The Development of Instant Nesting Bed for Low Birth Weight Infants

Tsalitsa Mungillya Pradina Nisa; Happy Dwi Aprilina; Atika Dhiah Anggraeni; Reni Purwo Aniarti

Authors

Tsalitsa Mungillya Pradina Nisa Universitas Muhammadiyah Purwokerto
Happy Dwi Aprilina Universitas Muhammadiyah Purwokerto
Atika Dhiah Anggraeni Universitas Muhammadiyah Purwokerto
Reni Purwo Aniarti Universitas Muhammadiyah Purwokerto

Keywords:

Innovation, Low Birth Weight Infants, Nesting

Abstract

Low Birth Weight (LBW) infants are those born weighing less than 2,500 grams, regardless of gestational age. LBW infants often experience hypothermia and sleep disturbances due to difficulty adapting. Nesting is a practice aimed at providing warmth and comfort. However, conventional nesting methods often result in reduced quality due to inefficiency, improper sizing, instability, and inability to fully envelop the infant's body. The development of Instant Nesting Bed aims to enhance the efficiency and quality of nesting practices by addressing common issues found in conventional nesting techniques. The study employed a Research and Development (RD) methodology, consist 5 steps, problem analyze, product development, expert validity, product revision and final product, product testing. The innovation process resulted in an efficient nesting design that is adjustable in size, fully encloses the infant's body, is structurally robust, and maintains its shape. The nesting device can be used both inside and outside incubators with additional warming features. It also includes fixation mechanisms to minimize uncoordinated infant movements. Validity testing by health experts, health academics, and perinatology nurses confirmed that the Instant Nesting Bed is feasible for use. Based on the testing results, the Instant Nesting Bed improves the efficiency and quality of nesting for LBW infants. However, the innovation has certain limitations, such as short-lasting warming features, testing restricted to infants without medical aids, and no evaluation of its overall impact on nursing care practices for nesting.

References

Anggari, R. S., Kurniawan, S., & Lamak, M. K. (2022). Perilaku Etis Saat Pelaksanaan Prosedur Invasif: Pengalaman Perawat Pada Perawatan Bayi Prematur. Jurnal Ilmiah Kesehatan Rustida, 09(01), 1–12.

Arfiana, Sarjuningati, S., Idhayanti, R. I., & Saputra, W. J. (2024). Posisi Nesting Terhadap Berat Badan Pada Bayi Berat Lahir Rendah. MPPK: Media Publikasi Penelitian Kebidanan, 7(1), 40–48.

Azim, L. O. L., Sulaiman, E., Sumera, S., Hermin, S., Sandryana Nur, A. D., & Darmin, D. (2022). Faktor-Faktor Yang Berhubungan Dengan Kejadian Bayi Berat Lahir Rendah Di Ruang Nicu Badan Layanan Umum Daerah Rumah Sakit Konawe. Jurnal Penelitian Sains Dan Kesehatan Avicenna, 1(3), 1–13. https://doi.org/10.69677/avicenna.v1i3.17

Blencowe, H., Krasevec, J., de Onis, M., Black, R. E., An, X., Stevens, G. A., … Cousens, S. (2019). National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: a systematic analysis. The Lancet Global Health, 7(7), e849–e860. https://doi.org/10.1016/S2214-109X(18)30565-5

Boundy, E. O., Dastjerdi, R., Spiegelman, D., Fawzi, W. W., Missmer, S. A., Lieberman, E., … Chan, G. J. (2016). Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis. Pediatrics, 137(1). https://doi.org/10.1542/peds.2015-2238

Carneiro, M. M. C., Ribeiro, S. N. S., Menegol, N. A., Okubo, R., Montemezzo, D., & Sanada, L. S. (2024). Nest positioning on motor development, sleep patterns, weight gain in preterm infants: systematic review. Pediatric Research, 96(1), 57–63. https://doi.org/10.1038/s41390-023-02972-w

Damayanti, D. S., Deviana, M., & Primadani, A. K. (2024). Effects of nesting and murottal Al-Qur’an on vital sign change in infants with low birth weight. Malahayati International Journal of Nursing and Health Science, 07(7), 834–844. https://doi.org/10.33024/minh.v7i7

Dubner, S. E., Morales, M. C., Marchman, V. A., Shaw, R. J., Travis, K. E., & Scala, M. (2023). Maternal mental health and engagement in developmental care activities with preterm infants in the NICU. Journal of Perinatology, 43(7), 871–876. https://doi.org/10.1038/s41372-023-01661-0

Efendi, D., Sari, D., Riyantini, Y., Novardian, Anggur, D., & Lestari, P. (2019). Pemberian Posisi (Positioning) dan Nesting Pada Bayi Prematur: Evaluasi Implementasi Perawatan di Neonatal Intensive Care Unit (NICU). Jurnal Keperawatan Indonesia, 22(3), 169–181. https://doi.org/10.7454/jki.v22i3.619

