GP Report_Purushottam_kumar

GRADUATION PROJECT
UI/UX // PURUSHOTTAM KUMAR

CERTIFICATE
This is to certify that the Graduation project titled “Replication of sensory and auditory simulation of the womb
inside the infant incubator using mobile App and biorythms tracking device ” is a record of work done by the
student, Purushottam Kumar & 061175500026 as a Regular student for the degree of B.Des Fashion
Communication during the period of Jan 2015 to May 2015, which represents as independent work and
does not form the base for any previous work.
Mr. Prashanth KC
Associate Professor
Department Of Fashion Communication
National Institute of Fashion Technology
Bangalore - 560102.
Place : Bangalore
Date : 11-05-2015
(External Jury Member) (External Jury Member)(External Jury Member)
(External Jury Member)
Under the Guidance

ACKNOWLEDGEMENT
To start with, at the very onset, I would like to thank my college National Institute of Fashion Technology,
Bangalore for providing me with knowledge in terms of education and life! And definitely for numerous other
opportunities this college provided me with. Special mention would be Mr. Raja.B , Mr. Sanjeev CM, Mr. KC
Prashant(Mentor) without whom I would have been lost literally.
I would also like to thank Tata Elxsi for providing me with an opportunity to carry out my graduation project.
Mr. Satish Patil, Design Manager, UI/UX , my Industrial, mentor helped me to understand corporate design
structure and gave me valuable guidence about the project. Ms. Sucherita and Kumar Harshvardhan guided
mewith each step of the project and made my working experience wonderful. Thank you for letting me be a
part of experience where I actually had fun and yet learned!
Also a big thank you to every other institution who helped me grow and enhance my skills.

COMPANY PROFILE
INDUSTRIAL DESIGN CENTRE, BANGALORE
PROJECT
INTRODUCTION
UNDERSTANDING
LITERATURE REVIEW
PRIMARY RESEARCH
PERSONAS
RESEARCH FINDINGS
CONCEPT
IDEATION
MOBILE APP DESIGN
PROTOTYPE DEVELOPMENT
LEARNING
BIBLIOGRAPHY
01 - 08
09 - 12
15 - 16
17 - 28
29 - 36
37 - 44
45 - 56
57 - 60
61 - 64
65-80
81-105
106-108
108 - 109
110 - 114

Replication of sensory and auditory simulation of mother’s
womb inside infant Incubator using smart Phone and human
biorythms tracking device
14
UI/UX//PURUSHOTTAMKUMAR

INTRODUCTION
UNDERSTANDING
LITERATURE REVIEW
PRIMARY RESEARCH
PERSONAS
RESEARCH FINDINGS
CONCEPT
IDEATION
MOBILE APP
DESIGN
16

A child’s birth is one of the most anticipated and joyous moment for parents. Celebrating a new
life,with all its innocence and delicate aura, is a moment that parents remember for all their lives.
But the fact remains that 10% of the total births take place, are pre-term babies. Pre-term birth is
a term related to babies who are born before completing atleast 37 weeks of gestation period.
The numbers of pre-term births are increasing by the day. In India, of the 27 million babies born
annually, 3.6 million are premature. Of which, 3,03,600 do not survive due to complications.
The country unfortunately ranks 36th in the world’s list of pre-term babies annually.
Though the neo-natal care is becoming advanced by the day, there still remains a large gap to
be filled in terms of direct contact between the parents and infant in the NICU.With an increas-
ing numbers of machines used in neo-natal care, there is a growing concern that the excess
noise typically experienced by NICU infants disrupts their growth and development, putting them
at risk for hearing, language, and cognitive disabilities. Preterm neonates are especially sensitive
to noise because their auditory system is at a critical period of neurodevelopment, and they are
no longer shielded by maternal tissue. Also, studies have shown that mother-child contact is a
necessary factor in the healing process of the neonates. Moreover, parents, especially mothers,
experience a sense of stress and added anxiety because of separation from the infant and lack
of interaction.
The project aims at combining smart-phones, which are one of the most commonly used and
widely affordable means of technology with the neo-natal care. The project will aim at creating
an interface through which the mother’s biorthyms can be modulated through the smart phones
and simulated in the incubator. This will not only mean direct contact between the mother and
the baby but will also mean that the added stress that parents face due to lack of control and
alienation from the baby in NICU is decreased to some extent.
18

UNDERSTANDING THE tARGET MARKET
PREMATURE BIRTHSAROUND THE WORLD
WHAT IS A BABY PREMATURE?
preemie
week
37
usa
517 k
brazil
279 k
NIGERIA
773 k
CONGO
341 k
PAKISTAN
773 k
INDIA
3,52 M
CHINA
1,17 M
BANGLADESH
424 K
INDONESIA
675 K
PHILIPPINES
348 K
G
ESTATIONWEE
K
G
ESTATIONWEE
K
01 40
128 million births
occur each year
that’s 4 births every second
of every year
TOP COUNTRIES FOR PREMATURE BIRTHS
GRADUATIONPROJECT//
21

premature babies
and low birth weight
where premature
birth occur most often
worldwide
prematurity rate
worldwide
born premature babies
yesterday and today
youngest babies saved
yesterday and today
youngest babies saved
ten
years ago
26weeks
today
22weeks
more than
born premature
in1 10
more than
20 m
births
between
percent
10-12
25%
africa
35%
s. asia
550
grams
ten
years ago
350
grams
today
22

incubator technology
GRADUATIONPROJECT//
23

24
market penetration
Market penetration was done to know about
existing health tracking and simulation app.
I observed various apps and shortlisted 3
apps those were very apt to the kind of design
research I was working on :
Tinke
Tactico Health App
Neonook

