The Effect of Breast Milk Odor and Swaddling on Physiological Parameters and Stress Levels in Premature Infants Receiving Ventilator Support

The Effect of the Safe Swaddling Method and the Scent of Breast Milk on Physiological Parameters, Stress, and Comfort Levels in Premature Newborns Receiving Mechanical Ventilator Support: A Randomized Controlled Study

It will be done to shorten the hospital stay of the newborn and increase the quality of care by proving the positive effect of the safe wrapping method and the smell of breast milk on the physiological parameters and stress level of the newborn in premature newborns receiving mechanical ventilator support.

1. Safe wrapping method positively affects physiological parameters in premature newborns receiving mechanical ventilation support.
2. Safe wrapping method reduces stress in premature newborns receiving mechanical ventilation support.
3. Safe wrapping method increases comfort in premature newborns receiving mechanical ventilation support.
4. The smell of breast milk positively affects physiological parameters in premature newborns receiving mechanical ventilation support.
5. The smell of breast milk reduces stress in premature newborns receiving mechanical ventilation support.
6. The smell of breast milk increases comfort in premature newborns receiving mechanical ventilation support.

This study aims to answer the hypotheses

The universe of the study will consist of premature newborns receiving ventilator support in the neonatal intensive care clinic of Selçuk University Medical Faculty Hospital. Three groups will be included in the study: the wrapping group (24), the breastfeeding group (24), and a control group (24). The study data will be collected using the Introductory Information Form, Preterm Infant Physiological Measurement Form, Premature Infant Comfort Scale, and the Neonatal Stress Scale. Before randomization, general information about the study will be given to the parents of newborns who meet the inclusion criteria, the mothers' consent will be obtained, and pre-test data will be collected. Premature newborns receiving ventilator support, whose pre-test data have been collected, will be assigned to the intervention and control groups using the simple randomization method. The intervention will be applied one hour after the 18:00 care, 10 minutes before the procedure, considering the calmest and most stable hours of the research unit, and will be evaluated at the fifth and twentieth minutes after the procedure.

Inclusion Criteria:

• Newborns with gestational weeks between 340/7-366/7,
• In the first 28 days of life,
• High-flow nasal cannula applied,
• Birth weight 1500 gr and above,
• Breastfeeding mothers,
• No health problems that would prevent positioning,

Exclusion Criteria:

• Those who have had a painful procedure within the last hour,
• Those who have taken analgesic/sedative drugs within the last 6 hours,
• Those who have undergone any surgical intervention,
• Those with other diagnoses (hyperbilirubinemia, hypoglycemia, etc.),
• Those with cerebral hypoxia/ischemia,
• Those with intraventricular hemorrhage,
• Newborns with congenital anomalies