Co-bedding versus single-bedding premature multiple- gestation infants in incubators

    Authors

    J. F. Byers; W. Yovaish; L. B. Lowman;J. D. Francis

    Comments

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    Abbreviated Journal Title

    Jognn

    Keywords

    co-bedding; multiple gestation; neonatal; prematurity; Nursing; Obstetrics & Gynecology

    Abstract

    Objective: To compare the physiological stability and behavioral effects of co-bedding with those of single-bedding premature multiple-gestation infants in incubators as well as the psychological effects on their parents. Design: Prospective, randomized, repeated measure. Participants: Convenience sample of 16 infants and 8 parents in the co-bedded group, and 21 infants and I I parents in the control group. Interventions: Infants in the study group were co-bedded in incubators. Main Outcome Measures: Baseline and posttesting for parental state anxiety, maternal attachment, and parental satisfaction measures; infant sleep-wake synchronicity; physiological measures; and stress cue measures during baseline and activity. Main Results: Repeated measures 5 (time) x 2 (group) analysis of variance found significant differences in infant daily weight, feeding amount, and high-activity heart rate. There was no difference in parental state anxiety, maternal attachment, and parental satisfaction scores by group, except for higher baseline parental satisfaction scores in the co-bedded group. Conclusions: This research demonstrated the safety of co-bedding multiple-gestation infants in incubators but did not find any significant clinical improvement in infant or parental outcomes with co-bedding. Neonatal intensive-care unit providers should educate staff and parents about the potential benefits of co-bedding and consider developing policies and procedures for co-bedding in both incubators and cribs. Co-bedding of multiple-gestation infants may be provided as an adjunctive developmental care strategy if parents desire this intervention.

    Journal Title

    Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

    Volume

    12

    Issue/Number

    3

    Publication Date

    1-1-2003

    Document Type

    Article

    Language

    English

    First Page

    340

    Last Page

    347

    WOS Identifier

    WOS:000184883700003

    ISSN

    0884-2175

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