Nicu overview
The birth of a baby is a wonderful yet very complex process.
Many physical and emotional changes occur for mother and
baby.
A baby must make many physical adjustments to life outside the
mother's body. Leaving the uterus means that a baby can no
longer depend on the mother's circulation and placenta for
important physiologic functions.
Before birth, breathing, eating, elimination of waste, and immu-
nologic protection all came from the mother. When a baby
enters the world, many body systems change dramatically from
the way they functioned during fetal life:
The lungs must breathe air.
The cardiac and pulmonary circulation changes.
The digestive system must begin to process food and excrete
waste.
The kidneys must begin working to balance fluids and chemicals
in the body and excrete waste.
The liver and immunologic systems must begin functioning
independently.
Baby's body systems must work together in a new way. Some-
times, a baby has difficulty making the transition to the world.
Being born prematurely, having a difficult delivery, or birth
defects can make these changes more challenging. Fortunately
for these babies, special newborn care is available.
What is the neonatal intensive care unit ?
Newborn babies who need intensive medical attention are often admitted into a special area of the hospital called the
Neonatal Intensive Care Unit (NICU). The NICU combines advanced technology and trained health care professionals to
provide specialized care for the tiniest patients. NICUs may also have intermediate or continuing care areas for babies who
are not as sick but do need specialized nursing care. Some hospitals do not have the personnel or a NICU and babies must
be transferred to another hospital.
Some newborn babies will require care in a NICU, and giving birth to a sick or premature baby can be quite unexpected
for any parent. Unfamiliar sights, sounds, and equipment in the NICU can be overwhelming. This information is provided
to help you understand some of the problems of sick and premature babies. You will also find out about some of the proce-
dures that may be needed for the care of your baby.
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25

Which babies need special care?
Most babies admitted to the NICU are premature (born before 37 weeks of pregnancy), have low birth weight (less than
5.5 pounds), or have a medical condition that requires special care. In the U.S., nearly half a million babies are born
preterm, and many of these babies also have low birth weights. Twins, triplets, and other multiples often are admitted to the
NICU, as they tend to be born earlier and smaller than single birth babies. Babies with medical conditions such as heart
problems, infections, or birth defects are also cared for in the NICU.
The following are some factors that can place a baby at high risk and increase the chances of being admitted to the NICU.
However, each baby must be evaluated individually to determine the need for admission. High-risk factors include the
following:
Maternal factors:
Age younger than 16 or older than 40 years
Drug or alcohol exposure
Diabetes
Hypertension (high blood pressure)
Bleeding
Sexually transmitted diseases
Multiple pregnancy (twins, triplets, or more)
Too little or too much amniotic fluid
Premature rupture of membranes (also called the amni-
otic sac or bag of waters)
Delivery factors:
Fetal distress/birth asphyxia (changes in organ systems
due to lack of oxygen)
Breech delivery presentation (buttocks delivered first) or
other abnormal presentation
Meconium (the baby's first stool passed during pregnan-
cy into the amniotic fluid)
Nuchal cord (cord around the baby's neck)
Forceps or cesarean delivery
Baby factors:
Birth at gestational age less than 37 weeks or more than
42 weeks
Birth weight less than 2,500 grams (5 pounds, 8 ounces)
or over 4,000 grams (8 pounds, 13 ounces)
Birth defects
Respiratory distress including rapid breathing, grunting,
or apnea (stopping breathing)
Infection such as herpes, group B streptococcus, chlamyd-
ia
Seizures
Hypoglycemia (low blood sugar)
Need for extra oxygen or monitoring, intravenous (IV)
therapy, or medications
Need for special treatment or procedures such as a blood
transfusion
Who care for baby in the NICU?
Neonatologist. A pediatrician with additional training in
the care of sick and premature babies. The neonatologist
supervises pediatric fellows and residents, nurse practi-
tioners, and nurses who care for babies in the NICU.
Respiratory therapists
Occupational therapists
Dietitians
Lactation consultants
Pharmacists
Social workers
Hospital chaplains
26

brainstorming
Initial Brainstorming and Mind maps has been
Done Here for the various Purposes :
1. Expand thinking on the topic.
2. To understand the domain.
3. Need of the user from self Perspective and to
push the need of the user during User Survey.
4. Develop structure for assignment.
5. Focus on research.
6. Clarification of thoughts.
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initial information architecture
Initially Information Architecture (IA) has
Been Developed after Getting feature lists From
initial Brain Storming & Mind maps.
Information Architecture is Regenerated
after Analyzing the data gathered after Market
Penetration, User Survey and Research Work.
Initial Information Architecture was developed
at Initial stage from initial brainstorming which helps
in:
1. Information Organization.
2. Information labeling.
3. Information Navigation.
4. Information Search.
Information Search
Information Navigation
Content
28

