The Experts below are selected from a list of 3636 Experts worldwide ranked by ideXlab platform
Peter Andriessen - One of the best experts on this subject based on the ideXlab platform.
-
Changes in autonomic regulation due to Kangaroo Care remain unaffected by using a swaddling device.
Acta Paediatrica, 2018Co-Authors: Deedee Kommers, Rohan Joshi, Sidarto Bambang Oetomo, Loe Feijs, Peter AndriessenAbstract: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.
-
features of heart rate variability capture regulatory changes during Kangaroo Care in preterm infants
The Journal of Pediatrics, 2017Co-Authors: Deedee Kommers, Rohan Joshi, Sidarto Bambang Oetomo, Loe Feijs, Carola Van Pul, Louis Atallah, Guid Oei, Peter AndriessenAbstract:Objective To determine whether heart rate variability (HRV) can serve as a surrogate measure to track regulatory changes during Kangaroo Care, a period of parental coregulation distinct from regulation within the incubator. Study design Nurses annotated the starting and ending times of Kangaroo Care for 3 months. The pre-Kangaroo Care, during-Kangaroo Care, and post-Kangaroo Care data were retrieved in infants with at least 10 accurately annotated Kangaroo Care sessions. Eight HRV features (5 in the time domain and 3 in the frequency domain) were used to visually and statistically compare the pre-Kangaroo Care and during-Kangaroo Care periods. Two of these features, capturing the percentage of heart rate decelerations and the extent of heart rate decelerations, were newly developed for preterm infants. Results A total of 191 Kangaroo Care sessions were investigated in 11 preterm infants. Despite clinically irrelevant changes in vital signs, 6 of the 8 HRV features (SD of normal-to-normal intervals, root mean square of the SD, percentage of consecutive normal-to-normal intervals that differ by >50 ms, SD of heart rate decelerations, high-frequency power, and low-frequency/high-frequency ratio) showed a visible and statistically significant difference ( P .01) between stable periods of Kangaroo Care and pre-Kangaroo Care. HRV was reduced during Kangaroo Care owing to a decrease in the extent of transient heart rate decelerations. Conclusion HRV-based features may be clinically useful for capturing the dynamic changes in autonomic regulation in response to Kangaroo Care and other changes in environment and state.
-
Regulatory effects of autonomic nervous system in response to Kangaroo Care and maturation
2016Co-Authors: Deedee Kommers, Rohan Joshi, Peter Andriessen, Loe Feijs, C. Van Pul, S.g. Oei, Sidarto Bambang OetomoAbstract:Kangaroo Care is a NICU-related practice believed to enhance neurodevelopment. The results of this research provide insight into the physiological impact of Kangaroo Care including the regulatory function of the autonomic nervous system in preterm infants.
Gene Cranston Anderson - One of the best experts on this subject based on the ideXlab platform.
-
Kangaroo Care for adoptive parents and their critically ill preterm infant.
MCN. The American journal of maternal child nursing, 2002Co-Authors: Leslie A. Parker, Gene Cranston AndersonAbstract:In this case study Kangaroo Care (KC) was facilitated for an adoptive mother and father who were planning to attend the birth of the infant they had arranged to adopt. Unexpectedly, the birth mother delivered at 27 weeks gestation. The infant was critically ill and required mechanical ventilation. However, in this neonatal intensive Care unit where all adoptive parents and parents of mechanically ventilated infants are offered KC, these adoptive parents began KC on Day 3 while their infant daughter was still mechanically ventilated. She thrived thereafter and the entire experience was profoundly beneficial for this beginning family both at the hospital and after discharge home.
-
Shared Kangaroo Care for triplets.
MCN. The American journal of maternal child nursing, 2000Co-Authors: Joan Y. Swinth, Anthony J. Hadeed, Laure E. Nelson, Gene Cranston AndersonAbstract:The mother in this case study already had four children at home and was afraid she would be unable to bond to three additional babies. This article describes her experiences with shared Kangaroo Care (holding all three infants at once), how these experiences relieved her fears, and how Kangaroo Care was extended by co-bedding the triplets in a single pediatric crib. Clinical nurse specialists and advanced nurse practitioners can use the successful outcome reported here to promote Kangaroo Care for families with naturally occurring triplets as well as those families whose triplets result from treatment for infertility.
-
Using Kangaroo Care in a clinical setting with fullterm infants having breastfeeding difficulties.
