Biobehavioral Responses of Preterm Infants to Conventional and Swaddled Tub Baths: A Randomized Crossover Trial.
Published
Journal Article
Bathing is a routine care procedure that exposes preterm infants to prolonged handling, which could cause stress and potentially disrupt infants' biobehavioral responses. The aim of this double-blind randomized crossover trial was to compare the preterm infant's body temperature, heart rate (HR), peripheral capillary oxygen saturation (SpO2), salivary cortisol levels, and sleep-wake states during and after swaddled and conventional tub baths. Forty-three infants born at 32 to 36 weeks postmenstrual age, weighing 2225 g or less, were enrolled in the study. Infants were videotaped before and after each type of baths. The time interval between baths ranged from 24 to 72 hours to allow a washout period. Physiological, hormonal, and behavioral responses were collected at baseline and during recovery from baths. No significant differences in the mean body temperature, HR, SpO2, salivary cortisol levels, and sleep-wake states between the bath types were observed in the baseline or recovery responses during the first 20 minutes after bath. Regardless of bath type, salivary cortisol levels showed a nonstatistical significant increase.
Full Text
Duke Authors
Cited Authors
- de Freitas, P; Bueno, M; Holditch-Davis, D; Santos, HP; Kimura, AF
Published Date
- October 2018
Published In
Volume / Issue
- 32 / 4
Start / End Page
- 358 - 365
PubMed ID
- 29782435
Pubmed Central ID
- 29782435
Electronic International Standard Serial Number (EISSN)
- 1550-5073
International Standard Serial Number (ISSN)
- 0893-2190
Digital Object Identifier (DOI)
- 10.1097/jpn.0000000000000336
Language
- eng