Comparison of variation in body temperature between standard care and kangaroo mother care after sponge bath in stable preterm neonates
Journal Title: Medpulse International Journal of Pediatrics - Year 2017, Vol 4, Issue 2
Abstract
Objective: To determine the impact of kangaroo mother care after sponge bathing on thermoregulation in stable preterm neonates admitted in the Neonatal Intensive Care Unit. Methods: This prospective comparative study was conducted at Ramaiah Medical College Hospital in the Neonatal Intensive Care Unit. All stable preterm neonates between gestational age of 28-36 weeks at birth, postnatal days 7-30 days, weighing less than 2000 grams at birth, admitted to the NICU for preterm care and who are on full nasogastric or pallada feeds were included. Neonates with major congenital anomalies, chromosomal abnormality, and neurological disorders were excluded. Neonates were given sponge bath followed by routine incubator care and kangaroo mother care on two consecutive days, thereby each neonate acts as a control for itself. The axillary temperature was measured before bath, 15mins,30mins and 60mins after bath. The difference in temperature between various time periods were compared between routine care and Kangaroo Mother Care. Results: The mean difference in temperature ± SD (in °F), between before bath and 15 mins after bath in routine care and kangaroo mother care was found to be 98.52±0.29 and 98.56±0.18 respectively (P value=0.380) The mean difference in temperature ± SD (in °F), between 15 mins and 30 mins after bath in routine care and kangaroo mother care was found to be 0.234±0.23 and 0.093±0.37 respectively (P Value=0.01) Conclusions: The two methods of care- routine care and kangaroo mother care were found to be effective in raising the temperature of the neonate towards the baseline following sponge bath. However, kangaroo mother care was found to increase the temperature earlier than routine care. This reduces the period of stress the neonate undergoes thereby potentiating growth and development.
Authors and Affiliations
S Mangalgi, M Sudheendra, S B Shetty
Keywords
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