Intensive Care Units, Neonatal

Publication Title: 
Journal of Perinatology: Official Journal of the California Perinatal Association

The successes in neonatal intensive care have recently encountered the economic reality of the health care marketplace. Competition and cost constraints from new reimbursement formulas have affected the spirit of altruism that guided the early organization of perinatal regional care. Since high-risk neonatal care is so costly, it is more likely to be adversely affected by competition and cost containment than other inpatient services. The author proposes an examination of the concept of managed competition.

Author(s): 
Gagnon, D. E.
Publication Title: 
Journal of Perinatology: Official Journal of the California Perinatal Association

The motives for the selection of primary patients in a neonatal intensive care unit were identified by 34 participants in a series of staff development programs on primary nursing. Motives were identified and ranked in order of importance. These included: (1) medical problems; (2) continuity of care; (3) impression of parents; (4) impression of the infant; (5) altruism; (6) nurses' self-esteem; and (7) impression of other staff. This paper considers the potential impact of these motives on the ability of the nurse to fulfill the expectations of primary nursing practice.

Author(s): 
Lind, R. F.
Sterk, M. B.
Publication Title: 
Journal of the Society of Pediatric Nurses: JSPN

ISSUES AND PURPOSE: To describe how African-American mothers' spirituality helped them cope during the time of their infants' hospitalization for a serious illness. DESIGN AND METHODS: Fourteen mothers whose infants were seriously ill in the early months of life were interviewed for this retrospective, descriptive study. RESULTS: The core theme related to prayer. Four mothers reported a strengthened faith, while two mothers continued to have difficulty relating to God or attending church.

Author(s): 
Wilson, S. M.
Miles, M. S.
Publication Title: 
Journal of Perinatology: Official Journal of the California Perinatal Association

OBJECTIVE: To test the hypothesis that massage would improve autonomic nervous system (ANS) function as measured by heart rate variability (HRV) in preterm infants. STUDY DESIGN: Medically stable, 29- to 32-week preterm infants (17 massage, 20 control) were enrolled in a masked, randomized longitudinal study. Licensed massage therapists provided the massage or control condition twice a day for 4 weeks. Weekly HRV, a measure of ANS development and function, was analyzed using SPSS generalized estimating equations. RESULTS: Infant characteristics were similar between groups.

Author(s): 
Smith, S. L.
Lux, R.
Haley, S.
Slater, H.
Beachy, J.
Beechy, J.
Moyer-Mileur, L. J.
Publication Title: 
Pediatrics

OBJECTIVES: The aim of this study was to investigate the effects of massage therapy (MT) on the immune system of preterm infants. The primary hypothesis was that MT compared with sham therapy (control) will enhance the immune system of stable premature infants by increasing the proportion of their natural killer (NK) cell numbers. METHODS: A randomized placebo-controlled trial of MT versus sham therapy (control) was conducted among stable premature infants in the NICU. Study intervention was provided 5 days per week until hospital discharge for a maximum of 4 weeks.

Author(s): 
Ang, Jocelyn Y.
Lua, Jorge L.
Mathur, Ambika
Thomas, Ronald
Asmar, Basim I.
Savasan, Sureyya
Buck, Steven
Long, Michael
Shankaran, Seetha
Publication Title: 
Early Human Development

BACKGROUND: The method of "massage therapy" has consistently shown increased weight gain in preterm infants. The weight gain was apparent during massages administered by professionals. AIMS: To replicate the results of increased weight gain in the course of "massage therapy" in preterm infants, and utilize a new, cost-effective application of this method by comparing maternal to nonmaternal administration of the therapy. STUDY DESIGN: Random cluster design.

Author(s): 
Ferber, Sari Goldstein
Kuint, Jacob
Weller, Aron
Feldman, Ruth
Dollberg, Shaul
Arbel, Eliana
Kohelet, David
Publication Title: 
Neonatal network: NN

Infant massage therapy is an inexpensive tool that should be utilized as part of the developmental care of the preterm infant. Nurses have been hesitant to begin massage therapy for fear of overstimulating the infant and because there has been insufficient research to prove its safety. Recent research, however, has shown that the significant benefits of infant massage therapy far outweigh the minimal risks. When infant massage therapy is properly applied to preterm infants, they respond with increased weight gains, improved developmental scores, and earlier discharge from the hospital.

Author(s): 
Beachy, Jodi M.
Publication Title: 
Acta Paediatrica (Oslo, Norway: 1992)

AIM: To determine whether preterm infant massage leads to consistent increases in vagal activity and gastric motility and whether these increases are associated with greater weight gain. METHODS: EKG and EGG were recorded in 80 preterm infants randomly assigned to a moderate pressure massage therapy group or to a standard care control group to assess vagal activity and gastric motility responses to massage therapy.

Author(s): 
Diego, Miguel A.
Field, Tiffany
Hernandez-Reif, Maria
Deeds, Osvelia
Ascencio, Angela
Begert, Gisela
Publication Title: 
Journal of Perinatology: Official Journal of the California Perinatal Association

OBJECTIVE: The aim of this study was to evaluate the effects of massage with or without kinesthetic stimulation on weight gain and length of hospital stay in the preterm infant. STUDY DESIGN: A prospective randomized clinical trial was conducted evaluating the effects of massage with or without kinesthetic stimulation (KS) on weight gain and length of stay (LOS) in medically stable premature (<1500 g and/or <or=32 weeks gestational age) neonates. Infants were randomized either to receive no intervention (control), massage therapy alone (massage), or massage therapy with KS (M/KS).

Author(s): 
Massaro, A. N.
Hammad, T. A.
Jazzo, B.
Aly, H.
Publication Title: 
Pediatrics International: Official Journal of the Japan Pediatric Society

BACKGROUND: The purpose of the present study was to determine the effects of massage therapy on motor development, weight gain, and hospital discharge in preterm very low-birthweight (VLBW) newborns. METHODS: Twenty-four preterm VLBW newborns (<34 weeks and <1500 g) were enrolled in this randomized controlled pilot study. The intervention group (n = 12) received massage therapy starting at 34 weeks post-conceptional age (15 min daily, 5 days/week for 4 weeks). The infants in the sham treatment group (n = 12) received similar duration of light still touch.

Author(s): 
Ho, Yuen-Bing
Lee, Robert S. Y.
Chow, Chun-Bong
Pang, Marco Y. C.

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