EFFECTIVENESS OF NESTING ON POSTURE AND MOTOR PERFORMANCE AMONG HIGH RISK NEWBORN

Dr. K. Jeyabarathi and Mrs. Niranjana Shalini. ...................................................................................................................... Manuscript Info Abstract ......................... ........................................................................ Manuscript History Received: 12 September 2018 Final Accepted: 14 October 2018 Published: November 2018 Background and objectives: Lixisenatide, a selective short-acting glucagon-like peptide 1–receptor agonist (GLP-1RAs), approved in many countries worldwidefor use with oral glucose-lowering agents with or without basal insulin for the treatment of adults with uncontrolled type 2 diabetes mellitus (T2DM) as an adjunct to diet and exercise. The aim of this study was to assess the effectiveness of basal insulin treatmentregimen intensification with Lixisenatide compared with another injectable drugin patients with T2DM. We also aimed to identify the respective predictive factors for glycemic control.

Background and objectives: Lixisenatide, a selective short-acting glucagon-like peptide 1-receptor agonist (GLP-1RAs), approved in many countries worldwidefor use with oral glucose-lowering agents with or without basal insulin for the treatment of adults with uncontrolled type 2 diabetes mellitus (T2DM) as an adjunct to diet and exercise. The aim of this study was to assess the effectiveness of basal insulin treatmentregimen intensification with Lixisenatide compared with another injectable drugin patients with T2DM. We also aimed to identify the respective predictive factors for glycemic control.

Introduction:-
High risk newborn is defined as any neonate when is in danger of serious illness or death as a result of prenatal, perinatal or neonatal conditions, regardless of birth weightor gestational age. High risk newborn is most often classified according to birth weight (LBW, VLBW,ELBW) and gestational age (SGA, IUGR, preterm < 37wks) and pathophysiologic problem.
The preterm or sick babies requires support to facilitate and maintain postures that enhances motor control and physiological functioning and reduce stress. Nesting, as a component of developmental care, improves neonates curved limb position and reduction of sudden movements as well as immobility of the arms and legs. Good positioning practices promote neuromotor development and can have a positive effect on both short and long-term outcomes for babies.

Materials And Methods:-
A quantitative approach and quasi experimental pre-testpost-test with control group was adopted to assess the effectiveness of nesting on posture and motor performance among high risk new-born in Vimal Jyothi hospital at Coimbatore.The samples were selected by convenience sampling technique. The total size of sample was 60, in that 30 samples were allotted for experimental group and 30 were control group. Newborn who satisfied the inclusion criteria were selected for the study. One sample for experimental group and the other sample for control group,likewise the sample were assigned to both groups till the sample size reached. Before Nesting the posture of newborn was assessed by using Infant Position Assessment Tool (IPAT) and motor performance was assessed by using Modified Ferrari Tool, it took 10 minutes. Then the Nesting was provided for one day for each newborn in experimental group and no intervention, only routine care was given for control group. The next day, posture and motor performance of newborn was assessed for both experimental and control group, to assess the effectiveness of nesting by using same IPAT and Modified Ferrari Tool.       Infant Position and Assessment Tool (IPAT) was used to assess the position of the high-risk newborn and Modified Ferrari Tool was used to assess the motor performance of high risk newborn. The mean pretest posture value among experimental group and control group was 6.8 and 6.7. The mean pretest motor performance value among experimental and control group was 7.3 and 7.1. This indicates, that there is no significant effect on maintaining posture among high risk new born in the experimental and control group before providing nesting.

Results:-
The Second Objective of the Study was to Provide Nesting among High Risk Newborn in Experimental Group.
Nesting was made with 4 baby sheets. Roll the sheets way so that they are tubes. These are than placed round the baby. Nesting was provided for one day. And the next day reassessed the posture and motor performance by using IPAT and Modified Ferrari Tool.