Optimizing Oxygen Saturation and Pulse Rate in Premature Infants: The Role of Nesting and Prone Positioning

Abstract

Background: Low birth weight babies often experience complications in the form of respiratory distress syndrome and increased heart rate. A method to help prevent these complications is positioning the infant in a nesting and prone arrangement. Objective: This study aimed to examine the effect of nesting and prone positions on oxygen saturation and heart rate in premature infants. Methods: Pre-experimental design included 44 premature infants selected through consecutive sampling from the neonatal care unit at Arifin Achmad Hospital Pekanbaru. Data analysis was performed using univariate and bivariate techniques, with the Wilcoxon test applied for the bivariate analysis. Results: The mean oxygen saturation of respondents before intervention was 92.95%, which increased to 97.34% post-intervention. The mean heart rate before intervention was 129.66 and 150.86 after intervention. Statistical testing indicated a significant difference in oxygen saturation before and after using the nesting and prone positions (p < 0.05). Conclusion: Implementing nesting and the prone position can improve oxygen saturation in premature babies, as it lowers body metabolism, reduces heat loss, and enhances respiratory efficiency.