NICU Room Research Articles

Effect of Using Polyethylene Plastic Bags against Increased and Stable Body Temperature in Low Birth Weight Babies (LBW) in the Nicu Room of SLG Kediri Hospital

Background: Low Birth Weight Babies often experience unstable body temperature which tends to be low/hypothermia. The method to prevent hypothermia is to use polyethylene plastic bags. Purpose: The aim of this study was to analyze the effect of using polyethylene plastic bags in the increase and stability of body temperature in LBW in the NICU room at SLG Kediri Hospital. Method: The design of this study was Quasy Experimental, using Pre Test and Post Test approaches. Sampling by Accidental Sampling. This study was conducted on 30 BBLR babies with a weight of < 2500 grams. Data collection through observation sheets with the time of conducting research in November-December 2023 in the NICU room of SLG Kediri Hospital. Data analysis used to test the influence of two variables in this study is the Wilcoxon. Results: It is known that the pre-test body temperature before the intervention using polyethylene plastic bags was < 36.5 ℃ for 28 out of 30 respondents (93%). And those who experienced an increase and stability in body temperature were 26 respondents (87%), and 4 respondents did not experience an increase and stability in body temperature. The statistical test in this study used the Wilcoxon test, the results of this statistical test obtained the Asymp value. Sig = 0.000. Conclusion: It can be concluded that the hypothesis is accepted. This means that there is a difference between the results of body temperature measurements for the pre-test and post-test. So it can be concluded that there is an influence of the use of polyethylene plastic bags on the increase and stability of body temperature in low birth weight (LBW) babies in the NICU room at SLG Kediri Hospital. The use of polyethylene plastic bags appropriately can reduce evaporation and heat loss. Plastic as a thermoplastic polymer group can prevent heat loss caused by evaporation and radiation, so as to increase the baby's temperature. In this study the baby was still placed in the incubator.

Enhancing Health Services through Telemedicine: Addressing the Gaps in LBW Monitoring and Training at Puskesmas Gedangan, Sidoarjo Regency

Puskesmas in Sidoarjo Regency do not yet have facilities for monitoring LBW in real time via android either by health workers at the health centre or the patient's family. Puskesmas Gedangan serves communities spread across several villages with a coverage area spread across several villages. This is an obstacle for families to get access to monitor the patient's progress, because the patient is in the NICU or ICU room. Another thing is that there is no training for users in the use of telemedicine-based Baby Incubator equipment. The role of users and families of patients is very important to keep the equipment in good condition. However, operating trainings based on new technology for users have never been conducted. Efforts to solve the above problems are to carry out counselling and assistance in the use of baby incubator equipment to users including nurses, midwives and other non-health worker users, so as to increase the knowledge of officers or users which in turn will have an impact on increasing the productivity of officers or users and improving the quality of service at the health centre. The purpose of this Community Service is to increase the role and participation of Poltekkes Kemenkes Surabaya in improving the degree of public health in the Puskesmas Gedangan area, Sidoarjo Regency. The results of community service through the application of telemedicine-based Baby Incubator at Puskesmas Gedangan are increased knowledge and skills regarding telemedicine-based baby incubator equipment. This will improve health services, especially for babies who need intensive care. The implementation of this technology provides significant benefits, including increased accessibility of health services, speed of response to patient health conditions, family involvement in care, and efficient use of resources. Assistance to Puskesmas personnel and patient families in the form of training, monitoring and evaluation of the use of appropriate technology in the form of Telemedicine-based baby incubator utilization.

