This study was planned to investigate the effect of premature babies receiving regular kangaroo care in the NICU on circadian rhythm, growth and physiological parameters, and breast milk cortisol levels
Kangaroo Care (KC) may have positive effects on biological phase markers of immature circadian rhythms in newborns. KC provides circadian rhythm development by reducing the stress of newborns. Skin-to- skin contact intervention, which is similar to kangaroo care, affects the ẞ-endorphin concentration, which reduces pain in premature babies, and is known to reduce cortisol levels. KC, which supports exclusive breastfeeding and breastfeeding, can affect the circadian rhythm in newborns by providing information about the time of day to newborns through the increase in breastfeeding rates and the hormones and immune elements contained in breast milk. Although there are a limited number of studies in the literature examining the circadian rhythm or sleep-wake cycle of babies in the neonatal intensive care unit, no study has been found examining the circadian rhythm of babies receiving regular kangaroo care using brain imaging methods. In this respect, the study has unique value. In addition, within the scope of the study, regular kangaroo care for three days had a positive effect on the growth and physiological parameters of babies any studies examining the effect of breast milk on cortisol levels No study was found.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
56
Physiological parameters will be measured in the Day (10:00) - Night (22:00) cycle for 3 days, just before being taken into kangaroo care in the experimental group, and when the kangaroo care is terminated, the baby will be measured in the mother's arms. Then, the mother and baby will be placed in kangaroo care for a minimum of 70 minutes
Selcuk University
Konya, Selcuklu, Turkey (Türkiye)
Newborn Circadian Rhythm Tracking Chart
To measure circadian rhythms, BIS spectrometry will be attached to the baby's forehead area, as specified in the user manual, after the babies in the experimental and control groups are given group care in the morning and evening The device provides a different application to babies as it records the duration of being in "awake, REM, N-REM/ STAGE I, N-REM/ STAGE II, N-REM/ STAGE III, N-REM/ STAGE IV" measured in 5-minute periods. It will not be done. The sensor will be removed from the baby's forehead at the next care hour. At the end of 3 days, records will be taken from the BIS monitor and recorded in the "Newborn Circadian Rhythm Tracking Chart
Time frame: First Day, (10:00-12:00 AM) - First Night (22:00- 24:00 PM)
Breast milk cortisol levels Tracking Chart
To measure breast milk cortisol levels, breast milk samples will be collected by the researcher by expressing breast milk at 12.00 on the 1st, 2nd and 3rd days of the experimental and control groups. This period was determined by considering the possibility of terminating kangaroo care in the experimental group as it coincided with the babies' care and feeding hours at 12:00, and the times when the mother would want to receive kangaroo care for more than 70 minutes, and the maximum kangaroo care would last 120 minutes
Time frame: First Day (12:00AM) - first Night (24:00 PM)
Growth Tracking Chart
The chart was created by the researcher in such a way that body weight (g) from growth parameters would be recorded daily for 3 days.
Time frame: First Day (10:00 AM)
Physiological Parameter Follow-up Form- body temperature (°C)
Body temperature (°C) found in the Physiological Parameter Follow-up Form will be measured at 10:00 and 22:00 on the first day.
Time frame: First Day (10:00 AM) and First Night (22:00 PM)
Physiological Parameter Follow-up Form-oxygen saturation (mmHg)
Oxygen saturation found in the Physiological Parameter Follow-up Form will be measured at 10:00 and 22:00 on the first day.
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Time frame: First Day (10:00 AM) and First Night (22:00 PM)
Physiological Parameter Follow-up Form-heart rate (min)
Heart rate found in the Physiological Parameter Follow-up Form will be measured at 10:00 and 22:00 on the first day.
Time frame: First Day (10:00AM) and First Night (22:00 PM)
Physiological Parameter Follow-up Form-respiratory rate (min)
Respiratory rate found in the Physiological Parameter Follow-up Form will be measured at 10:00 and 22:00 on the first day.
