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Jesus VR, Oliveira PMN, Azevedo VMGO. Effects of hammock positioning in behavioral status, vital signs, and pain in preterms: a case series study. Braz J Phys Ther. 2018;22(4):304-309doi: 10.1016/j.bjpt.2018.03.002.
Jesus, V. R., Oliveira, P. M. N., & Azevedo, V. M. G. O. (2018). Effects of hammock positioning in behavioral status, vital signs, and pain in preterms: a case series study. Brazilian journal of physical therapy, 22(4), 304-309. https://doi.org/10.1016/j.bjpt.2018.03.002
Jesus, Valdecira Rodrigues de, et al. "Effects of hammock positioning in behavioral status, vital signs, and pain in preterms: a case series study." Brazilian journal of physical therapy vol. 22,4 (2018): 304-309. doi: https://doi.org/10.1016/j.bjpt.2018.03.002
Jesus VR, Oliveira PMN, Azevedo VMGO. Effects of hammock positioning in behavioral status, vital signs, and pain in preterms: a case series study. Braz J Phys Ther. 2018 Jul - Aug;22(4):304-309. doi: 10.1016/j.bjpt.2018.03.002. Epub 2018 Mar 15. PMID: 29598896; PMCID: PMC6095095.
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Braz J Phys Ther. 2018 Jul - Aug;22(4):304-309. doi: 10.1016/j.bjpt.2018.03.002. Epub 2018 Mar 15.

Effects of hammock positioning in behavioral status, vital signs, and pain in preterms: a case series study.

Brazilian journal of physical therapy

Valdecira Rodrigues de Jesus, Pricila Mara Novais de Oliveira, Vivian Mara Gonçalves de Oliveira Azevedo

Affiliations

  1. Faculdade de Ciências Médicas de Minas Gerais, Hospital Sofia Feldman, Programa de Residência em Neonatologia, Belo Horizonte, MG, Brazil.
  2. Hospital Universitátio da Universidade Federal de Juiz de Fora (HU-UFJF/EBSERH), Pediatria, Juiz de Fora, MG, Brazil.
  3. Universidade Federal de Uberlândia (UFU), Faculdade de Educação Física e Fisioterapia (FAEFI), Uberlândia, MG, Brazil. Electronic address: [email protected].

PMID: 29598896 PMCID: PMC6095095 DOI: 10.1016/j.bjpt.2018.03.002

Abstract

BACKGROUND: The hammock positioning within the incubators simulates the intrauterine environment, however, there is little evidence of its benefits and possible risks.

OBJECTIVES: The aim of this study was to assess the effects of hammock positioning on behavioral status, vital signs, and pain in very low birth weight preterm newborns.

METHODS: This is a quasi-experimental/case series study in which premature infants (<1500g) were positioned in supine for one hour in a hammock. The preterm newborns were assessed 10min before, during (2, 20, 40, and 60min), and 10min after hammock positioning with the Brazelton Neonatal Behavioral Assessment Scale, vital signs and pain by the Neonatal Facial Coding System.

RESULTS: 28 preterm infants between 28 and 36 weeks of gestational age were evaluated. Regarding the behavioral state, the preterm newborns progressively evolved to light or deep sleep during hammock positioning. There was a statistically significant reduction of the heart and respiratory rate from 2 to 60th minute in a hammock, which was maintained after the positioning. The oxygen saturation remained within normal values. No changes in pain scores were observed.

CONCLUSION: The hammock positioning can be considered a safe method of positioning that can be used to reduce the stress levels in very low birth weight preterm newborns. We did not observe worsening in either pain or vital signs.

Copyright © 2018 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

Keywords: Humanization; Neonatal Intensive Care Units; Newborns; Prematurity

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