Manual Therapy, Posturology & Rehabilitation Journal
http://www.mtprehabjournal.com/doi/10.17784/mtprehabjournal.2018.16.637
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

The Hammock as a Therapeutic Alternative at The Neonatal Intensive Care Unit

Silvana Alves Pereira, Gentil Gomes da Fonseca Filho, Norrara Scarlytt de Oliveira Holanda, Daniela Elizabeth de Castro Vieira, Cristiane Aparecida Moran

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Abstract

Background: Among the therapeutic alternatives complementary to humanized care, there is the vestibular stimulation. Provided by the gentle swing in a hammock, it simulates the containment and maternal movements found in the intrauterine environment and is considered a safe method that reduces stress levels in very low birthweight premature newborn (PTNB). Objective: To observe the time of hospitalization and the discharge weight of the PTNB that passed through the positioning in the hammock and kangaroo mother care. Methods: A quasi-experimental study involving two university hospitals including PTNB. The PTNB were allocated into two groups: Kangaroo Mother Care (KMC) composed by PTNB selected according to the maternal presence and vestibular stimulation (VS) composed by PTNB whose maternal presence was not possible. The KMC were kept in skin-to-skin contact with the mother. The VS were positioned in dorsal decubitus in a hammock of cotton adapted within the incubator. The time of hospitalization and weight monitoring were recorded daily by the nursing team in a collection form. Results: From the 40 PTNB included in this study, 47.5% were female and 40% had normal birth, 20 of them were allocated in the VS group and 20 in the KMC group. The time of hospitalization were not different between the groups (p=0.12), but the discharge weight were higher in the VS group (p<0.05). Conclusion: The data indicate that the hospitalization time is similar between the PTNB who received KMC and VS, and that the discharge weight is higher for the group that received the VS.

Keywords

Newborn; Preterm Newborn; Position Modes; Child Development

References

1. Silveira MF, Matijasevich A, Horta BL, Bettiol H, BarbieriI MA, Silva AA, et al. Prevalência de nascimentos pré-termo por peso ao nascer: revisão sistemática. Rev Saúde Pública. 2013; 47: 992-1000.

2. Rabello MSC, Barros SMO. Aspectos clínicos e epidemiológicos da prematuridade em um Centro de Parto Normal, São Paulo, Brasil. Einstein. 2011; 9: 483-8.

3. Colameo AJ, Rea MF. O Método Mãe Canguru em hospitais públicos do Estado de São Paulo, Brasil: uma análise do processo de implantação. Cad Saúde Pública. 2006; 22: 597-607.

4. Sousa DS, Sousa Júnior AS, Santos ADR, Melo EV, Lima SO, Almeida-Santos MA, et al. Morbidade em recém- nascidos prematuros de extremo baixo peso em unidade de terapia intensiva neonatal. Rev Bras Saúde Matern Infant. 2017; 17: 149-157.

5. Toso BRGO, Viera CS, Valter JM, Delatore S, Barreto GMS. Validação de protocolo de posicionamento de recém-nascido em Unidade de Terapia Intensiva. Rev Bras Enferm. 2015; 68: 1147-53.

6. Chagas DO, Pereira MAS, Nicomedes TM, Lima RABC, Azevedo VMGO, Gontijo FO. Comparison of maternal adhesion to the guidelines for the method of Kangaroo Mother in pre-and post-discharge from Hospital Sofia Feldman. Rev Med Minas Gerais. 2011; 21: 5-8.

7. Maia JA, Oliveira MP, Furtado SS, Silva LM, Pereira MLB. Método Canguru: a importância da família na recuperação do recém-nascido de baixo peso. Enfermagem em Foco. 2011; 2: 231-234.

8. Santos MH, Filho FMA. Benefits of the mother kangaroo method in newborn pre-term or weight down: a review of the literature. Ciências da Saúde. 2016; 14: 67-76.

9. Azevedo VMGO, Bernardes David R, Coelho Xavier C. Kangaroo mother care in preterm newborns on artificial ventilation: an evaluation of behavior patterns. Rev Bras Saúde Matern. Infant. 2011; 11: 133-138.

10. Gao H, Xu G, Gao H, Dong R, Fu H, Wang D, et al. Effect of repeated Kangaroo Mother Care on repeated procedural pain in preterm infants: A randomized controlled trial. Int J Nurs Stud. 2015; 52: 1157-65.

11. Nascimento Nunesa CR, Campos LG, Lucena AM, Pereira JM, Costa PR, Lima FAF, et al. Relationship between the use of kangaroo position on preterm babies and mother-child interaction upon discharge. Rev Paul Pediatr. 2017; 35: 136-143.

12. Burns K, Cunningham N, White-Traut R, et al. Infant stimulation: modification of an intervention based on physiologic and behavioral cues. J Obstet Gynecol Neonatal Nurs. 1994; 23: 581-9.

