Physiological Stability During Kangaroo Mother Care Among Very-Low-Birthweight Premature Infants, Supported by Non-Invasive Respiratory Support

IF 1.4 4区医学 Q2 PEDIATRICS

Journal of paediatrics and child health Pub Date : 2025-07-22 DOI:10.1111/jpc.70153

Jhonatan Harari, Arieh Riskin, Julia Titarchuk, Adir Iofe, Ori Hochwald, Liron Borenstein-Levin

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Abstract

Aim

To evaluate the changes in oxygenation and heart rate (HR) stability among very low birth weight (VLBW) premature infants supported by non-invasive ventilation (NIV) during kangaroo mother care (KMC).

Methods

A prospective observational pilot study. 30-min SpO₂ and HR histograms of VLBW infants supported with NIV were documented before, during, and after KMC. A validated classification system was used to classify each histogram as stable/unstable, based on the distribution of the histogram and the time spent in SpO₂ ≤ 80%. Time spent in different SpO₂ ranges was also calculated from the histogram.

Results

Twenty-seven infants were included in the study (mean ± SD gestational age 27.6 ± 1.7, birth weight 1010 ± 237 g). Oxygenation stability and time spent in different SpO₂ ranges before, during, and after KMC were comparable. Infants spent more time within the normal HR range of 120–160 bpm during KMC as compared to the period before. No clinically significant differences in min-max FiO₂, number of apnea events, or body temperature were observed during the three study periods.

Conclusion

During KMC among VLBW premature infants supported by NIV, oxygenation stability was maintained and HR stability improved. These findings should reassure care teams and parents regarding the safety of KMC among this population.

Abstract Image

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在无创呼吸支持下，极低出生体重早产儿袋鼠妈妈护理期间的生理稳定性。

目的：评价袋鼠式母亲护理（KMC）中极低出生体重（VLBW）早产儿在无创通气（NIV）支持下氧合和心率（HR）稳定性的变化。方法：前瞻性观察性先导研究。在KMC之前、期间和之后记录用NIV支持的VLBW婴儿30分钟SpO2和HR直方图。根据直方图的分布和SpO2≤80%的时间，使用经过验证的分类系统将每个直方图划分为稳定/不稳定。在不同SpO2范围内所花费的时间也由直方图计算。结果：共纳入27例新生儿（平均胎龄27.6±1.7，出生体重1010±237 g）。在KMC之前、期间和之后不同SpO2范围内的氧合稳定性和时间具有可比性。与之前相比，在KMC期间，婴儿在正常心率范围120-160 bpm内的时间更长。在三个研究期间，最小最大FiO2、呼吸暂停事件数或体温均未观察到临床显著差异。结论：NIV支持下VLBW早产儿KMC维持氧合稳定性，心率稳定性提高。这些发现应该让护理团队和家长对KMC在这一人群中的安全性放心。

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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来源期刊

Journal of paediatrics and child health 医学-小儿科

CiteScore

2.90

自引率

5.90%

发文量

487

审稿时长

3-6 weeks

期刊介绍： The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.