DETERMINANT FACTORS THAT INFLUENCE FAMILY BEHAVIOR IN CARING FOR LBW USING THE HEALTH PROMOTION MODEL APPROACH

LBW care in the NICU room causes separation between babies and parents for quite a long time, so that parents of LBW often lack support and opportunities to be involved in care while in the NICU. Based on this description, it is necessary to develop a structured health education model for LBW families. This education is based on determinant factors that can influence the behavior of LBW families, so that it can improve the quality of life of LBW and the quality of nursing services. Objective: To identify factors that influence family behavior in caring for LBW in the NICU using the HPM approach. Method: This type of research is explanatory , the research design is cross sectional . The research sample was 105 families with LBW who were treated in the baby room of RSUD Dr. Soetomo Surabaya, data were analyzed using the Structural Equation Modeling - Partial Least Square (SEM-PLS) test. Results and Analysis: Perceived benefits have an effect on commitment (t statistics value = 3,790 > 1.96 ) , perceived obstacles have a significant effect on commitment (t statistics = 2,330 > 1.96), Perceived Self Efficacy has an effect on commitment (t statistics value = 3,370 > 1.96), commitment influences family behavior of LBW (t statistics value = 6,204 > 1.96). Discussion and conclusions Personal factors including age, marital status, education and income of LBW parents do not influence perceived benefits, perceived barriers, perceived self-efficacy and interpersonal influence. Perceived benefits, perceived barriers, and perceived self-efficacy influence family commitment in caring for LBW. Interpersonal influence does not affect commitment. Commitment influences the behavior of LBW families

Positional Regulation, Sucking Reflex and Incidence When Given Nutrition Through OGT in High-Risk Infants with Low Birth Weight Infants in the Nicu Room: A Case Study of Waled Hospital

High-risk babies are babies born at 32 – 36 weeks of gestation/prematurely, babies whose mothers suffer from Diabetes Mellitus, babies with a history of apnea, babies with seizures, sepsis, asphyxia, babies with bleeding disorders or breathing problems. Problems that often arise in cases of LBW babies include unstable body temperature, breathing problems, digestive and nutritional disorders, liver immaturity, anaemia, intraventricular bleeding, seizures, infections, hypoglycemia, hyperglycemia and hypocalcemia. This study aims to provide nursing care to babies at high risk in the Nicu Room at Waled Hospital, Cirebon Regency, on 27 December 2023. Examination of the sucking reflex is recommended as a screening that shows intact motor neuron function in neonates. The sucking reflex is well-developed in normal babies and is coordinated with breathing. Inhibition of the sucking reflex in the first hours of life will affect the ability to suck at the beginning of life and will directly hinder the nutritional intake received by the baby. Arranging sleeping positions for newborn babies is the role of the neonatal nurse in providing routine daily care. Positioning, especially for premature babies, is not easy. Positioning errors can result in changes in physiological status (increased respiratory rate, pulse frequency, and decreased oxygen saturation), disturbed comfort and quality of sleep, drinking intolerance, hip joint deformity, and bleeding in the brain. The issues affecting all three clients have not been resolved. However, interventions such as positioning, assessing sucking reflexes in high-risk babies, and providing nutrition through OGT are ongoing, with efforts to set the supine sleep position during enteral nutrition. While the problems faced by the high-risk infants in this study are not yet resolved, ongoing nursing interventions are crucial in managing their care. Continued attention to proper positioning, monitoring of sucking reflexes, and nutritional support through OGT is vital for improving the health outcomes of these vulnerable infants.

Pengaruh Terapi Murotal Al-Quran Surah Ar Rahman Terhadap Kestabilan Saturasi Oksigen BBLR Dengan Asfiksia di Ruang NICU