AUDITORY SYSTEM DEVELOPMENT MILESTONES
The development of the auditory system is
an elaborate process that begins very early
in gestation. All major structures of the ear,
including the cochlea, are developed.
BETWEEN 23 & 25 WEEKS
The human foetus can perceive and react
to auditory information
26 WEEKS ONWARDS
Hair cells in the cochlea are fine tuned for
specific frequencies and can translate
vibratory acoustic stimuli into an electrical
signal that is sent to the brainstem.
BETWEEN 26 & 30 WEEKS
auditory processing facilitates learning and
memory formation. Therefore, there is a
need early on to protect preterm
new-borns from auditory stimuli they are
not yet ready to handle.
35 WEEKS ONWARDS
the auditory system is mature enough to
permcomplex sounds and distinguish
between different speech phonemes,
which is presumably the beginning of
language and speech development.
BEYOND 30 WEEKS
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31

It has been proven after various experiments that
continuous exposure to loud noise negatively
affects the development of auditory-related
functions, including vocal learning and spatial
localization.
Infants who spend their first weeks and even
months of life in the NICU are deprived of the
biological maternal sounds they would
otherwise be hearing in utero.
These sounds mainly include the
low-frequency bands of mother’s
voice and the continuous, rhythmic
stimulation of the maternal
heartbeat.
Deprivation of these sounds when
the auditory system is at a critical
period for development can have a
profound effect on auditory brain
maturation and subsequent speech
and language acquisition.
In NICU, low-frequency placental
sounds in the amniotic environment are
replaced by unpredictable noise
coming from ventilators, cardiac
monitors, infusion pumps, pagers and
alarms
Loud noise can produce unwarranted
physiological changes in heart rate,
blood pressure, respiration, and
oxygenation. Noise also appears to
cause hyper alertness, increased crying
and reduced deep sleep.
AUDITORY SYSTEM DEVELOPMENT MILESTONES
The sound frequencies heard within the womb
parallel the course of frequency development
within the cochlea, making the womb an optimal
and sheltered environment for auditory matura-
tion. Because maternal tissue and fluid act as
filters for high frequency sounds, the developing
cochlear hair cells are protected from potentially
damaging noise.
PRENATAL AUDITORY SIMULATIONS
The fact that new-born infants show a clear
preference for their mother’s voice within only
hours after birth can be taken as evidence for
the significance of prenatal hearing experience,
suggesting that auditory attention, learning, and
memory begin while in the womb.
DEPRIVATION OF MATERNAL SOUND
32

ADRESSING THE PROBLEM
1
2
3
The concept of individual rooms for NICU patients is still
evolving. A recent model suggests that the transition from an
open-bay NICU to a private-room NICU can potentially
improve developmental outcomes through mediating factors
such as developmental care, family-centered care, parental
stress, staff behavior, and medical practices.
IMPROVING THE NICU DESIGN
The default volume settings on many of the NICU’s alarm
systems are often unnecessarily high. Alarm volumes should be
reduced, especially at night. Reducing the volume of pagers,
alarms, telephones, and intercoms should improve overall noise
pollution. Substituting audible ringtones of telephones and
pagers with a silent vibration should also be considered.
REDUCING EQUIPMENT NOISES
During kangaroo care, the infant is placed in a supine
position on the mother’s (or father’s) chest to have direct
skin-to-skin contact.The infant can then presumably hear and
feel the low-frequency sounds of the maternal voice heartbeat
through the skin. Kangaroo care has been associated with a
decreased risk of mortality and has been shown to promote
maternal–infant bonding.
KANGAROO CARE
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33

PLAYING MOTHER’S SOUNDS INSIDE THE INCUBATOR
Although kangaroo care is strongly encouraged, inreality, there are
times when the mother cannot be present in the NICU or the infant is
too sick to be held outside the incubator.
During those times, exposing the infant to audio recordings of the moth-
er’s voice will benefit both the mother and the baby: it allows the mother
to be with her infant virtually, even when she is not there physically, and
can provide the infant with a wide range of maternal vocalizations,
including singing lullabies, reading books, and improvisational speaking.
Studies have shown that preterm infants who were exposed to an audio
recording of their mother’s voice achieved full enteral feed quicker86 and
showed meaningful changes in heart rate87 compared to age-matched
controls receiving routine care.
When providing auditory stimulation in the NICU, whether it is vocal music or
the mother’s voice, it is critically important to pay attention to the infant’s
behavioural cues and modulate the stimulation accordingly.
Preterm infants have limited capacity to defend themselves against sensory
stimulation that is age-inappropriate with respect to duration, complexity,
and intensity.
34

Physiological effects on noise on the infant
Studies of both term and preterm infants
suggest increases in noise transiently increase
heart rate, however not all studies have showed
consistent results.
There are fewer studies, which have looked at
the effect of noise on the respiratory system.
These studies suggest oxygen saturations
decrease and respiratory rate alters in infants
when exposed to high noise levels.
However, an increase in noise levels to 70dB
causes a majority of babies to wake after only
three minutes of noise .
Sleep disturbance can affect growth and
feeding patterns of infants and there are
decreased EEG response thresholds in term
infants exposed to higher decibels of noise.
Sounds generated within the incubator are
unfortunately amplified for the occupant,
reinforcing the need to avoid sources of
noises within.
Ventilators and CPAP are important sources
of noise in NICU.
Noise inside the incubator has been
recorded as 54dB.
This is higher than aimed for but far lower
than the 65-70dB we have recorded outside
the incubator with this equipment in use.
Responses are dependent on maturity (preterm
infants are less able to habituate), prior noise
exposure, and sleep-alert status. The nature of
the sound can influence response.
At 65dB, 20% of infants are woken up after 12
minutes of exposure.
These effects may be worse in preterm infants
suggesting keeping noise significantly below
these levels is important to attain restful sleep.
Patients in incubators typically receive 5 to 18
dB less sound pollution than do children in
open-bed warming units.
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35

