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Soothability and growth in preterm infants
Holly J Diesel1, Patrick M Ercole
1Goldfarb School of Nursing at Barnes Jewish College, St. Louis, MO 63110, USA. hdiesel@bjc.org
Insights
A flaxseed pillow intervention improved soothability and weight gain in premature infants. This inexpensive method showed no adverse events, suggesting potential benefits for neonatal care.
Area of Science:
- Neonatal care
- Developmental pediatrics
Background:
- Premature infants often experience challenges with regulation and weight gain.
- Soothing interventions are crucial for improving outcomes in preterm neonates.
Purpose of the Study:
- To investigate the efficacy of a flaxseed pillow in enhancing soothability and weight gain in premature infants.
- To assess the impact of flaxseed pillow treatment on physiological parameters and hospital stay duration.
Main Methods:
- A randomized controlled trial involving 48 preterm infants.
- Treatment group received two 15-minute flaxseed pillow applications daily for the first 5 days.
- Physiological measurements (temperature, heart rate, respiratory rate, pain scores, physical activity) were recorded pre- and post-treatment.
Main Results:
- The flaxseed pillow group showed significant reductions in heart rate, respiratory rate, and pain scores.
- Infants in the treatment group exhibited increased weight gain in the first three weeks and more awake time.
- No significant differences were observed in discharge weights or length of hospital stay.
Conclusions:
- Flaxseed pillows offer a novel, inexpensive, and safe method to improve soothability and promote weight gain in premature infants.
- The intervention appears to be well-tolerated with no adverse events.
- Further research is warranted to confirm efficacy in diverse neonatal populations.
Purpose:
This randomized control trial investigated the relationship between soothability, weight gain, and length of hospital stay in premature infants.
Method:
Forty-eight preterm infants were randomized into control group or flaxseed pillow treatment group. The pillow group received two 15-minute treatments per day. Treatment consisted of placing a flaxseed-filled pillow on the infants' upper thorax, once in the morning and once in the afternoon, for the infant's first 5 days of life. Physiologic measurements were obtained pre- and posttreatment, including temperature, heart rate, respiratory rate, and pain scores and measures of physical activity.
Findings:
Infants in the treatment group demonstrated significant decreases in heart rate, respiratory rate, and pain scores compared to infants in the control group. Infants in the treatment group also gained more weight in the first 3 weeks of life and spent more time awake. Discharge weights and length of stay at hospital did not vary between the two groups.
Conclusions:
The flaxseed pillow is a new method that may assist premature infants to become more soothable and gain weight more rapidly in the first weeks of life. The pillow is inexpensive, easy to use, and not associated with adverse events. Further research is recommended to explore the efficacy of this intervention in other populations.
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