Background: Swaddling was an almost universal child-care practice before the 18th century. In general, swaddled neonates shown improved neuromuscular development, less physiologic distress, better motor organization, and more self-regulatory ability and arouse less and sleep longer when they are swaddled. It can be helpful in regulating temperature but can also cause hyperthermia when misapplied. Although swaddling promotes the favourable supine position, the combination of swaddling with prone position increases the risk of sudden infant death syndrome, which makes it necessary to warn parents to stop swaddling if infants attempt to turn. Material and Method: A experimental study was conducted to evaluate the Effect of swaddling on Physiological and Neurobehavioral parameters among the neonates admitted at Pravara Rural Hospital, Loni (Bk). The sample consisted of 15 new-borns of experimental group and 15 new-borns control group; sampling technique used for present study was purposive sampling technique. was used prepared to collect the data. Descriptive Inferential statistics were used to analyse the data according to objectives and hypothesis. Results: The result of study found that the swaddling is effective to maintain physiological and neurobehavioral parameters in a normal range of neonates. Result of this study also conclude that, swaddling did not have any ill effect on physiological and neurobehavioral parameters. Neonates who received swaddling also did not develop any complications. Conclusion: The major conclusion drawn from this study is that the swaddling was found to be effective in maintain the physiological and neurobehavioral parameters in a normal state among the neonates. This study concludes that swaddling was beneficial in maintaining the physiological and neurobehavioral parameters in a normal range of neonates than the neonates who did not received swaddling.
Cite this article:
Avinash Chandrabhan Shinde, Lt Col (Retd) Radha V, Vaibhav B. Assess the Effectiveness of Swaddling on Physiological and Neurobehavioral parameters among the Neonates admitted at Pravara Rural Hospital, Loni (BK). Int. J. of Advances in Nur. Management. 2020; 8(3):204-214. doi: 10.5958/2454-2652.2020.00048.7
Avinash Chandrabhan Shinde, Lt Col (Retd) Radha V, Vaibhav B. Assess the Effectiveness of Swaddling on Physiological and Neurobehavioral parameters among the Neonates admitted at Pravara Rural Hospital, Loni (BK). Int. J. of Advances in Nur. Management. 2020; 8(3):204-214. doi: 10.5958/2454-2652.2020.00048.7 Available on: https://ijanm.com/AbstractView.aspx?PID=2020-8-3-6
1. Lipton EL, Steinschneider A, Richmond JB. Swaddling, a child care practice: historical, cultural and experimental observations. Pediatrics 1965;35(suppl):521-67
2. Chisholm JS. Swaddling, cradle boards and the development of children. Early Hum Dev 1978;2/3:255-75
3. Van Sleuwen, B. E., Engelberts, A. C. Boere-Boonekamp, Magda. M., Kuis, W., Schulpen, T.W. J., and L'Hoir, M. P. (2007). Swaddling: A systematic review. Pediatrics, 120(4), 1097-1106. doi: 10.1542/peds.2006-2083)
4. Huang, C. M., Tung, W. S., Kuo, L. L., and Chang, Y. J. (2004). Comparison of pain responses of premature infants to the heelstick between containment and swaddling. Journal of Nursing Research, 12(1), 31–35
5. Van Gestel, J. P. J., L’Hoir, M. P., Ten Berge, M., Jansen, N. J. G., and Plötz, F. B. (2002). Risks of ancient practices in modern times. Pediatrics 110(6), 1-3. doi: 10.1542/peds.110.6.e78.PMID 12456945
6. Viswanathan.j. etal. “Achar’s Textbook of Pediatrics’’. 3rd edition., Hyderabad. Orient Longman Publication.,1995.
7. Shiono PH, Behrman RE. Low Birth Weight: Analysis and Recommendations. The Future of Children [Internet]. 1995 [cited 2018Jun23];5(1):4. Available from: https://www.researchgate.net/ publication/15565016_Low_Birth_Weight_Analysis_and_Recommendations
8. Frank, m. Ringsted and helle samelsen “Early home based recognition of anemia via general danger signs in young children in a malaria endemic community in north east Tanzania’’, Nov 2006.