SIMULATION OF PRENATAL MATERNAL SOUNDS IN NICU INCUBATORS
case study
FAULT IN NICU DESIGN
The transition from the protected environment of the womb to
the ex-utero world is quite shocking for the premature infant.
What makes this transition even more difficult is the fact that
by 26 weeks gestation preterm infants can already perceive
and respond to sounds in their environment.
The low-frequency maternal sounds in the amniotic environ-
ment are replaced by ambient noise coming from ventilators,
monitors, pagers, and alarms.
It is important to compensate preterm infants for the loss
of their own mother’s voice and heartbeat – sounds that
are highly preferable by the infant.
This abrupt change in the environmental noise results in
physiological vulnerability of the infant and the risk for
developing neurosensory impairments.
The current design of NICU incubators, the type of noise they
self-generate and the lack of meaningful maternal sounds
reduce the capacity of the preemie to successfully develop
outside of the womb.
ittle acute attention has been paid to the development and
implementation of a robust audio system that is safe and
suitable for NICU use.
RESULTS OF MATERNAL SOUND
RECORDING
MOTHERS VOICE RECORDING
Two critical components of the project studio made this
recording possible:
1. A collection of wall-mounted absorbent foam (Auralex
Acoustics, USA) was used to mitigate poor room acous-
tics, enabling the highest fidelity of sound reproduction.
2. A portable vocal booth (Reflexion Filter, SE Electron-
ics, UK) was used to isolate the vocal recording micro-
phone from room ambience.
These two acoustic improvements allow virtually any
hospital room to be converted into a recording studio
relatively quickly and inexpensively.
NOISE LEVEL TESTING
The A-weighted sound level measurements inside the
incubator revealed the following results:
(a) baseline with no sounds (mean¼48.4+0.3 dB)
(b) mother’s voice only(mean¼58.1+0.9 dB)
(c) heartbeat only (mean¼ 51.0+0.7 dB)
(d) maternal voice and heartbeat together
(mean¼58.6+0.7 dB).
36

Intro with neonatalogists
Dr. Arvind Shenoi
Neonatologist
MBBS, MD, DM
Location of Practice
Cloudnine Hospital, Old Airport Road
Dr. Kishore Kumar
Neonatologist
MBBS, MD, DCH, , FRCPCH, FRACP, M.R.C.P.C.H
Location of Practice
Cloudnine Hospital, Malleshwaram
I visited Cloud nine Hospital, Malleshwaram which is one of the premium maternity and child care hospitals in Bangalore
for my research in order to know more about NICU, technical specification, care environment and parental behaviour
while their infant babies are in NICU.
I had the a structured interview of Dr. Kishor Kumar, Neonatologist regarding NICU environment. He explained about
the functions of Infant Incubators with demonstration in Hospital’s NICU. He explained various facts about parantal
behaviour while their child is in NICU. Many other parameters like noise level in NICU, its effect on developing brain of
baby and what hospital does to prevent the risk was discussed.
Dr. Arvind Shenoi, Neonatologist, took me to a tour of Hospital and explained each department and its functioning in
detail. He also approved interaction with the parents of newborns which gave me insight of the research.
GRADUATIONPROJECT//
39

visit to nicu
Cloud nine Hospital, malleshwaram
40

understanding care environment at nicu
41

1 2
3 4
parents’ behaviour Nurse’s care
environmental noise equipments
sense of alienation
towards infant
towards stressfull NICU Environment
Lack of control
fear
sense of being guilty
stress
sense of insecurity
Care
trust
love
combability with parenthood role
Deprivation
achieving information and
discovering the truth
private place
The nurses work closely with the NICU
care team to ensure the effectiveness
and safety of medications.
They also oversee the preparation of
all intravenous nutrition preparations
and medications, which your baby
may require.
The NICU staff work with parents to
provide the most comfortable environ-
ment for the baby.
Making the baby feel relaxed in a
quiet and soothing setting helps the
baby grow and develop.
Nurses work with parents to find a
comfortable position for baby and
teach about appropriate stimulation
We observed acomprehensive
approach to NICU management
requires through equipment package
that nurtures life and supports daily
growth and development combined
with the clinical benefits of Centricity
Perinatal.
Incubators
Intra-hospital Transportation
System
Monitors
Ultrasound Warmers
Mechanical Ventilation
Resuscitation
Clinical Education Phototherapy
Electronic Documentation
System
In NICU We observed that the
environment was prone to loud,
unpredictable noise from extraneous
sources such as alarms, ventilators,
phones and staff conversation to
which preterm infants are especially
vulnerable.
In addition, the self-generated sound
of infant crying was a signiﬁcant
source of noise as loud sounds tend
to be ampliﬁed within the incubator.
They are constantly exposed to
ambient noise that often exceeds
recommended levels.
42

discussion on method of kangaroo care
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43

