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Comparison the effect of Sleep Positioning on Cardiorespiratory Rate in Noninvasive Ventilated Premature Infants

Fatemeh Ghorbani1, Maliheh Asadollahi1, Sousan Valizadeh1

  • 1Department of Pediatric Nursing, Tabriz University of Medical Sciences, Tabriz, IR Iran.

Nursing and Midwifery Studies
|November 22, 2014
PubMed

Insights

Prone positioning may decrease heart rate and respiratory rate in preterm infants receiving Nasal Continuous Positive Airway Pressure (N-CPAP). This finding supports its use in neonatal intensive care units (NICUs) with careful monitoring.

Area of Science:

  • Neonatal Medicine
  • Pediatric Respiratory Care
  • Critical Care Medicine

Background:

  • Prone positioning is suggested to improve cardio-respiratory status in preterm infants.
  • Previous research on prone positioning in preterm infants has yielded conflicting results.
  • Limited studies exist on the impact of prone positioning on cardio-respiratory rates of premature infants undergoing Nasal Continuous Positive Airway Pressure (N-CPAP) treatment.

Purpose of the Study:

  • To compare the effects of supine versus prone positioning on cardio-respiratory rates in premature infants with respiratory distress syndrome (RDS).
  • To evaluate the efficacy of N-CPAP in conjunction with different infant positions.

Main Methods:

  • A crossover study involving 44 premature infants (29-34 weeks gestation) receiving N-CPAP.
  • Infants were randomly assigned to start in either prone or supine position, then switched.
  • Heart Rate (HR) and Respiratory Rate (RR) were measured for 30 minutes in each position.

Main Results:

  • A significant difference in HR and RR was observed between prone and supine positions.
  • Prone positioning resulted in lower HR and RR compared to the supine position (P < 0.05).
  • Supine positioning may be associated with increased HR and RR.

Conclusions:

  • Findings support the use of prone positioning for preterm infants.
  • Prone positioning can be beneficial for infants with respiratory complications receiving N-CPAP in the NICU.
  • Careful supervision is essential when using prone positioning due to its association with Sudden Infant Death Syndrome (SIDS).
Abstract

Keywords:
Heart ratePremature infantProne positionRespiratory rateSupine position

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