The study was planned to determine the effect of the cradle position applied during orogastric tube feeding in premature newborns on comfort, physiological parameters and vomiting frequency. Hypotheses of the Study H1: The cradle position applied to premature newborns during orogastric tube feeding; H1a: It affects the comfort level compared to the control group. H1b: It affects physiological parameters compared to the control group. H1c: It affects the vomiting frequency compared to the control group.
It is reported that the cradle position is the most preferred position by mothers during the breastfeeding process. The cradle position is a position where the mother holds the baby in her arms, the baby's head is placed on the inside of the mother's arm-elbow area, the baby's whole body is turned towards the mother, the baby's head is in line with the mother's breast, and the mother and the baby are in intense interaction. Although it is the most preferred position for breastfeeding, no study has been found in the literature evaluating the effect of the cradle position given during OGT feeding on the comfort level, physiological parameters and vomiting frequency of premature babies. For this reason, it is thought that it can be a supportive position that can be used by both neonatal nurses and mothers who are with their babies during the OGT feeding process for newborns preparing for the breastfeeding process in NICUs. It is thought that the study results will guide health workers and researchers regarding the supportive positions that should be given during newborn feeding.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
48
The newborn in cot bed was swaddled freely with the help of a thin blanket during feeding. Then, the nurse, wearing a box apron, took the baby in her arms and gave it a cradle position. The baby's physiological parameters and Comfort Scale were filled in before feeding began. The baby was kept in a cradle position on the researcher's lap during feeding. Immediately after feeding, without changing the baby's position, the physiological parameters and Comfort Scale were evaluated a second time, and again 15 minutes after feeding, without changing the position, the physiological parameters and Comfort Scale were evaluated a third time and recorded. Then, the baby was gently and slowly laid down on the denim bed as usual (right lateral).
Sibel Küçükoğlu
Selçuklu, Akademi Mahallesi, Turkey (Türkiye)
Sibel Kucukoglu
Konya, Turkey (Türkiye)
Newborn Information Form
This form was created by the researcher in accordance with the literature. The baby's gender, gestational week, birth weight, 1st and 5th APGAR Scores, postnatal day of study, corrected week, weight, amount of food and type of food were questioned.
Time frame: First measurement:After admission in NICU 30th minutes
Physiological Parameter Follow-up Form (Heart rate-min)
The heart rate was measured after the baby was picked up and placed in the cradle position, just before orogastric tube feeding.
Time frame: First feeding first measurement: 1 min before feeding
Physiological Parameter Follow-up Form (Respiration rate- min)
Respiration rate was measured after the baby was picked up and placed in the cradle position, just before orogastric tube feeding.
Time frame: First feeding first measurement: 1 min before feeding
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)
Oxygen saturation was measured after the baby was picked up and placed in the cradle position, just before orogastric tube feeding.
Time frame: First feeding first measurement: 1 min before feeding
Vomiting frequency tracking form
The frequency of the baby's vomiting was recorded.
Time frame: First feeding first measurement: 1 min before feeding
Stool amount tracking form
The baby's stool volume was recorded.
Time frame: First feeding first measurement: 1 min before feeding
Physiological Parameter Follow-up Form (Body temperature- 0C)
Body temperature was measured after the baby was picked up and placed in the cradle position, just before orogastric tube feeding.
Time frame: First feeding first measurement: 1 min before feeding
Abdominal Circumference Follow-up Form
Abdominal circumference was measured while the baby was in bed, before the first feeding, and just before the nurse picked her/his up.
Time frame: First feeding first measurement: 1 min before feeding
Neonatal Comfort Behavior Scale
The first measurement was taken after the baby was picked up and just before starting to feed.
Time frame: First feeding first measurement: 1 min before feeding
Physiological Parameter Follow-up Form (Heart rate-min)
The heart rate was measured a second time immediately after feeding while the baby was in the cradle position in the nurse's arms.
Time frame: First feeding second measurement: 1 min after feeding
Physiological Parameter Follow-up Form (Respiration rate- min)
Respiration rate was measured a second time immediately after feeding while the baby was in the cradle position in the nurse's arms.
Time frame: First feeding second measurement: 1 min after feeding
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)
Oxygen saturation was measured a second time immediately after feeding while the baby was in the cradle position in the nurse's arms.
Time frame: First feeding second measurement: 1 min after feeding
Physiological Parameter Follow-up Form (Body temperature- 0C)
Body temperature was measured a second time immediately after feeding while the baby was in the cradle position in the nurse's arms.
Time frame: First feeding second measurement: 1 min after feeding
Neonatal Comfort Behavior Scale
The second measurement was taken immediately after feeding with the baby in the cradle position.
Time frame: First feeding second measurement: 1 min after feeding
Physiological Parameter Follow-up Form (Heart rate-min)
The heart rate was measured for the third time at 15 minutes after feeding, while the baby was in the nurse's arms in the cradle position.
Time frame: First feeding third measurement: 15 min after feeding
Physiological Parameter Follow-up Form (Respiration rate- min)
Respiration rate was measured for the third time at 15 minutes after feeding, while the baby was in the nurse's arms in the cradle position.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: First feeding third measurement: 15 min after feeding
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)
Oxygen saturation was measured for the third time at 15 minutes after feeding, while the baby was in the nurse's arms in the cradle position.
Time frame: First feeding third measurement: 15 min after feeding
Physiological Parameter Follow-up Form (Body temperature- 0C)
Body temperature was measured for the third time at 15 minutes after feeding, while the baby was in the nurse's arms in the cradle position.
Time frame: First feeding third measurement: 15 min after feeding
Neonatal Comfort Behavior Scale
The third measurement was taken 15 minutes after feeding, with the baby in the cradle position on the nurse's lap.