analysing monitor technology
44

persona 1
BACKGROUND
Mrs Jayalatha is a housewife who is married to Mr. Ravi Babu
5 years ago. Mr. Ravi Babu is a Project Manager in HP at
bangalore. They were longing for a baby since last 5 years. In
July 2014 Jaymala became pregnant after 3 years of
treatment.
Mrs. Jayalatha suffered from a placental abruption and her
baby was delivered in the 26th week. Her delivery was very
painful and traumatic due to the extremely immature delivery.
The baby was delivered at Cloud9 hospital in Malleshwaram.
The baby was taken straightaway to the to neonatal ICU,
where they resuscitated him. They worked on him for an hour
to stabilise him and he was on life support for a day and a
half. He has been in the NICU for one month now.
PERSONAL PROFILE
housewife
Married five years ago
Belongs to a well educated family
Social status: Upper middle class
Became pregnant after three years of treatment
Baby’s wellness
Get ensure that the baby gets all
possible time to spent with her.
To confirm the good care envi-
ronment at NICU for the baby
PRIORITIES
Be able to provide a best possible
medical treatment for her baby to
keep him alive.
To ensure that the baby gets the
kangaroo care more frequently
TGet more detailed information
about the baby’s critical condition.
GOALS TECHNOLOGY USAGE
Use smart phone
Use health tracking devices
Use pregrancy apps.
Use her own PC/Laptop
MRS. JAYALATHA BABU
DEMOGRAPHICS:
Age: 33
Gender: Female
Marital Status: Married
Ethnicity: Indian
Languages: English, Kannada, Hindi
Religion: Hindu
Home Town: Mangalore
Education: Post Graduate
Job: NA
Income:NA
GRADUATIONPROJECT//
47

The baby has a drip in his
head and a feeding tube
into his stomach and two
other cords attached to his
tiny little feet.
Jayalatha and her husband
was totally unprepared for
this. They have been going
through phases of severe
anxiety due to the condition
their child is in.
SENARIO
elevation of anxietytion
about the baby’s critical
condition.
NEED FRUSTRATION
Alienation from the baby
Lack of trust towards the
hospital staff
Jayalatha feels a
constant nee to be
updated about the
infant’s health.
Inspite of being on
bedrest herself, she
wants to be in
constant touch with
her baby.
Jayalatha is bed ridden
herself and cannot take care
of her baby from home.
Regular updates about the
baby
Contact with the baby
guilt being away from the
baby
Jayalatha tries her
best to be in touch
with the baby but
fails, this is adding
to her stress and is
making her own
condition worse.
Jayalatha feels guilty about
the preterm delivery and
believes that it was her fault
that the placental abruption
happened in the first place.
Participation in the
healing process.
guilt for the baby’s condition
guilt for not being able to
participate in the baby’s
healing process.
The mental condi-
tion of Jayalatha
and her husband is
on a roller coaster
and is severely
affected by the
fluctuation in baby’s
medical condition-
which they cant even
closely monitor.
BEHAVIOUR
1
2
3
48

persona 2
BACKGROUND
Nilu is a 27 year old marketing professional. Her husband
has a commuter job, for which he keeps traveling around the
world. Neelu got pregnant for the first time and was very
thrilled by the prospect.
She is well read about pregnancy, medical conditions related
to it and how to take care of the baby. Her baby was born in
the 35th week and has a critical heart condition, due to which
it is in NICU since day 1. The baby has has 2 heart surgeries
and the conditions remains fluctuating.
PERSONAL PROFILE
Proffesional
Married three years ago
Is well educated and career oriented
First pregnancy
Direct contact
Need to ensure that the staff
knows what they are doing.
Alternative therapies if required.
PRIORITIES
To ensure that baby’s development
in long term is not hindered.
To be able to be in touch with all
the baby’s conditions on everyday
basis.
GOALS
Use smart phone
Never used health tracking
devices
Use laptop/PC for knowing
about pregrency.
Use several (less) apps on
smart phone.
MRS. NILU
DEMOGRAPHICS:
Age: 27
Gender: Female
Ethnicity: Indian
Languages: English, Hindi
Religion: Hindu
Home Town: indore
Education: Graduate
Job: Marketting
Income: 7-10 lpa
TECHNOLOGY USAGE
GRADUATIONPROJECT//
49

Due to the critical condition,
no form of direct contact is
allowed between the parents
and the infant.
SENARIO
Updates regarding the
condition
Contact with the baby
NEED FRUSTRATION
Increasing worries
about the baby being
away.
looking at the baby from
behind a glass wall is
very distressing a
scenario for both Neelu
and her husband. They
try their best to convince
their doctor to let them
see the baby from up
close, but it is impossible
due to medical
restraints.
Neelu has read a lot of stuff
on pregnancies, medical
conditions etc, her husband
is also actively searching
material relaterd to their
child’s condition on the
internet. This sometimes
leads them to doubt the
capability and behaviour of
the hospital staff.
Trust about the medical
procedures that are
happening to the child
Trust with the hospital
staff.
Less involvement with
the baby’s medical
health.
Since Neelu knows so
much, she wants to be
involved more and
more, the lack of which
causes anxiety and
worry. She is waiting for
the baby to get stable so
that they can atleast visit
the infant in NICU.
Neelu’s husband has a
travelling job, due to which
he is not in the city some-
times, in this scenario, it is
impossible for either parent
to be with the baby on some
days. A relative or friend has
to go to the hospital on
these days.
mobile contact with the
baby.
Monitoring from home.
inability to visit the
baby due to distance
from the hospital and
own medical condi-
tions.
Neelu is not able to
travel to hospital
everyday without her
husband, which is very
frustrating seeing that
she needs to be in
constant know of her
baby’s medical condi-
tion. She needs a way in
which this can be
resolved.
BEHAVIOUR
1
2
3
50

