Effect of Lateral Positions versus Prone Position on Cardiorespiratory Parameters among Preterm Neonates with Respiratory Distress Syndrome

Abstract

Background: Respiratory distress syndrome in neonates is life threatening and results in death from severe respiratory failure. Positioning neonates in a good body alignment is essential to improve oxygenation and reduce the need for supplemental oxygen and mechanical ventilation. Aim of the study: The current study aimed to determine the effect of lateral positions versus prone position on cardiorespiratory parameters among preterm neonates with respiratory distress syndrome. Research design: A cross-over experimental research design was utilized for this study. Setting: The study was conducted at the Neonatal Intensive Care Unit at Alexandria University Children's Hospital at Smouha, Egypt. Subjects: purposive sample of 30 preterm neonates were selected to perform the current study. Tools: Two tools were used for data collection, Tool I: Characteristics and cardiorespiratory parameters of preterm neonates' assessment tool, Tool II: Complication detection record. Results: The values of heart rate, respiratory rate and oxygen saturation improved significantly among preterm neonates in prone position than in the lateral positions after one and two hours. Respiratory distress signs were significantly lower in prone position than in lateral positions after one and two hours. There was no statistical significant difference between the three positions at zero minute, one hour and two hours regarding complications among preterm neonates. Conclusion: The study concluded that cardiorespiratory parameters and respiratory distress signs have improved in prone position more than in lateral positions. Recommendations: Prone position under nurses' supervision is recommended to be used in the routine care of preterm neonates with respiratory distress syndrome and educational programs should be conducted to nurses working at Neonatal Intensive Care Units regarding the benefits and importance of positioning of preterm neonates.