MCN. The American journal of maternal child nursing, 1999Co-Authors: Kathryn Meyer, Gene Cranston AndersonAbstract:Usually Kangaroo Care (KC) or skin-to-skin holding Care is done with preterm infants. This article, however, documents clinical experiences with three mothers and their fullterm infants who were having latching/breastfeeding difficulties. In each case the nurse placed the fullterm infant in KC for approximately 1 hour prior to and continuing into the next breastfeeding session. Although no recommendations can be made based on case studies, these clinical experiences suggest that KC is a worthwhile intervention to try when a mother and her fullterm infant are struggling to achieve successful breastfeeding.
-
Kangaroo Care: research results, and practice implications and guidelines.
Neonatal network : NN, 1994Co-Authors: Susan M. Ludington-hoe, Joan Y. Swinth, Anthony J. Hadeed, C Thompson, Gene Cranston AndersonAbstract:Results of two studies of the effects of 2 to 3 hours of Kangaroo Care (KC), one a randomized trial of 25 premature infants in open-air cribs and the other a pilot of 6 premature infants who were at least 24 hours postextubation, who were Cared for in incubators are reviewed. Both studies incorporated a pretest/posttest control group design. Heart rate and abdominal skin temperature rose for KC infants during KC. Heat loss did not occur during KC, and infants slept more during KC. Kangaroo Care had a comforting effect on infants and their mothers. Apnea and periodic breathing episodes dropped during KC for incubator infants. Suggestions and guidelines for selection of infants and practice based on these studies are presented.
-
current knowledge about skin to skin Kangaroo Care for preterm infants
Journal of Perinatology, 1991Co-Authors: Gene Cranston AndersonAbstract:Skin-to-skin ("Kangaroo") Care for preterm infants is becoming widespread in Western Europe. During this Care the mother holds her diaper-clad premature infant against her skin beneath her clothing and allows self-regulatory access to breast-feeding. Fathers hold their infants skin-to-skin also. Research projects in Western Europe and the United States provide data that support the safety and effectiveness of this method. Infants held skin-to-skin are warm enough and have regular heart rate and respirations, more deep sleep and alert inactivity, less crying, no increase in infections, greater weight gain, and earlier discharge. Lactation is more productive and of greater duration. Parents become attached to their infants and feel confident about caring for them. This research is summarized and annotated in a table, along with descriptive reports and videotapes. These data can be used by health Care professionals to make informed decisions about offering Kangaroo Care opportunities to selected parents and their preterm infants.
Deedee Kommers - One of the best experts on this subject based on the ideXlab platform.
-
Changes in autonomic regulation due to Kangaroo Care remain unaffected by using a swaddling device.
Acta Paediatrica, 2018Co-Authors: Deedee Kommers, Rohan Joshi, Sidarto Bambang Oetomo, Loe Feijs, Peter AndriessenAbstract: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.
-
features of heart rate variability capture regulatory changes during Kangaroo Care in preterm infants
The Journal of Pediatrics, 2017Co-Authors: Deedee Kommers, Rohan Joshi, Sidarto Bambang Oetomo, Loe Feijs, Carola Van Pul, Louis Atallah, Guid Oei, Peter AndriessenAbstract:Objective To determine whether heart rate variability (HRV) can serve as a surrogate measure to track regulatory changes during Kangaroo Care, a period of parental coregulation distinct from regulation within the incubator. Study design Nurses annotated the starting and ending times of Kangaroo Care for 3 months. The pre-Kangaroo Care, during-Kangaroo Care, and post-Kangaroo Care data were retrieved in infants with at least 10 accurately annotated Kangaroo Care sessions. Eight HRV features (5 in the time domain and 3 in the frequency domain) were used to visually and statistically compare the pre-Kangaroo Care and during-Kangaroo Care periods. Two of these features, capturing the percentage of heart rate decelerations and the extent of heart rate decelerations, were newly developed for preterm infants. Results A total of 191 Kangaroo Care sessions were investigated in 11 preterm infants. Despite clinically irrelevant changes in vital signs, 6 of the 8 HRV features (SD of normal-to-normal intervals, root mean square of the SD, percentage of consecutive normal-to-normal intervals that differ by >50 ms, SD of heart rate decelerations, high-frequency power, and low-frequency/high-frequency ratio) showed a visible and statistically significant difference ( P .01) between stable periods of Kangaroo Care and pre-Kangaroo Care. HRV was reduced during Kangaroo Care owing to a decrease in the extent of transient heart rate decelerations. Conclusion HRV-based features may be clinically useful for capturing the dynamic changes in autonomic regulation in response to Kangaroo Care and other changes in environment and state.