9. Rangey PS, Sheth M. Comparative Effect of Massage Therapy versus Kangaroo Mother Care on Body Weight and Length of Hospital Stay in Low Birth Weight Preterm Infants. International Journal of Pediatrics [Internet]. 2014 [cited 2018 Jun 6]; 2014:1–4. Available from: https://www.hindawi.com/journals/ijpedi/2014/434060/
10. Johnson CD, Jones S, Paranjothy S. Reducing low birth weight: prioritizing action to address modifiable risk factors. Journal of Public Health [Internet]. 2016 [cited 2018Jun6]; Available from:
11. Sleuwen BV, L’Hoir M. Comparison of behavior modification with and without swaddling as interventions for excessive crying. The Journal of Pediatrics [Internet]. 2006 [cited 2018Jun23];149(4). Available from: https://www.borstvoeding.com/files/comparison-of-behavior.pdf
12. Hauck FR. Do Pacifiers Reduce the Risk of Sudden Infant Death Syndrome? A Meta-analysis. Pediatrics [Internet]. 2005Jan [cited 2018Jun23];116(5). Available from: https://www.ncbi.nlm.nih.gov/pubmed/16216900
13. Garg BD, Kabra NS, Balasubramanian H. Role of massage therapy on reduction of neonatal hyperbilirubinemia in term and preterm neonates: a review of clinical trials. The Journal of Maternal-Fetal and Neonatal Medicine [Internet]. 2017 [cited 2018Jun6];1–9. Available from: Bhawan Deep Garg Surya Children’s Medic
14. Karbasi SA, Golestan M, Fallah R, Golshan M, Dehghan Z. Effect of body massage on increase of low birth weight neonates growth parameters: A randomized clinical trial [Internet]. Iranian Journal of Reproductive Medicine. Research and Clinical Center for Infertility; 2013 [cited 2018Jun5]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941350
15. Narangerel G, Pollock J, Manaseki-Holland S, Henderson J. The effects of swaddling on oxygen saturation and respiratory rate of healthy infants in Mongolia. Acta Paediatrica [Internet]. 2007 [cited 2018Jun23];96(2):261–5. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1651-2227.2007.00123.x
16. Saeadi R, Ghorbani Z, Shapouri A. The effect of massage with medium-chain triglyceride oil on weight gain in premature neonates. [Internet]. ActamedicaIranica. U.S. National Library of Medicine; [cited 2018Jun5]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25725185
17. Kumar J, Upadhyay A, Dwivedi AK, Gothwal S, Jaiswal V, Aggarwal S. Effect of Oil Massage on Growth in Preterm Neonates Less than 1800 g: A Randomized Control Trial [Internet]. SpringerLink. Springer, Dordrecht; 2012 [cited 2018Jun5]. Available from: https://link.springer.com/article/ 10.1007/s12098-012-0869-7
18. Pitre S. Effect of Massage on Physiological and Behavioral Parameters among Low Birth Weight Babies. International Journal of Science and Research (IJSR) [Internet]. 2014May [cited 2018May];3(5):474–87. Available from: https://www.ijsr.net
19. Nycole De La Torre. The Benefits of Swaddling Preterm Infants. California State University San Marcos [Internet]. 2016Apr28 [cited 2018Jun23]; Available from: http://csusm-dspace.calstate.edu/bitstream/handle/10211.3/169306/DeLaTorreNycole_Spring2016.pdf;sequence=1
20. MathaiS, Fernande A. Effectoftactile–kinaesthetic stimulation in preterms: A controlled trial. IndianPediatrics2002 ;38 :1091 -98.
21. Zahra, Balian. The use Of Comforting Touch and Massage To Reduce Stress In Preterm Infants in NICU. Newborn and Infant Nursing Reviews 2001 Dec.1 (4) :235 – 241.