohan; Pul, Carola van; Feijs, Loe; Bambang Oetomo, Sidarto; Andriessen, Peter.

    In: Acta Paediatrica, Vol. 108, Nr. 2, 01.02.2019, blz. 258-265.

    Onderzoeksoutput: Bijdrage aan tijdschriftTijdschriftartikelAcademicpeer review

    TY - JOUR

    T1 - Changes in autonomic regulation due to Kangaroo care remain unaffected by using a swaddling device

    AU - Kommers,Deedee R.

    AU - Joshi,Rohan

    AU - Pul,Carola van

    AU - Feijs,Loe

    AU - Bambang Oetomo,Sidarto

    AU - Andriessen,Peter

    PY - 2019/2/1

    Y1 - 2019/2/1

    N2 - Aim: 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. Method: 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. Results: 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. Conclusion: 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.

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    KW - Heart rate variability

    KW - Kangaroo care

    KW - Preterm infants

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