www.ijcmr.com Section: Public Health International Journal of Contemporary Medical Research Section: Public Health ISSN (Online): 2393-915X; (Print): 2454-7379 | Volume 8 | Issue 1 | January 2021 A5 The Effects of the use of Incubator, Kangaroo Care Method, Plastic Wrap, and Nesting on Increasing Temperature of Low Birth Weight Babies in NICU / NHCU Prof. Dr. W.Z. Johannes Regional Public Hospital Kupang in 2020 Adriana Ully 1 , Christina Olly Lada 2 , Luh Putu Ruliati 3 ORIGINAL RESEARCH ABSTRACT Introdcution: Hypothermia in low birth weight babies can increase the risk of morbidity and mortality in infants. Incubators can be used to maintain the body temperature of low birth weight babies, but not all health facilities have incubators or the number is limited. There are several other treatment methods to maintain the stabilization of low birth weight babies body temperature, including through the kangaroo care method, plastic wrap, and nesting. Objective: To analyse the effects of using an incubator, kangaroo care method, plastic wrap and nesting on the increase in body temperature of low birth weight babies in the NICU / NHCU Prof. DR. W.Z Johannes Regional Public Hospital Kupang. Material and methods: The research design used was a quasi- experiment with pre and post-test without control with a 2x2 cross over design of 40 samples for 2 months. The bivariate data analysis technique used the Wilcoxon test. Results: Bivariate analysis showed that the intervention for 2 hours increased body temperature by 0.60 ° C with incubator treatment, kangaroo care 0.40 ° C, plastic wrap 0.80 ° C, and nesting 0.30 ° C. The results of statistical tests on the four methods obtained the value of p = 0.000, so that there were differences in body temperature before and after treatment with the incubator, kangaroo care method, plastic wrap, and nesting. Conclusion: There is an effect of increasing body temperature of low birth weight with incubator treatment, kangaroo care method, plastic wrap, and nesting. Suggestion: Treatment for prevention of hypothermia for low birth weight babies in Health Facilities that do not have an incubator can use the kangaroo care, plastic wrap, and nesting methods. Keywords: Low Birth Weight, Body Temperature, Incubator, Kangaroo Care Method, Plastic Wrap, Nesting INTRODUCTION The results 1 show that the prevalence rate of low birth weight in Indonesia was 6.8% and varies greatly from province to province, ranging from 2.6 - 8.9%. The lowest prevalence was in Jambi at 2.6% and the highest was in Southeast Sulawesi at 8.9%. The prevalence rate of low birth weight in NTT in 2018 was 8.4%. This fgure is quite high and shows that low birth weight is a major health problem. Furthermore, according to data 2 the main causes of neonatal death were low birth weight (30.76%), asphyxia (26.6%) and infection (31.5%). Medical record data for the incidence of low birth weight 3 in 2017, 2018,2019 was out of 289 babies there were 50 babies died (27.3%), out of 394 babies there were 70 babies died (17.8%), and out of 311 babies there were 66 babies died (21.2%). Based on medical record data at Prof. DR. W.Z Johannes Regional Public Hospital Kupang in 2018, 70 babies died and 58 babies with initial problems with hypothermia and continued to other complications. The use of incubators has many limitations, in addition to being limited in number, requiring high maintenance costs and having skilled workers capable of operating them, and also requiring trained nurses to care for babies. 4 Low birth weight care in Indonesia still prioritizes the use of incubators, but their existence is still very limited. This causes the morbidity and mortality of low birth weight to be very high, not only due to the condition of prematurity, but also exacerbated by hypothermia and nosocomial infections. Hypothermia in low birth weight babies can increase the risk of death in infants. However, organ damage is also a factor in the high risk of morbidity in low birth weight babies with hypothermia, such as hyaline membrane disease, aspiration pneumonia, intraventricular bleeding, retrolental fbroplasia, retinopathy of prematurity (ROP), hyperbilirubinemia, and NEC (necrotizing enterocolitis). All complications that occur in low birth weight babies are preceded by hypothermia. 5 Methods This study used a quasi-experimental research method. The research design used was a quasi experiment with pre and post test without control with a cross over design. The cross over design is an experimental design where each experimental subject receives several treatments for different time periods. The experiment meant here is the use of an incubator, the kangaroo method, plastic wrap and nesting to increase body 1 Masters Program in Public Health Sciences, Nusa Cendana University, NTT Indonesia, 2 Faculty of Medicine, University of Nusa Cendana, NTT Indonesia, 3 Faculty of Public Health, Nusa Cendana University, Indonesia Corresponding author: Adriana Ully/ Masters Program in Public Health Sciences, Nusa Cendana University, NTT Indonesia How to cite this article: Ully A, Lada CO, Ruliati LP. The Effects of the use of incubator, kangaroo care method, plastic wrap, and nesting on increasing temperature of low birth weight babies in NICU / NHCU Prof. Dr. W.Z. Johannes Regional Public Hospital Kupang in 2020. International Journal of Contemporary Medical Research 2021;8(1):A5-A10. DOI: http://dx.doi.org/10.21276/ijcmr.2021.8.1.14