Eliyanti, Y., & Hasta Noeraini, N. (2020). Pengaruh Nesting Terhadap Perubahan Fisiologis Bayi Prematur di Ruang Perinatologi RSUD Dr. M. Yunus Bengkulu. Jurnal Media Kesehatan, 13(2), 120–128. Retrieved from https://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/574

Erawati, M., & Ramandhani, R. A. (2021). Pengaruh Pemberian Nesting Terhadap Kualitas Tidur Pada Bayi Prematur: A Literature Review. Jurnal Ilmu Keperawatan Anak, (2). https://doi.org/10.26594/jika.1.2.2018

Fernando, F., Patricia, H., & Pebrina, M. (2021). The Effect of Nesting on Changes in Physiological Stress in Low Birth Weight Babies. Proceedings of the 2nd Syedza Saintika International Conference on Nursing, Midwifery, Medical Laboratory Technology, Public Health, and Health Information Management (SeSICNiMPH 2021), 188–192. Atlantis Press. https://doi.org/https://doi.org/10.2991/ahsr.k.211026.035

Ginting, C. N., Sari, M. P., Ginting, M., Tobing, M. L., Sigalingging, M., & Suri, M. (2023). Efektivitas Penggunaan Nesting dan Posisi Prone terhadap Suhu Tubuh, Saturasi Oksigen dan Frekuensi Nadi Bayi Prematur dan BBLR di RSU Dr.Pringadi Medan. Malahayati Nursing Journal, 5(7), 2259–2266. https://doi.org/10.33024/mnj.v5i7.9037

Gueye, M., Sow, A., Boiro, D., Ibrahim, Y. M., Bathily, A. C., Amane, B., … Ndiaye, O. (2023). Height and weight development of low-birth-weight infants at 9 months. Archives de Pédiatrie, 30(2), 100–103. https://doi.org/10.1016/j.arcped.2022.11.013

Hadya, R. A. (2023). Kejadian Berat Badan Bayi Lahir Rendah Dilihat Dari Kondisi Anemia Ibu Hamil Di Rumah Sakit Umum Wulan Windi Tahun 2022. Journal of Health and Medical Science, 47–53. https://doi.org/10.51178/jhms.v2i2.1386

Hallowell, S. G., Rogowski, J. A., & Lake, E. T. (2019). How Nurse Work Environments Relate to the Presence of Parents in Neonatal Intensive Care. Advances in Neonatal Care, 19(1), 65–72. https://doi.org/10.1097/ANC.0000000000000431

Hamang, S. H., & Nurhayati, N. (2022). Faktor Risiko Kejadian Berat Bayi Lahir Rendah. Window of Midwifery Journal, 14–23. https://doi.org/10.33096/wom.vi.331

Hayati, A., Sari, I. P., Murniasih, E., Keperawatan, I., Awal, U., & Batam, B. (2023). Pengaruh Nesting Terhadap Kualitas Tidur Bayi Berat Lahir Rendah (BBLR). Jurnal Ilmu Keperawatan Anak, 6(2), 48–59. https://doi.org/10.32584/jika.v6i2.2434

Ibrahim, C., Chavez, P., Smith, D., Craig, J., & Pineda, R. (2024). Oral motor interventions used to support the development of oral feeding skills in preterm infants: An integrative review. Early Human Development, 198, 106125. https://doi.org/10.1016/j.earlhumdev.2024.106125

Indartik, I., Khasanah, N. N., & Wahyuni, S. (2025). Nesting Technique as a Simple Method for Optimal Outcomes in Premature Infant Care: A Literature Review. Media Keperawatan Indonesia, 8(1), 72. https://doi.org/10.26714/mki.8.1.2025.72-82

Ismail, A., Salaghor, S. M., Alshomrani, S. A., & Almodallal, H. (2024). The Impact of Using Nesting Care on Heart Rate, Oxygen Saturation, and Pain Among Premature Neonates in Neonatal Intensive Care Units in Saudi Arabia: A Quasi-Experimental Study. Cureus. https://doi.org/10.7759/cureus.61775

Kapoor, A., Khan, M., & Beohar, V. (2021). Pain relief in late preterm neonates: A comparative study of kangaroo mother care, oral dextrose 50%, and supine nesting position. International Journal of Applied and Basic Medical Research, 11(3), 188. https://doi.org/10.4103/ijabmr.IJABMR_584_20

Kemenkes. (2021). Profil Kesehatan Indonesia Tahun 2021. Jakarta.