-
Regulatory effects of autonomic nervous system in response to Kangaroo Care and maturation
2016Co-Authors: Deedee Kommers, Rohan Joshi, Peter Andriessen, Loe Feijs, C. Van Pul, S.g. Oei, Sidarto Bambang OetomoAbstract:Kangaroo Care is a NICU-related practice believed to enhance neurodevelopment. The results of this research provide insight into the physiological impact of Kangaroo Care including the regulatory function of the autonomic nervous system in preterm infants.
Susan M. Ludington-hoe - One of the best experts on this subject based on the ideXlab platform.
-
Kangaroo Care Education Effects on Nurses' Knowledge and Skills Confidence.
Journal of continuing education in nursing, 2016Co-Authors: Wedad Matar Almutairi, Susan M. Ludington-hoeAbstract:Background Less than 20% of the 996 NICUs in the United States routinely practice Kangaroo Care, due in part to the inadequate knowledge and skills confidence of nurses. Continuing education improves knowledge and skills acquisition, but the effects of a Kangaroo Care certification course on nurses' knowledge and skills confidence are unknown. Method A pretest-posttest quasi-experiment was conducted. The Kangaroo Care Knowledge and Skills Confidence Tool was administered to 68 RNs at a 2.5-day course about Kangaroo Care evidence and skills. Measures of central tendency, dispersion, and paired t tests were conducted on 57 questionnaires. Results The nurses' characteristics were varied. The mean posttest Knowledge score (M = 88.54, SD = 6.13) was significantly higher than the pretest score (M = 78.7, SD = 8.30), t [54] = -9.1, p = .000), as was the posttest Skills Confidence score (pretest M = 32.06, SD = 3.49; posttest M = 26.80, SD = 5.22), t [53] = -8.459, p = .000). Conclusion The nurses' knowledge and skills confidence of Kangaroo Care improved following continuing education, suggesting a need for continuing education in this area. J Contin Educ Nurs. 2016;47(11):518-524.
-
Kangaroo Care (Skin-to-Skin) for Clustered Pain Procedures: Case Study
World Journal of Neuroscience, 2016Co-Authors: Raouth R. Kostandy, Susan M. Ludington-hoeAbstract:Background: Pain management for term newborns undergoing clustered painful procedures has not been tested. Kangaroo Care (chest-to-chest, skin-to-skin position of infant on mother) effectively reduces pain of single procedures, but its effect on pain from clustered procedures is not known. Aim: The aim was to test Kangaroo Care’s effect on pain in one term infant who received clustered painful procedures while determining feasibility of the Kangaroo Care intervention. Design, Setting, and Participant: A case study design was used with one healthy term newborn who received two heel sticks and one injection in one session in the mother’s postpartum room. Method: Heart rate and oxygen saturation (recorded from Massimo Pulse Oximeter every 30 seconds), crying time (total seconds of crying on videotape) and behavioral state (using Anderson Behavioral State Scoring system every 30 seconds) were measured before (5 minutes), during (10.5 minutes) and after (30 minutes) the three clustered painful procedures in a newborn who was in Kangaroo Care during all observations. One staff nurse administered the clustered procedures. Results: Heart rate increased sequentially with each heelstick, oxygen saturation remained unchanged, sleep predominated, and crying was minimal throughout the procedures. Conclusion: Kangaroo Care appeared to reduce pain from clustered painful procedures and can be further tested.
-
Kangaroo Care as a Neonatal Therapy
Newborn and Infant Nursing Reviews, 2013Co-Authors: Susan M. Ludington-hoeAbstract:Abstract A review of the effects of Kangaroo Care on preterm infants is presented according to how Kangaroo Care, skin-to-skin, chest-to-chest contact between the infant and a parent, addresses the six key elements of a developmentally appropriate therapy. Kangaroo Care has been found to satisfy all requirements and have both short- and long-term beneficial effects, with recent findings showing select sustained effects for 10 and 16 years. Kangaroo Care is now considered a fundamental component of developmentally appropriate therapy for hospitalized preterm infants.
