145 - PHYSIOLOGICAL STABILITY OF INFANTS IN KANGAROO MOTHER CARE POSITION VERSUS PLACED IN TRANSPORT INCUBATOR DURING NEONATAL GROUNDAMBULANCE TRANSPORTS IN SWEDEN
Neonatal transport is a risk activity. The sound and vibration environment in the incubator exceed recommended levels, are stressful and effect the infants physiological stability. Furthermore, neonatal transport often implies a separation between the infant and the parents.
To compare physiological stability of infants transported by ground ambulance in either Kangaroo Mother Care (KMC) position or positioned in a transport incubator.
A comparative design of infants transported in KMC position (n=16) versus infants positioned in a transport incubator (n=8). Included infants had a current weight over 1500 g, gestational age above 31+0 weeks, no central catheters, no respiratory support and no planded stressful interventions during the 48 hours follow up period. Physiological stability parameters were defined as heart/respiratory rate, oxygen saturation, body temperature, supplementary oxygen, pain assessment and Transport Risk Index of Physiologic Stability (TRIPS) scores. Time to prepare and restore equipment was estimated.
No differences in physiological stability during transport or the subsequent 48 hours were found. No adverse events were reported. Estimation of time spend to prepare the transport and to restore equipment after the transport was less in the KMC transports
Transportation of infants in KMC position seems as safe as placing the infant in a transport with regard to physiological stability. KMC transports also seems to be more cost-effective compared to use the transport incubator. KMC transports is an option for relatively stable infants. The method also supports family-centred care and decrease the time of separation between the infant and parent.