persona 3
BACKGROUND
The baby was born in the 28th week of pregnancy.
His wife had a complicated delivery and is also admitted in the
same hospital.
Both the parents are very involved in the baby’s medical
processes.
The parents are very technologically savvy.
PERSONAL PROFILE
Professional
Married ten years ago
Both the husband and wife are well educated professionals
Second child
To be connected with the baby
directly.
Be able to visit the baby everyday.
PRIORITIES
To be connected to the baby with
technological means.
To get the the more detailed
informations regarding his baby’s
medical treatment.
Use smart phone.
Use health tracking devices.
Very handy with technology.
Use his personal Laptop.
MR. HITESH RANE
DEMOGRAPHICS:
Age: 35
Gender: Male
Ethnicity: Indian
Languages: English, Marathi, Hindi
Religion: Hindu
Home Town: Pune
Education: Graduate
Job: IT Professional
Income: 15 to 20 Ipa
GRADUATIONPROJECT//
51

Hitesh and Manjari, his wife
want to use various alterna-
tive therapies to treat their
child but these therapies are
not available in the hospital.
SENARIO
Access to more techno-
logically advanced
means.
Awareness related to
alternate therapies.
NEED FRUSTRATION
Inability to convince
doctors about the
need of alternative
therapies.
The anxiety about the
baby’s condition is
worsened by the fact
that the parents can’t
follow the therapies they
want to use. This is
leading them to trust the
doctors less and less.
Manjari is a trained classical
singer and believes in the
healing powers of music.
She wants to use music
therapy as a tool to get
acquainted with her child.
Music therapy. Unavailability of the
facilities leading them
to distrust the hospital
and staff.
Music has played a
huge role in the
mother’s life and she
wants to heal the child
with music, the inability
is leading her to feel sad
about the whole
scenario. Music therapy
is widely used in others
countries and the
parents are frustrated
that its not used here in
the best of hospitals
also.
Manjari and Hitesh believe
that the nurses can’t take
care of the child good
enough and thus the couple
want more involvement with
the kid.
Direct contact with the
infant.
Trust amongst parents
and nurses.
Not getting
information flow
from doctors to the
parents.
The lack of info flow
from the doctor to the
parents is making the
parents even more
anxious. The condition
of baby is not coming
through properly with
the info provided right
now.
BEHAVIOUR
1
2
3
52

persona 4
BACKGROUND
The wife suffers from hypertension and diabetes.
Was advised by the doctors to pay extra heed during the
pregnancy.
The baby arrived early but has no other medical issues.
Akash keerthi and his wife Malini have already had miscar-
riages due to Malini’s health conditions. This time, even after
taking extreme caution, Malini had a preterm baby in the
32nd week.
She is in a state of shock and guilt apart from her own medical
complexities. Akash is trying his best to keep in contact with the
baby but feels that the restricted visiting hours are making him
unable to do as much as he would want to.
PERSONAL PROFILE
Business owner
Married three years ago
Belongs to a well educated family
Social status: Upper class
Wife is a home-maker who got pregnant for the first time and had
an early delivery due to her own health conditions.
Baby’s wellness.
Taking care of the baby hisself.
Need to be with the baby.
PRIORITIES
To ensure kangaroo care.
To ensure best medical treatment.
To ensure early discharge.
Use smart phone.
Very handy with technology.
Use his personal Laptop.
MR. AKASH KEERTHI
DEMOGRAPHICS:
Age: 33
Gender: Male
Ethnicity: Indian
Languages: English, Kannada, Hindi
Religion: Hindu
Home Town: Banglore
Education: Post Graduate
Job: Owns Bussiness
Income: 30 Ipa
GRADUATIONPROJECT//
53

The parents have to travel
for about 3 hours everyday
to be able to check on their
baby. They are not allowed
to stay in the hospital or
meet the baby beyond
visiting hours. They say it
feels like he has been kept
like a lab rat.
SENARIO
Direct contact with the
baby.
Need to lessen the
distance between
parents-baby
NEED FRUSTRATION
Alienation from the
baby
Too much stress and
distance.
Due to the constant
dilemma of meeting the
baby and travelling for
three hours everyday,
the parents are very
worried and scared.
They need a solution as
soon as possible.
The baby has been in the
hospital for close to a month
and the parents want him to
come back home.
To be in touch with the
baby
Eleviation of anxiety.
Guilt being away from
the baby.
The extended period of
wait is making the
parents very anxious
and they need to be in
more contact with the
baby.
The parents are looking for
more therapies to sooth the
child and to have him leave
the hospital early.
Assurance about the
medical process being
followed.
Regular updates about the
process.
Inability to interact
with the hospital staff.
Lack of know how
about the baby’s
condition.
The parents badly need
to know about what
exactly their baby is
doing. The parents have
now been frustrated by
the behaviour of the
hospital staff and
doctors.
BEHAVIOUR
1
2
3
54

