Positive Touch and massage in the neonatal unit: a British approach

Bond, Cherry

doi:10.1053/siny.2002.0149

Cited by 33 publications

(25 citation statements)

References 49 publications

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“…The preterm infant skin is a sensory surface for the infant and a psychological and perceptual interface with caregivers and parents. 4 Sunnybrook wanted to improve parent satisfaction and increase skin-to-skin contact for infants who were unable to participate in Kangaroo care through 'hand hugging' without having a negative effect on the staff or patient. A 'hand hug' education package and survey was given to each nurse and participating parent.…”

Section: Resultsmentioning

confidence: 99%

Implementing potentially better practices to support the neurodevelopment of infants in the NICU

et al. 2007

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Objective: The purpose of the Vermont Oxford Neonatal Quality Improvement Collaborative 2005 was to explore improvements related to the physical environment of the newborn intensive care unit (NICU) in order to optimize the neurodevelopmental outcome of newborns.Study Design: Five centers were involved in a focus group examining NICU environmental design and its impact on the neurodevelopmental outcome of the neonate. Using an evidence-based approach, the group identified 16 potentially better care practices. This article describes the implementation approaches for some of these practices. The practice areas include tactile stimulation, providing early exposure to mother's scent, minimizing exposure to noxious odors, developing a system for noise assessment of the NICU acoustic environment, minimizing ambient noise in the infants environment, and preservation of sleep.Result: Approaches to implementation were center specific. Optimizing neurodevelopment of the newborn was the desired goal, but this outcome is difficult to measure with a limited number of subjects over a short study period. Many of the changes although intuitively beneficial are difficult to measure. Education of all participants was considered essential to the process of implementation. Conclusion:The process of collaborative quality improvement is useful in identifying ways to optimize the physical environment of the NICU to improve the neurodevelopmental outcome of the neonate.

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Section: Resultsmentioning

confidence: 99%

Implementing potentially better practices to support the neurodevelopment of infants in the NICU

et al. 2007

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“…Intervention performed exclusively by the mothers was based on studies regarding the application of skin stimulations [13][14][15][16][17] and passive exercises 18,19 in preterm infants. The mothers were instructed to perform one stage at a time, and were supposed to end the sequence within 15 min, four times per day with an interval of 6 h. The tactile stimulation was performed on the cutaneous surface and the muscular area corresponding to the temporal, frontal, periorbital, nasal and perilabial regions of the face; the external side of the upper and lower limbs; and the soft parts of two or three fingers grouped were passed gently with moderate pressure, up to three times in one direction and three times in the opposite direction.…”

Section: Interventionmentioning

confidence: 99%

Massage therapy reduces hospital stay and occurrence of late-onset sepsis in very preterm neonates

Mendes

Procianoy

2008

J Perinatol

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Objective: To study the effect of maternal massage therapy on hospital stay in very-low-birth-weight infants who were already submitted to skin-toskin care.Study Design: A randomized study was performed including infants of birth weight X750 and p1500 g and gestational age p32 weeks. The exclusion criteria were as follows: death before completing 48 h and presence of major malformations. Neonates were divided into intervention group (IG) (standard care plus maternal massage) and control group (CG). Anthropometric data were always verified by a person blind to the group to which the newborn belonged. Maternal massage was performed four times a day on the face and limbs. Passive exercises of upper and lower limbs were also done by the mothers.Result: A total of 104 newborns were included, 52 in each group. Both groups were similar in gestational age (IG: 29.7 ± 1.6; CG: 29.4 ± 1.6 weeks), birth weight (IG: 1186±194; CG: 1156±198 g), gender, number of small-for-gestational-age infants, SNAPPE-II, deaths, gains in weight, length and head circumference. Incidence of late-onset sepsis was significantly lower in the intervention group (IG: 10.8%, n ¼ 5; CG: 38.3%, n ¼ 18; P ¼ 0.005). IG was discharged from the hospital 7 days before CG (IG: 42, confidence interval (CI) 95%: 38 to 46; CG: 49, CI 95%: 42 to 56), and presented 1.85 hazard ratio (CI 95%: 1.09 to 3.13; P ¼ 0.023) for early discharge. Keywords: massage therapy; tactile stimulation; kinesthetic stimulation; very-low-birth-weight infants; neonatal sepsis Introduction Early interruption of gestation brings consequences that still cannot be fully avoided even in neonatal units with the most modern technological resources and best survival rates. There is a high probability of preterm infants going beyond the neonatal period before reaching a growth 1 and development 2 pattern similar to that of term newborns. In addition, the need for a long hospital stay period makes the presence of parents essential for assistance, once the parents' competence to understand and provide the premature infant's needs is consolidated as one of the main medical criteria for hospital discharge. 3 Studies involving the hospital stay period of preterm infants showed that relatively simple measures improve their prognoses, such as skin-to-skin contact reduces the painful sensation of term neonates 4 and promotes the development and parental relation of preterm infants; 5 the creation of a sleep-provoking environment increases the growth rate of very-low-birth-weight (VLBW) infants; 6 the application of tactile-kinesthetic stimulation contributes to both growth and development of preterm infants between 1000 and 2000 g, without adverse effects on physiological parameters; 7 instructions to first-child parents on how to bathe and massage favors parent-infant bonding; 8 and the participation of mothers through massage with moderate pressure improves growth and development rates of term infants. 9 Despite these evidences, in two systematic revisions, one regarding the tactile-kinesthetic s...

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“…PT is defined as 'involving various types of infant touch--interaction including handling, holding, kangaroo care and massage' (Bond, 2002). This term reflects the adapted style that is linked to a family centred, developmentally sensitive philosophy that can be utilized for the smallest of infants in the NICU.…”

Section: Introductionmentioning

confidence: 99%

Assessing clinicians' knowledge and confidence to perform kangaroo care and positive touch in a tertiary neonatal unit in England using the Neonatal Unit Clinician Assessment Tool (NUCAT)

Higman

Wallace

Law

et al. 2015

Journal of Neonatal Nursing

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Positive Touch and massage in the neonatal unit: a British approach

Cited by 33 publications

References 49 publications

Implementing potentially better practices to support the neurodevelopment of infants in the NICU

Implementing potentially better practices to support the neurodevelopment of infants in the NICU

Massage therapy reduces hospital stay and occurrence of late-onset sepsis in very preterm neonates

Assessing clinicians' knowledge and confidence to perform kangaroo care and positive touch in a tertiary neonatal unit in England using the Neonatal Unit Clinician Assessment Tool (NUCAT)

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