Midline swaddling and traditional swaddling position and their influence on physical and autonomic sign on newborn babies

Ismail Sangadji, A. Khatibi, Norshafarina Shari, Jaqualine Tham S, Cicillia Windiyaningsih
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Abstract

The traditional method of swaddling is done with the arms and legs straightened and wrapped tightly with the hips in an addiction position. When swaddling is properly done, infants show less awakening and longer sleep, better neuromuscular development, less physiological stress, better motor organization, and better self-regulation abilities. Improper swaddling can result in conditions that are detrimental for newborns, like SIDS, DDH, which cause stress. The early exposure of the neonates to stress results to residual symptoms in behavior and neurobiological disorders. This study aims to determine the effect of midline position compared to the traditional swaddling regarding physical and autonomics stress sign. The study population consisted of 194 newborns. The midline and traditionally swaddled were observed and recorded, physical and autonomic signs at birth, 10 minutes and 2 hours were documented. This study found that there is statistically significant difference between the groups in terms of cries at 10 minute and 2 hours and so with the heart rate and respiration rate at birth ( p <0,05), and a significant difference in oxygen saturation at 10 minutes and 2 hours ( p <0,05). Additionally, midline swaddling had a larger average decrease in heart rate and respiration rate, and increase in the oxygen saturation. Therefore, this study can deduce that, midline position swaddling has less stressful effect than the traditional position. The same research elsewhere in Indonesia will be costly. Future research would suggest for larger sample that may suggest a more accurate outcome.
中线襁褓和传统襁褓姿势及其对新生儿身体和自主神经体征的影响
传统的襁褓方法是把胳膊和腿伸直,紧紧地包裹在臀部上。如果襁褓做得好,婴儿醒得少,睡眠时间长,神经肌肉发育好,生理压力小,运动组织好,自我调节能力好。不适当的襁褓会导致对新生儿有害的情况,如小岛屿发展中国家,DDH,这会导致压力。新生儿早期暴露于压力会导致行为和神经生物学障碍的残留症状。本研究旨在确定与传统襁褓相比,中线体位对生理和自主神经应激体征的影响。研究人群包括194名新生儿。观察和记录中线和传统襁褓,记录出生时10分钟和2小时的身体和自主体征。本研究发现,两组患儿10分钟、2小时哭声与出生时心率、呼吸频率差异有统计学意义(p < 0.05), 10分钟、2小时血氧饱和度差异有统计学意义(p < 0.05)。此外,中线襁褓的心率和呼吸率平均下降幅度较大,血氧饱和度升高。因此,本研究可以推断,中线体位襁褓比传统体位的压力效应更小。在印尼其他地方进行同样的研究将是昂贵的。未来的研究将建议更大的样本,可能会提出更准确的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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