KnE Life Sciences

ISSN: 2413-0877

The latest conference proceedings on life sciences, medicine and pharmacology.

Effects of Swaddle Bath on Temperature, Heart Rate and Oxygen Saturation in Premature Infants

Published date: Feb 07 2022

Journal Title: KnE Life Sciences

Issue title: 5th International Conference in Nursing (IVCN)

Pages: 852–862

DOI: 10.18502/kls.v7i2.10386

Authors:

Fauziah Rudhiatifauziahrudhiati.2019@gmail.comNursing Departement, Sekolah Tinggi Ilmu Kesehatan Achmad Yani, Cimahi, West Java, Indonesia

Murtiningsih MurtiningsihNursing Departement, Sekolah Tinggi Ilmu Kesehatan Achmad Yani, Cimahi, West Java, Indonesia

Abstract:

Indonesia has the fifth highest rates of preterm birth. The action of premature infants bathing every day may result in stress. A swaddle bath is a technique of bathing to provide the feeling of the womb so that babies feel comfortable and avoid stress, shown by stability of vital signs and a lack of stress behavior. The purpose of this research was to examine the effects of a swaddle bath vs. conventional bath methods on the temperature, heart rate and oxygen saturation of premature infants. This research was a quasi-experimental pretest-posttest study with a control group. The 50 participants were divided into the swaddle bath group (n = 25) and the conventional bath group (n = 25). The inclusion criteria were: gestation age = 30-36 weeks, temperature > 35∘C and ≤ 37.5∘C, SpO2 = 90-94%, body weight ≥ 1,500 grams, and not in intensive care. Before and after bathing, the baby’s temperature was measured with an axilla thermometer, heart rate with a stethoscope and oxygen saturation with a pulse oximeter. The data were analyzed using the Wilcoxon test and Mann-Whitney test. The results showed that there was no significant difference in the temperature, heart rate or oxygen saturation before vs. after the swaddle bath (p= 0.087, p = 0.55, p = 1.00, respectively). However, there was a significant difference in the temperature, heart rate and oxygen saturation after the swaddle bath compared with the conventional bath (p = 0.019, p = 0.041, p = 0.024, respectively). We can conclude that the swaddle bath affected the temperature, heart rate and oxygen saturation in the premature infants and that the vital signs remained stable and normal.

Keywords: conventional bath, heart rate, oxygen saturation, premature, swaddle bath

References:

[1] Edraki M, Paran M, Montaseri S, et al. Comparing the effects of swaddled and conventional bathing methods on body temperature and crying duration in premature infants: A randomized clinical trial. Journal of caring sciences. 2014;3:83.

[2] Peng N-H, Bachman J, Jenkins R, et al. Relationships between environmental stressors and stress biobehavioral responses of preterm infants in NICU. The Journal of perinatal & neonatal nursing. 2009;23:363–371.

[3] Smith GC, Gutovich J, Smyser C, et al. Neonatal intensive care unit stress is associated with brain development in preterm infants. Annals of neurology. 2011;70:541–549.

[4] Coviello C, Popple Martinez M, Drovandi L, et al. Painful procedures can affect post-natal growth and neurodevelopment in preterm infants. Acta Paediatrica. 2018;107:784–790.

[5] Swapna G. Relative effectiveness of swaddle bath and conventional bath on level of thermal stability and crying duration among preterm infants at selected hospital, Surat. 2015.

[6] Bryanton J, Walsh D, Barrett M, et al. Tub bathing versus traditional sponge bathing for the newborn. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2004;33:704–712.

[7] Liaw J-J, Yang L, Yuh Y-S, et al. Effects of tub bathing procedures on preterm infants’ behavior. The journal of nursing research: JNR. 2006;14:297–305.

[8] Hall K. Practising developmentally supportive care during infant bathing: Reducing stress through swaddle bathing. Infant. 2008;4:198–201.

[9] Campbell-Yeo M, Fernandes A, Johnston C. Procedural pain management for neonates using nonpharmacological strategies: Part 2: Mother-driven interventions. Advances in Neonatal Care. 2011;11:312–318.

[10] Çaka SY, Gözen D. Effects of swaddled and traditional tub bathing methods on crying and physiological responses of newborns. Journal for Specialists in Pediatric Nursing. 2018;23:12202.

[11] Ceylan SS. Effects of swaddled and sponge bathing methods on signs of stress and pain in premature newborns: Implications for evidence-based practice. Worldviews on Evidence-Based Nursing. 2018;15:296–303.

[12] Quraishy K, Bowles SM, Moore J. A protocol for swaddled bathing in the neonatal intensive care unit. Newborn and Infant Nursing Reviews. 2013;13:48–50.

[13] Loring C, Gregory K, Gargan B, et al. Tub bathing improves thermoregulation of the late preterm infant. J Obstet Gynecol neonatal Nurs Journal of Obstetric, Gynecologic & Neonatal Nursing. 2012;41:171–179.

[14] Lee H. Effects of sponge bathing on vagal tone and behavioural responses in premature infants. Journal of clinical nursing. 2002;11:510–519.

[15] Tapia-Rombo CA, Mendoza-Cortés U, Uscanga-Carrasco H, et al. Variations of vital signs and peripheral oxygen saturation in critically ill preterm newborn, after sponge bathing. Revista de Investigación Clínica. 2012;64:344–353.

[16] Harrison LL, Roane C, Weaver M. The relationship between physiological and behavioral measures of stress in preterm infants. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2004;33:236–245.

[17] Peng N, Bachman J, Chen C, et al. Energy expenditure in preterm infants during periods of environmental stress in the neonatal intensive care unit. Japan Journal of Nursing Science. 2014;11:241–247.

[18] Liaw J-J, Yang L, Chang L-H, et al. Improving neonatal caregiving through a developmentally supportive care training program. Applied Nursing Research. 2009;22:86–93

[19] Liaw J, Yang L, Chou H, et al. Relationships between nurse care-giving behaviours and preterm infant responses during bathing: A preliminary study. Journal of clinical nursing. 2010;19:89–92

Download
HTML
Cite
Share
statistics

616 Abstract Views

670 PDF Downloads