A systematic review of improved positions and supporting devices for premature infants in the NICU

Best evidence summary of sleep protection in premature infants in the neonatal intensive care unit: a narrative review

“…A total of 9,440 documents were searched in this study, and after de-duplication, reading the title, abstract and full text, 22 documents were finally included ( 10 , 12 , 22 , 24 , 25 , 31 - 47 ). These included two guidelines ( 34 , 36 ), 11 systematic reviews ( 10 , 22 , 25 , 31 - 33 , 35 , 38 , 41 , 42 , 45 ), 1 evidence summary ( 37 ), 1 technical report ( 24 ), 2 practice recommendations ( 12 , 39 ), and 5 randomized controlled trials ( 40 , 43 , 44 , 46 , 47 ). The basic characteristics of the included literature are shown in Table 2 .…”

“…Eleven systematic reviews were incorporated into the study ( 10 , 22 , 25 , 31 - 33 , 35 , 38 , 41 , 42 , 45 ). These studies were characterized by their comprehensive and rigorous design, warranting their inclusion.…”

“…Additionally, due to the lack of sufficient evidence, at present, to prove that timed repositioning during phototherapy for hyperbilirubinemia offers a superior bilirubin decline rate within 24 hours compared to the supine position, premature infants receiving phototherapy should also be placed in a supine position to prevent adverse events such as suffocation or aspiration ( 60 ). Multiple studies have indicated that the use of positional support tools such as nests, water beds, and hammocks helps establish boundaries around premature infants, maintaining their physiological flexion which promotes sleep ( 35 , 37 , 40 ). Among them, the hammock position is a specialized posture for preterm infants.…”

Effect of non-pharmacological interventions on pain in preterm infants in the neonatal intensive care unit: a network meta-analysis of randomized controlled trials

“…Notably, this meta-analysis only focused on facilitated tucking and did not include other postural interventions. A recent review [ 74 ] found that 7 different modified positions have positive effects on sleep, flexion maintenance, and pain management in preterm infants. This indicates that facilitated tucking is not necessarily the best position to reduce pain, and the efficacy and safety of different positions should be analyzed according to their different physiological conditions.…”

NAPping PAnts (NAPPA): An open wearable solution for monitoring Infant's sleeping rhythms, respiration and posture

“…The sleep profile provided by our SDT output can be used in studies where sleep disruptions are compared to neurodevelopment, sleeping environment, sleeping habits (e.g., co-sleeping or sleeping position), acute illness (e.g., infections), or maternal health [ 5 , [65] , [66] , [67] , [68] , [69] ]. Conversely, the NAPPA system may provide transparent and interpretable measures for assessing efficacy in educational and other interventions in infant sleep [ 70 , 71 ]. The use of SDT alone or in combination with individual measures (sleeping position, movements) will open a possibility to understanding what parental report about sleep quality (diaries) means when looking from the infant's perspective.…”