-
Kangaroo Care (Skin Contact) Reduces Crying Response to Pain in Preterm Neonates: Pilot Results
Pain management nursing : official journal of the American Society of Pain Management Nurses, 2008Co-Authors: Raouth R. Kostandy, Susan M. Ludington-hoe, Xiaomei Cong, Amel Abouelfettoh, Carly Bronson, Allison Stankus, Julia R JarrellAbstract:Crying commonly occurs in response to heel stick and adversely affects the infant's physiologic stability. Minimal crying in response to pain is desired. "Kangaroo Care," skin contact between mother and infant, reduces pain and may reduce crying in response to pain. The purpose of this pilot study was to test Kangaroo Care's effect on the preterm infant's audible and inaudible crying response to heel stick. Inaudible crying has not been previously studied. A prospective randomized cross-over study with 10 preterm infants 2-9 days old (30-32 weeks' postmenstrual age) was conducted. Infants were randomly assigned to two sequences (sequence A: day 1 heel stick in Kangaroo Care [after 30 min of prone skin contact upright between maternal breasts] and day 2 heel stick in incubator [inclined, nested and prone]; or sequence B: opposite of sequence A) was conducted. Videotapes of baseline, heel warming, heel stick, and recovery phases were scored for audible and inaudible crying times. Audible and inaudible crying times for each subject in each phase were summed and analyzed by repeated-measures analysis of variance. Subject characteristics did not differ between those in the two sequences. Crying time differed between the study phases on both days (p
-
Breast and Infant Temperatures With Twins During Shared Kangaroo Care
Journal of obstetric gynecologic and neonatal nursing : JOGNN, 2006Co-Authors: Susan M. Ludington-hoe, Tina Lewis, Kathy Morgan, Xiaomei Cong, Laurie Anderson, Stacey ReeseAbstract:Kangaroo Care has been shown to keep a singleton preterm infant warm by body heat generated in maternal breasts that is conducted to the infant. No studies have examined whether twins simultaneously receiving Kangaroo Care, called Shared Kangaroo Care, are sufficiently warm and how the breasts respond to twin presence. Two case studies were done to determine the temperatures of twins being simultaneously Kangarooed and the temperatures of maternal breasts during Shared Kangaroo Care. Two sets of premature twins were held in Shared Kangaroo Care for 1.5 hours. Infant temperatures were recorded from incubators; breast temperatures were recorded from thermistors. Infant temperatures remained warm and increased during Kangaroo Care, and each breast appeared to respond to the thermal needs of the infant on that breast. Physiological explanations for thermal synchrony exist. These data suggest that twins can be simultaneously held in Kangaroo Care without thermal compromise because each breast responds individually to the infant's thermal needs. JOGNN , 35, 223‐231; 2006. DOI: 10.1111/J.1552‐6909.2006.00024.x
D. T. Kowo - One of the best experts on this subject based on the ideXlab platform.
-
Kangaroo Care versus incubator Care in the management of well preterm infants--a pilot study.
Annals of tropical paediatrics, 1998Co-Authors: R. A. Kambarami, O. Chidede, D. T. KowoAbstract:SummaryThis pilot study was conducted to compare the effectiveness of the Kangaroo Care method with current, mainly incubator-based Care in managing well preterm infants in a tertiary level hospital in a developing country. Altogether, 74 infants (37 per group) were consecutively allocated to receive either Kangaroo Care or incubator Care. After adjusting for age and weight on admission to the study, we found that infants in the Kangaroo Care group gained twice as much weight per day (20.8 vs 10.2 g, p = 0.0001), had a shorter stay in hospital (16.6 vs 20.7 days, p = 0.0457) and had a better survival rate (0% vs 9% deaths). Also, they were ill less frequently, but after adjusting for age and weight this difference was not significant. This pilot study suggests that the Kangaroo Care method has major advantages over incubator Care of preterm infants in our hospital. Hospitals which cannot use incubators optimally may find Kangaroo Care to be a better method of improving perinatal and neonatal morbidity and...
-
Kangaroo Care versus incubator Care in the management of well preterm infants—A pilot study
Journal of Clinical Epidemiology, 1997Co-Authors: R. A. Kambarami, O. Chidede, D. T. KowoAbstract:SummaryThis pilot study was conducted to compare the effectiveness of the Kangaroo Care method with current, mainly incubator-based Care in managing well preterm infants in a tertiary level hospital in a developing country. Altogether, 74 infants (37 per group) were consecutively allocated to receive either Kangaroo Care or incubator Care. After adjusting for age and weight on admission to the study, we found that infants in the Kangaroo Care group gained twice as much weight per day (20.8 vs 10.2 g, p = 0.0001), had a shorter stay in hospital (16.6 vs 20.7 days, p = 0.0457) and had a better survival rate (0% vs 9% deaths). Also, they were ill less frequently, but after adjusting for age and weight this difference was not significant. This pilot study suggests that the Kangaroo Care method has major advantages over incubator Care of preterm infants in our hospital. Hospitals which cannot use incubators optimally may find Kangaroo Care to be a better method of improving perinatal and neonatal morbidity and...
