Effect of prone position on physiological parameters for neonates during noninvasive respiratory support

Abstract

Prone position may play an important role in improving and maintaining the optimal neonatal physiological parameters within desirable ranges. Aim: This study aimed to investigate the effect of prone position for neonatal physiological parameters during non-invasive respiratory support. Time series quasi-experimental research design was carried out on a randomized purposive sample of 60 newborn infants attending the Neonatal Intensive Care Unit (NICU) of El Manial University Hospital (Kasr Al Aini), (30 control group, and 30 intervention groups). Neonatal assessment and Physiological parameters tools were utilized for data collection. Results: There was a significant mean difference between the intervention group (during prone position) and control group (during supine position) regarding respiratory rate, heart rate, SPO2 scores in three-time frames (during T0before intervention, T11 st 5 min, T22 nd 5 min T33 rd 5 min) at P˂0.00 but. Conclusion: Neonatal positioning in the prone position is a simple, non-invasive, and free of charge method that could lead to improve oxygenation in High-risk neonates undergoing noninvasive respiratory support (Nasal Continuous Positive Airway Pressure (NCPAP). Recommendations: Further studies needed to evaluate the effect of positioning change on high-risk neonates' Physiological parameters response.