Effectiveness of Nesting and Swaddling Technique on Bio-physiological Parameters, Neuro-behavioral Activity and Sucking Response among Sick Neonates

Deepa Ganesh Reddy, S. Solomon
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Abstract

Babies delivered before 37 weeks or 259 days of gestation are deemed premature. It is believed to be the direct cause of 24% of infant fatalities. While preterm births account for between 5% and 7% of all live births in some developed nations, it is believed that the proportion is much higher in developing nations. Nearly 30% of infants in India, or 7.5 million, are born low birth weight (LBW) (2500 g). This accounts for 42% of the global burden, more than any other nation. Approximately 60% of LBW neonates are born at term after fetal growth restriction, while the remaining 40% are born prematurely. The prevalence of SGA is 46.9%, exceeding all countries except two. Nesting is one of the most important factors in maintaining a healthy position for a premature infant, which involves positioning the hands near the face and the feet together while using positioning aids to create a secure, snug, and supportive nest. The capacity to nest keeps premature neonates in a comfortable position, enables spontaneous motor activity for skeletal joint and neuromuscular function, and facilitates the monitoring of stable vital signs. Commonly, infants are wrapped in a breathable, lightweight blanket to help them unwind and fall asleep.
筑巢和襁褓技术对患病新生儿生物生理参数、神经行为活动和吮吸反应的影响
在怀孕37周或259天之前出生的婴儿被视为早产。它被认为是24%的婴儿死亡的直接原因。在一些发达国家,早产占所有活产婴儿的5%至7%,但据信,这一比例在发展中国家要高得多。在印度,近30%的婴儿,即750万婴儿出生时体重不足(2500克)。这占全球体重负担的42%,超过任何其他国家。大约60%的低体重新生儿在胎儿生长受限后足月出生,而其余40%是早产。SGA患病率为46.9%,超过了除两个国家以外的所有国家。筑巢是保持早产儿健康体位的最重要因素之一,这包括将手靠近脸和脚放在一起,同时使用定位辅助工具来创造一个安全,舒适和支持的巢。筑巢的能力使早产儿保持在一个舒适的位置,使骨关节和神经肌肉功能的自发运动活动,并有利于监测稳定的生命体征。通常,婴儿被裹在透气、轻便的毯子里,以帮助他们放松和入睡。
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