Background: LBW babies face difficulties adapting to life outside the womb because their organs, such as the lungs, heart, kidneys, liver and digestive system, are not fully mature. The neonatal period is the most vulnerable period for a baby's survival, and one of the causes of newborn deaths is asphyxia. One of the complementary therapy techniques that can be used to increase saturation and hemodynamics in LBW babies is music therapy and murrotal therapy. Research method: The research method used in the intervention is a case report using the intervention method. The research was carried out in the NICU room at Tjitrowardojo Regional Hospital, Purworejo, when the research was carried out on 01-05 May 2024. The research participants were one neonate patient with a diagnosis of LBW accompanied by asphyxia. Oxygen saturation measurements were carried out before and after Murottal Surat Ar-Rahman Therapy was given. Results: After being given the Murotal Al-Qur'an Surah Ar-rahman therapy intervention within 30 minutes for five days, there was an increase in oxygen saturation in LBW babies with asphyxia on the first day from 88% to 93%, and on the fifth day there was an increase in oxygen saturation from 99 % becomes 100%.Conclusion: Murottal Al-Qur'an Surah Ar-Rahman therapy has a positive effect on oxygen saturation in patients with LBW accompanied by asphyxia

Case Report: Pengaruh Edukasi Menyusui terhadap Produksi Asi dalam Program Asi Ekslusif di NICU RSUD DR.Tjitrowardojo Purworejo

Introduction: Mother's milk (ASI) is a very good nutritional intake for newborn babies. Natural breast milk produced by mothers has important nutrients for babies. Breast milk contains various microbial materials. Nutrition for mothers who are breastfeeding must be given optimally. Oxytocin massage is a non-pharmacological technique that functions to overcome substandard breast milk production. Objective: This study aims to determine the effect of breastfeeding education on breast milk production. Method: This research uses a descriptive observational method using a case study method approach. The subject used was a postpartum mother patient with breast milk production problems in the NICU room at Dr. Tjitrowardojo Hospital, Puroworejo. Data collection was carried out by interviewing Mrs. V and also looked at the medical records in the PICU/NICU room using the neonate assessment format developed by the UMY FKIK Nurse Professional Education. Results: After being given intervention for 5 days, there was an effect of breastfeeding education on breast milk production. Conclusion: Breastfeeding education can influence breast milk production.

Advancing healthcare: integrating telemedicine with baby incubators at puskesmas dampit to ensure seamless health services

Puskesmas in Malang Regency do not yet have facilities for monitoring LBW in real time via android either by health workers at the health centre or the patient's family. Puskesmas Dampit serves communities spread across several villages with a coverage area spread across several villages. This is an obstacle for families to get access to monitor the patient's progress, because the patient is in the NICU or ICU room. Another thing is that there is no training for users in the use of telemedicine-based Baby Incubator equipment. The role of users and families of patients is very important to keep the equipment in good condition. However, operating trainings based on new technology for users have never been conducted. Efforts to solve the above problems are to carry out counselling and assistance in the use of baby incubator equipment to users including nurses, midwives and other non-health worker users, so as to increase the knowledge of officers or users which in turn will have an impact on increasing the productivity of officers or users and improving the quality of service at the health centre. The purpose of this Community Service is to increase the role and participation of Poltekkes Kemenkes Surabaya in improving the degree of public health in the Puskesmas Dampit area, Malang Regency. The results of community service through the application of telemedicine-based Baby Incubator at Puskesmas Dampit are increased knowledge and skills regarding telemedicine-based baby incubator equipment. This will improve health services, especially for babies who need intensive care. The implementation of this technology provides significant benefits, including increased accessibility of health services, speed of response to patient health conditions, family involvement in care, and efficient use of resources. Assistance to Puskesmas personnel and patient families in the form of training, monitoring and evaluation of the use of appropriate technology in the form of Telemedicine-based baby incubator utilization.

Room Air Quality at Husada Prima Hospital, East Java Province

The microbiological quality of the air in the NICU and surgical rooms exceeds standards. The physical quality of the NICU and operating room exceeds the standard. This study aimed to determine the microbiological and physical quality of hospital room air (NICU room and surgical rooms) at Husada Prima Hospital, East Java Province. This research design was descriptive. Observation, field measurements, and laboratory tests collected data. The measurement results will be compared with RI Minister of Health Regulation No. 2 for 2023. The results of air microbiology sampling in the NICU, surgical room 1, and surgical room 2 still need to meet the requirements. The results of physical air quality measurements, namely temperature in the three rooms, humidity in the NICU room, lighting, and ventilation rate in the three rooms, must meet the requirements. The variables that meet the requirements are humidity in both operating rooms and lighting in the surgical room (Table 2). The condition of hospital facilities and buildings in the three rooms has met the requirements. The conclusion is that the room's air quality at Husada Prima Hospital, East Java Province, did not meet the criteria. The condition of the facilities and buildings was good. The hospital is advised to clean and repair air conditioners regularly, use humidifiers to maintain humidity in the room and increase or decrease lighting according to each room's needs.