Ko, J., & Lim, H. K. (2023). Motor Development Comparison between Preterm and Full-Term Infants Using Alberta Infant Motor Scale. International Journal of Environmental Research and Public Health, 20(5), 3819. https://doi.org/10.3390/ijerph20053819

Lyu, T., Ye, R., Li, L. L., Zhang, L. L., Xiao, J., Ma, Y. L., … Hu, X. J. (2024). The effect of developmental care on the length of hospital stay and family centered care practice for very low birth weight infants in neonatal intensive care units: A cluster randomized controlled trial. International Journal of Nursing Studies, 156, 104784. https://doi.org/10.1016/j.ijnurstu.2024.104784

Noor, M., Hasanah, O., Ginting, R., Studi, P., & Keperawatan, I. (2016). Penggunaan Nesting dengan Fiksasi Mampu Menjaga Stabilitas Saturasi Oksigen, Frekuensi Pernafasan, Nadi Dan Suhu Pada Bayi Prematur Dengan Gawat Napas: Studi Kasus. Jurnal Ners Indonesia, 6(1), 65–76. Retrieved from https://doi.org/10.31258/jni.6.1.64-75

Peterson, S. J., & Foley, S. (2021). Clinician’s Guide to Understanding Effect Size, Alpha Level, Power, and Sample Size. Nutrition in Clinical Practice, 36(3), 598–605. https://doi.org/10.1002/ncp.10674

Prescott, M. G., Geist, M., Olsson, E., Fiander, M., Soll, R. F., & Bruschettini, M. (2024). Infant positioning for promoting development and preventing morbidity in preterm infants. Cochrane Database of Systematic Reviews, 2024(12). https://doi.org/10.1002/14651858.CD016029

Rabbani, V. (2022). Pengaruh Penggunaan Metode Nesting Terhadap Peningkatan Berat Badan Pada Bayi Berat Lahir Rendah (BBLR). Journal of Borneo Holistic Health, 5(2), 228–245. https://doi.org/10.35334/borticalth.v5i2.2763

Rohmah, M., Saputri, N., & Bahari, J. (2020). Effectiveness Of Use Of Nesting On Body Weight, Oxygen Saturation Stability, And Breath Frequency In Prematures In Nicu Room Gambiran Hospital Kediri Cityr. STRADA Jurnal Ilmiah Kesehatan, 9(1), 119–128. https://doi.org/10.30994/sjik.v9i1.275

Sivanandan, S., & Sankar, M. J. (2023). Kangaroo mother care for preterm or low birth weight infants: a systematic review and meta-analysis. BMJ Global Health, 8(6), e010728. https://doi.org/10.1136/bmjgh-2022-010728

Sumathy, P. (2020). Effectiveness of Nesting Technique on Posture and Physiological Parameters. Pondicherry Journal of Nursing, 13(2), 25–28. https://doi.org/10.5005/jp-journals-10084-12149

Suryani, S. I., Shifa, N. A., & Yuliza, E. (2023). Efektivitas Terapi Sentuhan dan Penggunaan Nesting terhadap Suhu Tubuh Bayi Berat Badan Lahir Rendah. Open Access Jakarta Journal of Health Sciences, 2(3), 623–630. https://doi.org/10.53801/oajjhs.v2i3.121

Tane, R., Rustina, Y., & Waluyanti, F. T. (2019). Nesting with Fixation and Position to Facilitate Quiet Sleep and Oxygen Saturation on Low-Birth Weight Infants. Comprehensive Child and Adolescent Nursing, 42(sup1), 29–37. https://doi.org/10.1080/24694193.2019.1577923

Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd

Thabet, A. M., & Sayed, Z. A. (2021). Effectiveness of the Premature Infant Oral Motor Intervention on Feeding Performance, Duration of Hospital Stay, and Weight of Preterm Neonates in Neonatal Intensive Care Unit. Dimensions of Critical Care Nursing, 40(4), 257–265. https://doi.org/10.1097/DCC.0000000000000475

Upadhyay, J., Singh, P., Digal, K. C., Shubham, S., Grover, R., & Basu, S. (2021). Developmentally Supportive Positioning Policy for Preterm Low Birth Weight Infants in a Tertiary Care Neonatal Unit: A Quality Improvement Initiative. Indian Pediatrics, 58(8), 733–736. https://doi.org/10.1007/s13312-021-2281-8

Vadakkan, A. J., & Prabakaran, V. (2022). Comparison of the Effect of Nesting and Swaddling on Sleep Duration and Arousal Frequency among Preterm Neonates: A Randomized Clinical Trial. Journal of Caring Sciences, 11(3), 126–131. https://doi.org/10.34172/jcs.2022.17

Waruwu, M. (2024). Metode Penelitian dan Pengembangan (R&D): Konsep, Jenis, Tahapan dan Kelebihan. Jurnal Ilmiah Profesi Pendidikan, 9(2), 1220–1230. https://doi.org/10.29303/jipp.v9i2.2141

WHO. (2018). New global estimates on preterm birth published. Departmental News.

Xing, L., Zhang, D., Cao, M., & Zhang, J. (2023). The relationship between NICU stress and neurodevelopmental outcomes of preterm infants: A multi-center prospective cohort study in China. Journal of Pediatric Nursing, 71, e90–e96. https://doi.org/10.1016/j.pedn.2023.04.018