persona behavioural chart
toward the infant itself
Senseof
alienationLackofcontrolCareDeprivation
toward stressful
environment of the Unit
Fear
Sense of being guilty
stress
Sense of insecurity
Trust
Love
Compatibility with
motherhood role
achieving information and
discovering the truth
Private place
Separation from the infant
Not accepting the infant
Strange appearance of the infant
Mother’s stress with deteriorating the infant
To be regretful for having a child
Having a good feeling with patting and hugging the infant
Enjoying partnership in taking care of the infant.
Mothers’ feeling of sadness of the Unit’s physical space
to not be familiar with devices function
fear of lack of work of devices
Fear of being separated from the infant
Fear of the infant’s death
Fear of adding problems to the infant
To know herself responsible for a preterm infant
To blame herself for insisting on having a baby
To know herself responsible for the infant’s suﬀering
Sense of insecurity about attending the infant
To be worried for the child of being hungry
To be worried for not giving oxygen
Mothers trust on the nurses in taking care of the infant
Sense of trust because of giving enough information
Nurses’ support for overcoming fear of providing care
Teaching and partnership of the mothers in taking care
Sense of being a mother
Desire to achieve a complete report of the infant’s condition
Mothers’ desire to get an honest answer to her questions
Saying the truth
To be sad to look at the infant behind the glass
Mother’s wish for having a private and individual place
Desire to take care of the infant with the presence of husband
Fear of ﬁnishing time and leaving the Unit
Key Attributes of BehaviourBehaviour Observation
GRADUATIONPROJECT//
55

56
need representation
Information
Care
Monitoring
KangarooCare
Convinience
HealthandWelness

Identified Problem areas
Deprivation of maternal sound
NICU noises
Lack of information
Lack of Kangaroo Care
Monitoring and update
Parents concern
Sense of alienation
Lack of control
Care
Deprivation
GRADUATIONPROJECT//
59

DESIGN CHALLENGE
Remote Monitoring System.
Syncronised and statistical health condition
record.
Transfering mother’s biorythms to smart phone.
Modulating mother’s biorythms into
in-eutero sounds.
Creating video album of baby’s moments in
NICU.
Music therapy.
Facilite Kangaroo Care.
Transfering the modulated sound to the baby in
incubator in real time.
60

concept formation
Based on the research findings and design challenge
I started working on the concept of app. During the
course the concept that was proposed was the use of
health tracking device, smart phon and incubator
sensors in order to simulate the womb like environ-
ment inside the incubator
GRADUATIONPROJECT//
63

DESIGN Concept
Mother’s biorythms are transfered to smart
phone.
Smart phone converts biorythms and
sound into modulated sound that
replicates womb like environment.
Modulating mother’s biorythms into
in-eutero sounds.
Synced with smart phone. Synced with incubator.
Modulated biorythms are
simmlated inside the incubator
to provide the infant
known womb like environment.
Heartbeat
Breathing
Temperature
Mother’s Voice
Environmental Sound
Mother’s biorythms are tracked
by a health tracking device that
is wore on the abdomen.
Mother’s biorythms
Modulated biorythms
Baby’s health monitoring
Information
Live video
Kangaroo Care
Simulation
Moduled biorythmic
sound
Baby’s vital chart
Music therapy
Video diary of baby
64

information Architecture
My Baby Baby’s Vitals Kangaroo Care Baby’s Diary Baby’s Music
Live Video
Dashboard
(health Records)
Live Monitor
Heart Rate
Respiration Rate
Blood Pressure
Oxygen Saturation
V Loop
CPAP
Listen modulated biorythms
Voice recording
video recording
Share
Mother’s
Biorythms
Modulated Sound Settings
Sound waves
biorythmic
Sound
Modulated
Sound
Heart Beat
Breathing
Temperature
Voice
All Sort By
month Day
play favourites share delete
All Albums
songs
shuffle play
INUTERO
GRADUATIONPROJECT//
67

I have Have done Inspiration Board and they
Images Gathered was taken from Nature,
health gadgets & Objects Since these categories
Inspired me the most.
All the Images used in Image Board have some-
thing Unique and styling which helped me in
exploring Various Metaphors for the UI concepts.
An Inspiration Board helped me to plot out my
ideas Or simply can say throw my randomness
together.
design inspiration
68

visual design moodboard
I Have created Visual Design Board Before Convert-
ing Wireframe into visual design so that I would
get the Look and feel of How the interface
should be , Simultaneously see the color
palette and the UI Design theme and what’s
the trend.
GRADUATIONPROJECT//
69

Single touch gesture
Press and hold
Flip
Dragging
Single Tab
During the Project Read About Gesture Importance
For Touch Screen Base User Interface design and
what are The Single touch gesture and multi-touch
Gestures.
What Kind of gestures single touch Screen Allows
and What all gesture are not possible in single
touch.
Study about the gesture at the beginning helped
me In not going into wrong Direction During the
process Of designing user interface.
Here some of the basic single touch gesture is
shown
70

color palatte
Analogous
Monochromatic
Triad
Complementary
Vivid
Range
Color Palette - Futurisctic
Color Palette Used
Color Palette is another important aspect of
UI Design through which the look and feel of the
interface Comes. I have Explored various color
themes like Futuristic , Sporty and Minimalistic
and chosen futuristic.
Futuristic UI design have a very Distinct color Palette
With Neutral color like Fray , Accented by Bright
color Like Blue and Green. Various Shades of Grey
are used to Create lights and shadow, represent-
ing the surface.
Bright color like blue are used to detail the interface
in Elements such as labels and icons.
Color Palette at the left Bottom shown is used in
the Concept Visual Design and Flash demo.
GRADUATIONPROJECT//
71

identified screens
Main screens of the concept is being identified
based On Information Architecture and being taken
care of as These are the main screen of the device.
12
160
140
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60
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3:088:28 PM 3:088:28 PM
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72

initial wireframes
Based on the information Architecture I
have Generated Skeleton of page which is
known as Wireframe for various concepts. It
shows the priority And the organization of
things on the screen and How user will get to the
other part of the interface.
Basic wireframe is done to get the idea about
the Placement of elements on the page the
labeling Of the element , Interface navigation
and how the User will interact with it.
GRADUATIONPROJECT//
73

