The effect of a ‘containing’ position in a hammock versus the supine position on the cutaneous oxygen level in premature and term babies

Bottos, Michele; Pettenazzo, Andrea; Giancola, G.; Stefani, Daniela; Pettenà, Gianna; Viscolani, Bruno; Rubaltelli, Firmino F.

doi:10.1016/0378-3782(85)90080-5

Cited by 21 publications

(23 citation statements)

References 12 publications

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“…22 Another benefit to using the hammock shown in the literature is the improvement in auditory and visual responses, favoring newborn interaction with the environment and the people around you. [6][7]18 This result was also prominent target in two news 15,16 as a sensorineural benefit related to the use of the hammock.…”

mentioning

confidence: 83%

“…It is made of soft, geometrically rectangular being posted by the edges inside the incubator where the newborn is positioned supine form, with the purpose play like environment womb. [6][7] Its practice in premature infants in the NICU lacks evidence by the scarce scientific literature. On the other hand, the electronic media is a certain amount of news and successful experience reports with its use, which leaves evidence that it is a strategy to meet the needs of newborns.…”

Section: Introductionmentioning

confidence: 99%

“…6 However, it should be used with caution in preterm infants with a respiratory disorder, and should not be used in cases of oxygen-dependent infants. 6,17 In three of the news analyzed, the criteria cited for use of the hammock for premature babies were clinically stable and not dependent on oxygen, which agrees with the recommendation found in the literature. 11, The use of the hammock causes greater relax to the baby by reducing the heart rate and respiratory rate, compared with the prone 7 position and decrease the frequency of episodes of apnea.…”

mentioning

confidence: 99%

“…The use of the hammock showed a positive contribution to the sensorimotor development and improvement of standard flexor members and approach the hands to the midline of the body and mouth, promoting symmetry and increasing muscle maturity. [6][7] All analyzed news reported improved on postural organization and motor development of preterm infants. Thus, the body position plays a crucial role in the cardiopulmonary function and the development of the neuromuscular system.…”

mentioning

confidence: 99%

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The use of the hammock for premature positioning in neonatal ICU: analysis of electronic reports / Uso da rede para posicionamento do prematuro na UTI neonatal: análise de notícias eletrônicas

Leonel

Silva

Porto

et al. 2018

R. pesq. cuid. fundam. online

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*Uso da rede para posicionamento do prematuro na UTI neonatal: análise de notícias eletrônicas Uso de la red en los bebés prematuros en la UCI neonatal: análisis en los informes en los medios electrónicos ABSTRACTObjective: To analyze the arguments contained in electronic reports on the network about the use of the hammock with premature infants in NICU environment. Method: A qualitative, exploratory document study. Six electronic news were analyzed searching for information that it could describe the technique and the results about using the hammock. Results: The main benefits highlighted were weight gain, better motor and sensory development and stress reduction. The more frequently arguments based on concrete evidence were linguistic competence and authority. Conclusion: The reports reveal a favorable view of hammock usage, and pointed benefits in accordance to previous studies, however there is a need to develop studies to evidence this practice. Los argumentos eran con frecuencia la competencia lingüística, la autoridad, basado en pruebas concretas. Conclusión: Los informes muestran una opinión favorable del uso de la red, y los beneficios apuntados resuenan en estudios previos, sin embargo hay una necesidad de estudios para generar evidencia de esta práctica.

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mentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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The use of the hammock for premature positioning in neonatal ICU: analysis of electronic reports / Uso da rede para posicionamento do prematuro na UTI neonatal: análise de notícias eletrônicas

Leonel

Silva

Porto

et al. 2018

R. pesq. cuid. fundam. online

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“…In fact, some recent data have shown that a dif ferent type of care can modify the healing pro cess in preterm babies, who benefit both med ically and developmentally from individual ized behavioral care in the neonatal intensive care unit (NICU) [3]. Early 'containment' by a hammock has been indicated as beneficial for the premature infant who 'prematurely' loses the containing capacity of the maternal uterus [2][3][4], However, posture can influence oxygen saturation and pulmonary function in prema ture infants with BPD usually having border line or unsuspected clinical hypoxia [1,8,13,19,20],…”

Section: Introductionmentioning

confidence: 99%

Oxygen Saturation in Premature Neonates with Bronchopulmonary Dysplasia in a Hammock

Zanardo¹,

Trevisanuto²,

Dani³

et al. 1995

Neonatology

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Premature neonates with bronchopulmonary dysplasia (BPD) frequently present borderline hypoxemia and the risk for oxygen desaturation may increase in relation to the posture. Our aim was to see if infants with BPD experience severe hypoxemia (SaO₂ < 85%) in a hammock, a ‘containing’ posture considered advantageous to neuromotor and relational development of the preterm. Fifteen pulse oximetry recordings (Ohmeda B105 3760 Pulse Oximeter) were obtained in 15 subjects (range of gestational age and postnatal age 27–30 and 33–48 weeks, respectively; range of birth weight and body weight at entrance to the study 0.64–1.35 and 0.97–2.24 kg, respectively) before, during and after placement in a hammock; each testing period lasted 15 min, and each baby served as his or her own control. BPD preterm infants were receiving oxygen therapy by continuous flow standard nasal cannulas (FiO₂ > 25%, < 40%). The analysis of the data, that have a rough gaussian distribution, indicates a worsening of SaO₂ in the hammock position. In fact, mean ± SEM, median and range of the SaO₂ values in pre- and posthammock position are comparable, but are significantly different at 99.9% confidence level (CL) in prehammock vs. hammock posture and at 98% CL in posthammock vs. hammock posture. Moreover, the percent of time with SaO₂ < 85% during the periods recorded increased about 10 ± 5% in a hammock (24 ± 4%), in comparison to pre- (14 ± 3%) and posthammock position (15 ± 3%). These results suggest that oxygen-dependent BPD preterm infants in the hammock posture may experience severe hypoxemia that in part limits the possible advantages of the ‘containment’.

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Developmental care for promoting development and preventing morbidity in preterm infants

Symington¹,

Pinelli²

2003

The Cochrane Database of Systematic Reviews

152

193

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The effect of a ‘containing’ position in a hammock versus the supine position on the cutaneous oxygen level in premature and term babies

Cited by 21 publications

References 12 publications

The use of the hammock for premature positioning in neonatal ICU: analysis of electronic reports / Uso da rede para posicionamento do prematuro na UTI neonatal: análise de notícias eletrônicas

The use of the hammock for premature positioning in neonatal ICU: analysis of electronic reports / Uso da rede para posicionamento do prematuro na UTI neonatal: análise de notícias eletrônicas

Oxygen Saturation in Premature Neonates with Bronchopulmonary Dysplasia in a Hammock

Developmental care for promoting development and preventing morbidity in preterm infants

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