Advancing healthcare: integrating telemedicine with baby incubators at puskesmas dampit to ensure seamless health services

Puskesmas in Malang Regency do not yet have facilities for monitoring LBW in real time via android either by health workers at the health centre or the patient's family. Puskesmas Dampit serves communities spread across several villages with a coverage area spread across several villages. This is an obstacle for families to get access to monitor the patient's progress, because the patient is in the NICU or ICU room. Another thing is that there is no training for users in the use of telemedicine-based Baby Incubator equipment. The role of users and families of patients is very important to keep the equipment in good condition. However, operating trainings based on new technology for users have never been conducted. Efforts to solve the above problems are to carry out counselling and assistance in the use of baby incubator equipment to users including nurses, midwives and other non-health worker users, so as to increase the knowledge of officers or users which in turn will have an impact on increasing the productivity of officers or users and improving the quality of service at the health centre. The purpose of this Community Service is to increase the role and participation of Poltekkes Kemenkes Surabaya in improving the degree of public health in the Puskesmas Dampit area, Malang Regency. The results of community service through the application of telemedicine-based Baby Incubator at Puskesmas Dampit are increased knowledge and skills regarding telemedicine-based baby incubator equipment. This will improve health services, especially for babies who need intensive care. The implementation of this technology provides significant benefits, including increased accessibility of health services, speed of response to patient health conditions, family involvement in care, and efficient use of resources. Assistance to Puskesmas personnel and patient families in the form of training, monitoring and evaluation of the use of appropriate technology in the form of Telemedicine-based baby incubator utilization.

The Effect of Pre-Feeding Oral Stimulation on The Sucking Ability of LBW Babies in The NICU Room

Introduction: The inability to drink in LBW is caused by weak sucking muscle ability and unstable oral ability and swallowing and breathing on LBW babies influenced by maturity of the structure of the brain and cranial nerves. The LBW babies taken care does not suck directly on the mother's breast, this is because the mother and baby are taken care for separately. Objective: To analyze the effect of Pre-Feeding Oral Stimulation on the sucking ability of LBW Babies in the NICU Room at Harapan Insan Sendawar General Hospital. Method: This study used experimental research with one group pre-test and post-test. The population in this study were all LBW infants who were treated in the NICU room. Results and Discussion: The result of research was gained that the average of baby's sucking ability before oral stimulation was 2.67 where the lowest value of sucking ability is 0 and the highest value of sucking ability was 6. The average of baby's sucking ability after oral stimulation is 3.73 where the lowest value of sucking ability was 1 and the highest value of sucking ability was 7. The Statistical test results by conducting Wilcoxon T test were found that the P value was 0.01. So, the p-value (0.01) is smaller than the alpha value (0.05), it means that the null hypothesis is rejected. Conclusion: There is an effect of Pre-Feeding Oral Stimulation on the Sucking Ability of LBW Babies in the NICU Room at Harapan Insan Sendawar General Hospital in the year 2022.