13. Bezerra IFD, Torres VB, Lopes JM, Baroni MP, Pereira SP. Assessment of the influence of the hammock on neuromotor development in nursing full-term infants. Journal of Human Growth and Development. 2014; 24: 106-111.

14. Costa KSF, Beleza LO, Souza LM, Ribeiro LM. Hammock position and nesting: comparison of physiological and behavioral effects in preterm infants. Rev Gaúcha Enferm. 2016; 37: 1-9.

15. Gitto E, Pellegrino S, Manfrida M, Aversa S, Trimarchi G, Barberi I, et al. Stress responce and procedural pain in the preterm newborn: the role of pharmalogical and non- pharmalogical treatments. Eur J Pediatr. 2012; 171: 927-33.

16. Cardoso SMS, Kozlowski LC, Lacerda ABM, Marques JM, Ribas A. Newborn physiological responses to noise in the neonatal unit. Braz J Otorhinolaryngol. 2015; 81: 583-588.

17. Davanzo R. Newborns in adverse conditions: issues, challenges, and interventions. J Midwifery Womens Health 2004; 49 (4 Suppl 1): 29-35.

18. Nunes CRN, Campos LG, Lucena AM, Pereira JM, Costa PR, Lima FAF, et al. Relationship between the use of kangaroo position on preterm babies and mother-child interaction upon discharge. Rev Paul Pediatr. 2017; 35: 136-143.

19. Dieter JN, Emory EK. Supplemental stimulation of premature infants: a treatment model. J Pediatr Psychol. 1997; 22: 281-95.

20. White-Traut RC, Nelson MN, Silvestri JM, Cunningham N, Patel M. Responses of preterm infants to unimodal and multimodal sensory intervention. Pediatr Nurs. 1997; 23:169-75.

21. Souza AKCM, Tavares ACM, Carvalho DGL, Araújo VC. Weight gain in newborns submitted to skin-to-skin contact. Rev CEFAC. 2018; 20: 53-60.

22. Bitman J, Wood L, Hamosh M, Hamosh P, Mehta NR. Comparison of the lipid composition of breast milk from mothers of term and preterm infants. Am J Clin Nutr. 1983; 38: 300-12.

23. Janas LM, Picciano MF. Quantities of amino acids ingested by human milk - fed infants. J Pediatr. 1986; 109: 802-7.

24. Casati PS, Oliveira CB, Paula S. Kangaroo mother care and its association with benefits of low weight newbo. UNICiências. 2010; 14: 135-146.

25. Lino LH, Coelho PG, Fonseca FLA, Filipini R. The swing balance benefits in incubators with newborns on neonatal ICU: the humanization strategy. Rev Enfermagem Revista. 2015; 18: 88-100.

26. Rodrigues MAG, Cano MAT. Estudo do ganho de peso e duração da internação do recém-nascido pré-termo de baixo peso com a utilização do método canguru. Rev eletrônica enferm. 2006; 8: 185-91.

27. Jesus VR, Oliveira PMN, Azevedo VMGO. Effects of hammock positioning in behavioral status, vital signs, and pain in preterms: a case series study. Brazilian journal of physical therapy. Braz J Phys Ther. 2018; 22: 304-309.

28. Dorrn AL, Yuan K, Barker AJ, Schreiner CE, Froemke RC. Developmental sensory experience balances cortical excitation and inhibition. Nature international juornal of science. 2010; 465: 932-936.

29. Bottini G, Gandola M, Sedda A, Ferrè ER. Caloric vestibular stimulation: interaction between somatosensory system and vestibular apparatus. Front Integr Neurosci. 2013; 7: 66.

30. Vergara ER, Bigsby R. Developmental and Therapeutic Interventions in the NICU. Baltimore, MD: Paul H Brookes Publishing Company; 2004.

31. Sweeney JK, Gutierrez T. Musculoskeletal implications of preterm infant positioning in the NICU. J Perinat Neonatal Nurs. 2002; 16: 58-70.

32. Bauer K. Effects of positioning and handling on preterm infants in the neonatal intensive care unit, in Research on Early Developmental Care for Preterm Neonates. Paris: John Libbey Eurotext; 2005.

33. Rafaini PGC, Pacciulo AM, Panúncio-Pinto MP, Pfeiter LI. Estimulación Temprana em enfermería pediátrica: El papel Del terapeuta ocupacional. TOG (A Coruña). 2012; 9: 1-11.

34. Keller A, Arbel N, Merlob P, Davidson S. Neurobehavioral and autonomic effects of hammock positioning in infants with very low birth weight. Ped Phys Ther. 2003; 15: 3-7.

35. Ziade S, Toledo M, Rebelo C. No Embalo da Rede. Minas saúde. 2009; 2: 20-23.

36. Leone PS, Silva LJ, Porto FR, Santos IMM, Adegas ECV, Gomes TO. Uso da rede para posicionamento do prematuro na UTI neonatal: análise de notícias eletrônicas. J res fundam care online. 2018; 10: 106-112.

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