Time frame: First Day (10:00 AM) and First Night (22:00 PM)
Newborn Circadian Rhythm Tracking Chart
To measure circadian rhythms, BIS spectrometry will be attached to the baby's forehead area, as specified in the user manual, after the babies in the experimental and control groups are given group care in the morning and evening The device provides a different application to babies as it records the duration of being in "awake, REM, N-REM/ STAGE I, N-REM/ STAGE II, N-REM/ STAGE III, N-REM/ STAGE IV" measured in 5-minute periods. It will not be done. The sensor will be removed from the baby's forehead at the next care hour. At the end of 3 days, records will be taken from the BIS monitor and recorded in the "Newborn Circadian Rhythm Tracking Chart
Time frame: Second Day (10:00-12:00 AM) - Second Night (22:00-24:00 PM)
Newborn Circadian Rhythm Tracking Chart
To measure circadian rhythms, BIS spectrometry will be attached to the baby's forehead area, as specified in the user manual, after the babies in the experimental and control groups are given group care in the morning and evening The device provides a different application to babies as it records the duration of being in "awake, REM, N-REM/ STAGE I, N-REM/ STAGE II, N-REM/ STAGE III, N-REM/ STAGE IV" measured in 5-minute periods. It will not be done. The sensor will be removed from the baby's forehead at the next care hour. At the end of 3 days, records will be taken from the BIS monitor and recorded in the "Newborn Circadian Rhythm Tracking Chart
Time frame: Third Day (10:00-12:00 AM) - Third Night (22:00-24:00 PM)
Breast milk cortisol levels Tracking Chart
To measure breast milk cortisol levels, breast milk samples will be collected by the researcher by expressing breast milk at 12.00 on the 1st, 2nd and 3rd days of the experimental and control groups. This period was determined by considering the possibility of terminating kangaroo care in the experimental group as it coincided with the babies' care and feeding hours at 12:00, and the times when the mother would want to receive kangaroo care for more than 70 minutes, and the maximum kangaroo care would last 120 minutes
Time frame: Second Day (12:00 AM) - Second Night (24:00 PM)
Breast milk cortisol levels Tracking Chart
To measure breast milk cortisol levels, breast milk samples will be collected by the researcher by expressing breast milk at 12.00 on the 1st, 2nd and 3rd days of the experimental and control groups. This period was determined by considering the possibility of terminating kangaroo care in the experimental group as it coincided with the babies' care and feeding hours at 12:00, and the times when the mother would want to receive kangaroo care for more than 70 minutes, and the maximum kangaroo care would last 120 minutes
Time frame: Third Day (12:00 AM) - Third Night (24:00 PM)
Growth Tracking Chart
The chart was created by the researcher in such a way that body weight (g) from growth parameters would be recorded daily for 3 days.
Time frame: Second Day (10:00)
Growth Tracking Chart
The chart was created by the researcher in such a way that body weight (g) from growth parameters would be recorded daily for 3 days.
Time frame: Third Day (10:00 AM)
Physiological Parameter Follow-up Form- body temperature (°C)
Body temperature (°C) found in the Physiological Parameter Follow-up Form will be measured at 10:00 and 22:00 on the second day.
Time frame: Second Day (10:00 AM) - Second Night (22:00 PM)
Physiological Parameter Follow-up Form-oxygen saturation (mmHg)
Oxygen saturation found in the Physiological Parameter Follow-up Form will be measured at 10:00 and 22:00 on the second day.
Time frame: Second Day (10:00 AM) - Second Night (22:00 PM)
Physiological Parameter Follow-up Form-heart rate (min)
Heart rate found in the Physiological Parameter Follow-up Form will be measured at 10:00 and 22:00 on the second day.
Time frame: Second Day (10:00 AM) - Second Night (22:00 PM)
Physiological Parameter Follow-up Form-respiratory rate (min)
Respiratory rate found in the Physiological Parameter Follow-up Form will be measured at 10:00 and 22:00 on the second day.
Time frame: Second Day (10:00 AM) - Second Night (22:00 PM)
Physiological Parameter Follow-up Form- body temperature (°C)
Body temperature (°C) found in the Physiological Parameter Follow-up Form will be measured at 10:00 and 22:00 on the third day.
Time frame: Third Day (10:00 AM) - Third Night (22:00 PM)
Physiological Parameter Follow-up Form-oxygen saturation (mmHg)
Oxygen saturation found in the Physiological Parameter Follow-up Form will be measured at 10:00 and 22:00 on the third day.
Time frame: Third Day (10:00 AM) - Third Night (22:00 PM)
Physiological Parameter Follow-up Form-heart rate (min)
Heart rate found in the Physiological Parameter Follow-up Form will be measured at 10:00 and 22:00 on the third day.
Time frame: Third Day (10:00 AM) - Third Night (22:00 PM)
Physiological Parameter Follow-up Form-respiratory rate (min)
Respiratory rate found in the Physiological Parameter Follow-up Form will be measured at 10:00 and 22:00 on the third day.
Time frame: Third Day (10:00 AM) - Third Night (22:00 PM)