Keterlibatan Orang Tua dalam Perawatan Anak terhadap Stres dan Kecemasan Orang Tua di Ruang Intensif

This study aims to evaluate the results of research that has been published regarding the effect of parental involvement in child care on parental stress and anxiety in the intensive care unit. The method used is a systematic review through search strategies on eight electronic databases with the keywords used (Parent involvement OR Parent participation OR Family Integrity Care OR Family Centered Care) AND (pediatric intensive care OR PICU OR NICU) AND (Parent Stress OR Parent anxiety). The search results obtained 12 articles that would be assessed for quality with the guidance of the Joanna Briggs Institute (JBI). Research results show that parental involvement in child care in intensive care can reduce parental stress and anxiety. The highest significance was seen in the Family Integrated Care (FICare) program (p < 0.00043) and Family Centered Care (FCC) (p < 0.001) in the NICU room. In conclusion, all forms of parental involvement can reduce stress and anxiety, but parental involvement in child care in the PICU room is still limited.
 
 Keywords: Anxiety, Engagement, Intensive Room, Stress

The frequency spectrum of the acoustic environment in a neonatal intensive care unit

ObjectivesThe acoustic frequencies present in an incubator are within the hearing range of a newborn; this requires adapting the environment so that the noise inside the incubator is more compatible with that range and facilitates proper hearing development. The objective of this study is to make a comparison, in thirds of an octave (frequency analysis), of the noise present in the NICU room and the interior space of the incubator, analyzing the ambient acoustic quality perceived by the newborn. MethodsThe experiment carried out in this work consisted of two series of measurements of noise levels in the NICU of the “Puerta del Mar” University Hospital (Cádiz, Spain) and two selected incubators in the room. A third-octave frequency band analysis was performed within the audible field (20 Hz/20 kHz). Data were recorded at 1 s intervals for more than 24 h (3600 registers de 1 s.) Results and conclusionsOne may wonder if noise levels inside incubators affect newborns. Based on existing references, the answer is probably “yes”, since the frequencies present inside an incubator are within the audible range of a newborn. According to the consulted bibliography, the audible range of neonates is between 400 Hz and 4 kHz. In this work, the acoustic measurements carried out in the NICU made it possible to evaluate the noise levels in the room and inside the incubators. According to the results, the indicator used LAeq, 1 h, should be complemented with a study in 1/3 octave bands (frequency analysis) to determine the acoustic quality and hearing protection of neonates.

Studi Kasus Perubahan Termoregulasi BBLR Dalam Perawatan Metode Kanguru Di Ruang NICU RS Siti Khodijah Muhammadiyah Cabang Sepanjang

Low birth weight (LBW) is a newborn with a weight < 2500 grams regardless of gestational age. LBW is one of the main causes of death, morbidity and disability in neonates. The problem that often occurs in LBW is disturbed thermoregulation. Disorders of thermoregulation can be in the form of hypothermia.Objective:  This case study studies how the thermoregulation of low birth weight changes in kangaroo care in the NICU room of Siti Khodijah Muhammadiyah Hospital branch Sepanjang.Methods:  The research uses a case study approach. The sample of this study was 2 LBW respondents. The final result of direct observation at the time of PMK and written on the observation sheet. The unit of analysis in this case study is the characteristics of LBW, the success of PMK, and changes in LBW thermoregulation with PMK.Results:  The results of the two respondents in the LBW category were marked by birth weight between 1501 grams - 2499 grams with gestational age < 37 weeks, the success of the successful PMK category was marked by an increase in body temperature, slow sucking reflex, no vomiting, maternal milk production between 10-15 cc/2 hours, The baby's weight was fixed, and changes in LBW thermoregulation in the PMK category of normal/stable body temperature were proven to have an increase in temperature before PMK was carried out until the first 1 hour of PMK.Conclusion:  Changes in the thermoregulation of LBW in the PMK of the two respondents, there was an increase in body temperature/stable during the first 1 hour of PMK