Time frame: First feeding third measurement: 15 min after feeding
Physiological Parameter Follow-up Form (Heart rate-min)
The heart rate was measured immediately before orogastric tube feeding after the baby was held in the cradle position.
Time frame: Second feeding first measurement: 1 min before feeding
Physiological Parameter Follow-up Form (Respiration rate- min)
Respiration rate was measured immediately before orogastric tube feeding after the baby was held in the cradle position.
Time frame: Second feeding first measurement: 1 min before feeding
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)
Oxygen saturation was measured immediately before orogastric tube feeding after the baby was held in the cradle position.
Time frame: Second feeding first measurement: 1 min before feeding
Physiological Parameter Follow-up Form (Body temperature- 0C)
Body temperature was measured immediately before orogastric tube feeding after the baby was held in the cradle position.
Time frame: Second feeding first measurement: 1 min before feeding
Vomiting frequency tracking form
The frequency of the baby's vomiting was recorded.
Time frame: Second feeding first measurement: 1 min before feeding
Stool amount tracking form
The baby's stool volume was recorded.
Time frame: Second feeding first measurement: 1 min before feeding
Abdominal Circumference Follow-up Form
Abdominal circumference was measured while the baby was in bed, before the second feeding, and just before the nurse picked her/his up.
Time frame: Second feeding first measurement: 1 min before feeding
Neonatal Comfort Behavior Scale
The measurement was taken after the baby was picked up and just before starting to feed.
Time frame: Second feeding first measurement: 1 min before feeding
Physiological Parameter Follow-up Form (Heart rate-min)
The heart rate was measured a second time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Second feeding second measurement: 1 min after feeding
Physiological Parameter Follow-up Form (Respiration rate- min)
Respiration rate was measured a second time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Second feeding second measurement: 1 min after feeding
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)
Oxygen saturation was measured a second time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Second feeding second measurement: 1 min after feeding
Physiological Parameter Follow-up Form (Body temperature- 0C)
Body temperature was measured a second time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Second feeding second measurement: 1 min after feeding
Neonatal Comfort Behavior Scale
The second measurement was taken immediately after feeding with the baby in the cradle position in the second feeding.
Time frame: Second feeding second measurement: 1 min after feeding
Physiological Parameter Follow-up Form (Heart rate-min)
The heart rate was measured third time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Second feeding third measurement: 15 min after feeding
Physiological Parameter Follow-up Form (Respiration rate- min)
was measured third time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Second feeding third measurement: 15 min after feeding
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)
Respiration rate was measured third time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Second feeding third measurement: 15 min after feeding
Physiological Parameter Follow-up Form (Body temperature- 0C)
Body temperature was measured third time immediately after feeding in the second feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Second feeding third measurement: 15 min after feeding
Neonatal Comfort Behavior Scale
The third measurement was taken immediately after feeding with the baby in the cradle position in the second feeding.
Time frame: Second feeding third measurement: 15 min after feeding
Physiological Parameter Follow-up Form (Heart rate-min)
Heart rate was measured first time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Third feeding first measurement: 1 min before feeding
Physiological Parameter Follow-up Form (Respiration rate- min)
Respiration rate was measured first time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Third feeding first measurement: 1 min before feeding
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)
Oxygen saturation was measured first time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Third feeding first measurement: 1 min before feeding
Physiological Parameter Follow-up Form (Body temperature- 0C)
Body temperature was measured first time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Third feeding first measurement: 1 min before feeding
Vomiting frequency tracking form
The frequency of the baby's vomiting was recorded.
Time frame: Third feeding first measurement: 1 min before feeding
Stool amount tracking form
The baby's stool volume was recorded.
Time frame: Third feeding first measurement: 1 min before feeding
Abdominal Circumference Follow-up Form
Abdominal circumference was measured while the baby was in bed, before the third feeding, and just before being picked up by the nurse.
Time frame: Third feeding first measurement: 1 min before feeding
Neonatal Comfort Behavior Scale
The first measurement was taken immediately after the third feeding with the baby in the cradle position in the second feeding.
Time frame: Third feeding first measurement: 1 min before feeding
Physiological Parameter Follow-up Form (Heart rate-min)
Heart rate was measured second time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Third feeding second measurement: 1 min after feeding
Physiological Parameter Follow-up Form (Respiration rate- min)
Respiration rate was measured second time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Third feeding second measurement: 1 min after feeding
Physiological Parameter Follow-up Form (oxygen saturation -SpO2%)
Oxygen saturation was measured second time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Third feeding second measurement: 1 min after feeding
Physiological Parameter Follow-up Form (Body temperature- 0C)
Body temperature was measured second time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Third feeding second measurement: 1 min after feeding
Neonatal Comfort Behavior Scale
The second measurement was taken immediately after the third feeding with the baby in the cradle position in the second feeding.
Time frame: Third feeding second measurement: 1 min after feeding
Physiological Parameter Follow-up Form (Heart rate-min)
Heart rate was measured third time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Third feeding third measurement: 15 min after feeding
Physiological Parameter Follow-up Form (Respiration rate- min)
was measured third time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Third feeding third measurement: 15 min after feeding
Physiological Parameter Follow-up Form (Oxygen saturation -SpO2%)
Respiration rate was measured third time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Third feeding third measurement: 15 min after feeding
Physiological Parameter Follow-up Form (Body temperature- 0C)
Body temperature was measured third time immediately after third feeding while the baby was in the cradle position in the nurse's arms.
Time frame: Third feeding third measurement: 15 min after feeding
Neonatal Comfort Behavior Scale
The third measurement was taken immediately after the third feeding with the baby in the cradle position in the second feeding.
Time frame: Third feeding third measurement: 15 min after feeding