Comparison of the Effect of Swaddling and Nesting on Neonatal Self-Regulatory Behaviors with Addicted Mothers

Introduction: The use of narcotics during pregnancy is accompanied by injuries such as preterm delivery, low birth weight and severe complications such as birth defects, which can lead to increased stress, decreased self-regulation and hospitalization in infants with the escalation of stress caused by the environment in these infants, there is a need for an evolutionary care approach. Swaddlers and nests are effective interventions for these babies. The purpose of this study was to compare the effect of nesting and swaddling on the self-regulation behavior of the newborn with the addicted mother. Methods: This cross-overal clinical trial was performed on 30 infants who were admitted to neonatal intensive care unit of Mashhad and had addicted mother with gestational age of 32 to 38 weeks. The sampling method was simple random sampling. The infants were divided into two groups of swaddling in the first three days (group A) and nesting in the first three days (group B), and the second three days in the opposite group, respectively. The duration of the intervention was six days. The demographic information questionnaire and the checklist form of observing the infant's behaviors were used for assessing stress and the Finnegan scale was used to assess the degree of neonatal abstinence syndrome. Data was analyzed using SPSS software. Results: Based on the results of independent t-test, the percentage of self-regulation behaviors was not significant in the first three days of the swaddle and the first three days of the nest group (P = 0.066). Conclusions: The results showed that the effect of nesting and swaddling on the self-regulating behaviors of the newborn with the addicted mother was not significantly different. Therefore, these two methods do not differ significantly. According to the conditions of the newborn, the part and the mother's desire can be selected from one of them.