SOUND OF AL-QURAN THERAPY (SAQTY) ON THE PHYSIOLOGICAL FUNCTION OF PREMATURE INFANTS IN THE NICU

Introductory summary: Premature infants is unstable individual. The first treatment contributes to the next quality of life for premature infants. Sound stimulation with harmonious strains reduces sound stressors in the NICU Room. Objectives: This research aims to analyze the effect of Sound Of Al-Quran Therapy (SAQTY) on the physiological function of premature infants. Methodology: This study used Randomized Controlled Trial (RCT), 15 premature infants received SAQTY intervention, and 15 premature infants received nature sounds. The intervention was given for six days with a duration of 30 minutes with 50-60dB as measured by Sound Level. Sampling used accidental sampling, and the statistical test used was paired T-Test. Results: Data collection was carried out three times, the first day before treatment, the third day and the sixth day. The results of the p-value in the intervention group for heart rate, temperature, respiratory rate, oxygen saturation on the third day (0.001; 0.002; 0.002; 0.034) and the sixth day (0.000; 0.000; 0.001; 0.002) overall p-value <0.05 . Conclusion: SAQTY has a good effect on the physiology of premature infants who are treated in the NICU. SAQTY provides relaxation that makes infants have better sleep quality so that they can become physiologically stable.

The seven points of developmental care for preterm neonates: Nurses' knowledge and attitudes in the NICU Room

The seven points of developmental care for preterm neonates: Nurses' knowledge and attitudes in the NICU Room

Studi Kasus: Pemberian Posisi Pronasi dalam Menjaga Stabilitas Saturasi Oksigen, Frekuensi Nadi, Pernafasan Dan Suhu pada Bayi Gawat Nafas

Respiratory Distress Syndrome (RDS) is the term used for respiratory dysfunction in neonates. This disorder is a disease associated with delayed development of lung maturity or a lack of surfactant in the lungs. One of the problems that must be overcome is an ineffective breathing pattern. Interventions in ineffective breathing patterns, one of which is the provision of a pronation position to maintain hemodynamic status. Giving the pronation position is considered effective to improve the hemodynamic status of the patient, because the pronation position can increase pulmonary ventilation and can reduce lung pressure by intra-abdominal organs so that it can improve the patient's oxygenation. The method used was a case study using 3 respondents who were treated in the NICU room of Arifin Achmad Hospital, Riau Province, which aimed to see differences in the hemodynamic status of patients before and after being given a pronation position. The criteria for these observational patients are patients with respiratory distress who have symptoms of ineffective breathing patterns (down score 5-7) and use a breathing apparatus. This nursing care is carried out directly on Infants I, Infants II and III with the age of 0-6 days. The intervention was given for 2-10 days, the results of the development of the patient's condition were good, there was an increase in oxygen saturation, pulse and temperature in the baby. Based on the results of the application of nursing care in infants with respiratory disorders, the pronation position has been proven to improve and maintain hemodynamic stability, so it is advisable for pediatric nurses to be able to practice pronation positioning in the management of RDS patients with ineffective breath patterns

The Relationship between Verniks Caseosa with C-Reaktif Protein (CRP) Levels and Premature Infant Wellness

Premature infants are still the leading cause of infant mortality in Indonesia. This is because premature babies are a risk of infections and other congenital complications. Premature babies tend to have less vernix caseosa due to vernix caseosa production as well as surfactant production, i.e. at 21 weeks of gestation and the older the gestational age the more vernix caseosa is most produced. The purpose of this study was to determine the relationship between vernix caseosa and increased C-Reactive Protein (CRP) levels toward well-being in premature infants. Using terminology design not the type of research is analytical using a perspective cohort design. The research subjects treated in the NICU room at Putri Surabaya Hospital in the period January to November 2021 were preterm infants between 0 and 1 month of age, and premature infants with few vernix caseosa. Inclusion criteria were premature infants 0-1 months of age, gestational age less than 38 weeks, birth weight 1500-2500 grams, a preterm newborn with vernix caseosa, and little or without vernix caseosa. While the exclusion criteria were preterm newborns with congenital complications and abnormalities. The data were analyzed using chi-square test and Pearson correlation bimodal analysis. The results showed a relationship between vernix caseosa and CRP levels in premature infants = 0.014, and vernix caseosa and wellness conditions in premature infants = 0.030, but no relationship between CRP levels and premature wellness. children = 0.222. The conclusion is that the more Vernix Caseosa in premature babies, the lower the CRP levels and the condition in which premature babies become more agile.

