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Exploring physiological stability of infants in Kangaroo Mother Care position versus placed in transport incubator during neonatal ground ambulance transport in Sweden.
- Source :
- Scandinavian Journal of Caring Sciences; Dec2022, Vol. 36 Issue 4, p997-1005, 9p, 5 Charts, 3 Graphs
- Publication Year :
- 2022
-
Abstract
- Background: The positive effects of Kangaroo mother care in NICU's are well documented but, to a lesser extent, explored during inter‐hospital neonatal transport. Inter‐hospital transport, with the infant placed in a transport incubator, increases the risk of separation while infants in Kangaroo mother care position implies that the parents accompany the transport. There exists limited knowledge if physiological stability differs when transported in Kangaroo mother care position compared to transport in a transport incubator. Aims: The aim of this study was to compare physiological stability of infants transported via ground ambulance in either Kangaroo mother care position or positioned in a transport incubator. Method: In total, 24 infants were recruited to be transported between hospitals in either a Kangaroo mother care position (n = 16) or in a transport incubator (n = 8). Inclusion criteria were; current weight >1500 g; current gestational age above 31+0 weeks; no central catheter; no respiratory support and no planed painful or distressing interventions during the 48‐h follow‐up period post‐transport. Exclusion criteria were; infants whose parents did not speak or understand Swedish or English and infants with a current weight above 4500 g for the KMC group. Physiological stability was obtained during transport and for a 48‐h follow‐up period by measuring body temperature, respiratory and heart rate, oxygen saturation, pain score, transport risk assessment and number of interventions during transport and 48‐h post‐transport. Cost‐effectiveness and adverse events were also evaluated. Results: Both groups had comparable background characteristics and physiological stability during transport and for the 48‐h follow‐up period after transport. Transporting in Kangaroo mother care position was more cost‐effective. Study limitation: A small sample size in both groups. Conclusion: Transporting an infant in Kangaroo mother care position can be regarded as a choice of transport mode when the infant fulfils the set criteria. [ABSTRACT FROM AUTHOR]
- Subjects :
- BODY temperature
PAIN measurement
INFANT care
NEONATAL intensive care
AMBULANCES
AXILLA
RESPIRATORY measurements
OXYGEN saturation
MEDICAL care costs
NEONATAL intensive care units
APNEA
NEONATAL nursing
HOSPITAL admission & discharge
RISK assessment
COMPARATIVE studies
INFANT incubators
HEART rate monitoring
COST effectiveness
AUTOMOBILE driving
DESCRIPTIVE statistics
OXYGEN therapy
RESEARCH funding
POSTNATAL care
ADVERSE health care events
DATA analysis software
APGAR score
NURSE practitioners
PATIENT positioning
LONGITUDINAL method
PATIENT safety
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 02839318
- Volume :
- 36
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Scandinavian Journal of Caring Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 160177181
- Full Text :
- https://doi.org/10.1111/scs.13000