LITERATURE REVIEW: THE EFFECT OF PRONATION POSITION ON HEMODYNAMIC CHANGE IN PREMATURE BABY WITH RDS

Abstract

The biggest cause of neonatal death is premature birth, reaching 35.2%. The mortality and morbidity rate in
premature infants is mostly caused by respiratory distress syndrome (RDS). One of the management is giving
pronation position. The design of this research is literature review using the compare technique is to summarize
and critize the similarities of articles and presented in new articles , with data sources : search for research
journals that have been carried out and published in national and international online journals published in
Indonesian and english from 2016-2020 using google scholar. The results of the analysis showed that the
average oxygen saturation of all initial journals was 93% to 96%. The average initial respiratory rate was
55x/minute to 66x/minute. In addition, heart rate, temperature and pulse have improved. Each duration can
increase hemodynamic status due to after the pronation position given will provide calm and comfort to the
baby which has an impact on circulation in the body to be smooth. The results of the P value in all journals
used were <0.05, meaning that there was a significant effect before and after the pronation position was carried
out. This is because the heaviest part of the lungs is located on the back, so patients who lie down with their
weight on their back will have a harder time getting enough air. The pronation position can be applied to
premature babies to improve hemodynamic status which has an impact on the baby's quality of life.