Infant mode of death in the neonatal intensive care unit: A systematic scoping review.

To characterize literature that describes infant mode of death and to clarify how limitation of life-sustaining treatment (LST) is defined and rationalized. Eligible studies were peer-reviewed, English-language, and included number of infant deaths by mode out of all infant deaths in the NICU and/or delivery room. 58 included studies were primarily published in the last two decades from North American and European centers. There was variation in rates of infant mode of death by study, with some showing an increase in deaths following limitation of LST over time. Limitation of LST was defined by the intervention withheld/withdrawn, the relationship between the two practices, and prior frameworks. Themes for limiting LST included diagnoses, low predicted survival and/or quality of life, futility, and suffering. Limitation of LST is a common infant mode of death, although rates, study definitions, and clinical rationale for this practice are variable.

Risk Factor Analysis of Neonatorum Sepsis in NICU Room Naibonat Hospital, Kupang Regency

Abstract: Neonatal sepsis is one of the causes of newborn death. Risk factors that can affect neonatal sepsis include maternal risk factors, infectious agent factors, infant risk factors and determinant factors. The purpose of this study was to determine and analyze the factors that influence the incidence of neonatal sepsis in the NICU room at the Naibonat Hospital, Kupang Regency. The design of this study used a case control research design (case control) with a retrospective study approach. The populations in this study were all newborns diagnosed with neonatal sepsis at the Naibonat Hospital, Kupang Regency from January to December 2020 totaling 85 cases. The sample size in this study was taken using a total sampling technique, where the entire population was used as a research sample, namely as many as 85 case samples, with a sample size ratio of 1:1 between cases and controls, so the total sample size was 170 samples. The results showed that maternal risk factors that significantly influenced the incidence of neonatal sepsis were premature rupture of membranes (p=0.020), Inpartum Fever (p=0.001), history of urinary tract infection (p=0.003) and length of parturition (p=0.006). For infectious agent factors that influence is bacteria (p = 0.009). For the baby risk factor that has an effect is the APGAR score (p = 0.000). Simultaneously, the most influential determinants on the incidence of neonatal sepsis were APGAR scores, labor duration and labor fever.

THE EFFECT OF KANGAROO METHOD ON IMPROVEMENT BODY WEIGHT ON LOW BIRTH WEIGHT

AbstractBackground: In Indonesia the Neonatal mortality rate was 15 infants per 1000 births and in Surabaya in 2018 LBW deaths were 50 per 1000 live births, while in Haji General Hospital the LBW deaths were 12 babies in 1 year. Kangaroo care was the most effective way to meet the basic needs of LBW. Babies with 1500-2500 grams body weight either due to prematurity or small pregnancy period will lose weight ranging from 10-15% in 7 days of life. To overcome the problem Kangaroo care method4 component aims to promote weight loss, maintain body temperature remains stable and facilitate breastfeeding Methods: The method of this study was observational analytic with the design of the study cohort. Total sample of 40 LBW with sampling techniques using Sequential Sampling in the period August-October period 2019. Variabel was free kangaroo care method given 1-2 times a day with a duration of more than 120 minutes. The dependent variable was increased in body weight carried out 3x the measurement. Results: The results of the study using paired T test showed an increase in body weight, namely 1) the first measurement of 31.82 grams for 3 days with p = 0.037, 2) the second measurement increased by 227.15 for 7 days, with p = 0,000, 3) the third measurement was 258.97 with p = 0,000. The conclusion: of the studied, that there were a significant difference between the kangaroo method treatments for weight gain in LBW in the NICU Room Haji Hospital Surabaya