Revised wireframe
Carrier 100%8:08 AM Carrier 100%8:08 AM
Baby’s ID
Password
Sign in
Carrier 100%8:08 AM
Syncing to devices
Carrier 100%8:08 AM
Syncing to devices
!
Problem syncing to devices
GRADUATIONPROJECT//
75
Landing Screen

Baby Vitals
Carrier 100%8:08 AM
Heart Rate 135 bpm Blood Pressure 133/98
mm Hg
Respiration Rate 59 bpm Oxygen Saturation 98 %
P-V Loop CPAP ON
My Baby
Baby’s Vital
Kangaroo Care
Baby’s Diary
Baby’s Music
Baby Vitals
mm Hg
V Loop CPAP ON98 mg
Baby Vitals
mm Hg
V Loop CPAP ON
hour date weak
12
160
140
80
60
100
120
22 29 sep 5Aug 15
Heart Rate 135
bpm
98 mg
Body Vital Screen
76

Baby Vitals
mm Hg
V Loop CPAP ON
12
160
140
80
60
100
120
hour date weak
22 29 sep 5Aug 15
Blood Pressure 133/98
mm Hg
98 mg
98%Respiration Rate
Baby Vitals
mm Hg
V Loop CPAP ON
12
80
70
40
30
50
60
hour date weak
22 29 sep 5Aug 15
98 mg
Baby Vitals
mm Hg
V Loop CPAP ON
hour date weak
12
100
96
84
80
88
92
22 29 sep 5Aug 15
98%Oxygen Saturation
98 mg
Baby Vitals
mm Hg
V Loop CPAP ON
hour date weak
12
24
20
8
4
12
16
22 29 sep 5Aug 15
8:23
0823hrs
0
CPAP
98 mg
Baby Vitals
mm Hg
V Loop CPAP ON
hour date weak
12
100
96
84
80
88
92
22 29 sep 5Aug 15
98mgV Loop
98 mg
12
80
70
40
30
50
60
2229sep5Aug15
GRADUATIONPROJECT//
77

Baby Vitals
Carrier 100%8:08 AM
mm Hg
P-V Loop CPAP ON
My Baby
Baby’s Vital
Kangaroo Care
Baby’s Diary
Baby’s Music
Kangaroo Care
Heart Beat 105 bpm Temperature 98 F
Breathing 39 bpm Voice 144 hertz
Kangaroo Care
Modulated Sound
Kangaroo Care
Biorythmic Sound
Modulated Sound
Kangaroo Care
105
bpm
Heart Beat
39
bpm
Temperature 98 F
Breathing
Voice 144
hertz
Kangaroo Care
Heart Beat
Biorythmic sound
Breathing
Modulated Sound
Auto Mannual
4/10
8/10
7/10
7/10
Kangaroo Care Screen
78

Baby Vitals
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mm Hg
P-V Loop CPAP ON
My Baby
Baby’s Vital
Kangaroo Care
Baby’s Diary
Baby’s Music
Top Charts
Baby’s Diary
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3:088:28 PM 3:088:28 PM
3:088:28 PM
3:19
27 March
22:18 3:19
27 March
22:18
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Baby’s Diary Screen
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79

Baby’s Music
All that sooths
5 songs, 12 min
2014
Track One 3:19
Track Two 3:19
Track Three 3:19
Track Four 3:19
Track Name
Artist Name — Album Name
0:30 -2:15
Baby’s Music Baby’s Music
Album Name
5 songs, 12 min
2014
Track One1 3:19
Track Two2 3:19
Track Three3 3:19
Track Four4 3:19
Baby’s Music
Track Name
0:30 -2:15
Baby Vitals
Carrier 100%8:08 AM
mm Hg
P-V Loop CPAP ON
My Baby
Baby’s Vital
Kangaroo Care
Baby’s Diary
Baby’s Music
Baby’s Music Screen
80

app branding
Logo
Logo Building
+ in-utero =
Dimentions
4.25 x
x
0.25 x
0.1x
84

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Logo placement on Landing Screen
x
5x
5x
xx 4.25x
GRADUATIONPROJECT//
85

Font Selection
Helvetica 55 Roman
ABCDEFGHIJKLMNOPQRSTUVWXYZ
abcdefghijklmnopqrstuvwxyz
Helvetica 65 Medium
Helvetica Neue
Helvetica LT 45 Light
Myriad Pro
Color Palette
R 112
G 201
B 217
R 11
G 130
B 177
R 60
G 191
B 237
R 58
G 189
B 193
R 3
G 102
B 151
R 1
G 1
B 1
R 4
G 36
B 56
R 9
G 62
B 91
86

Carrier 100%8:08 AM
Syncing to devices
!
Problem syncing to devices
Carrier 100%8:08 AM
Syncing to devices
Carrier 100%8:08 AM
Baby’s ID
Password
Sign in
Carrier 100%8:08 AM
88

Baby Vitals
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Heart Rate bpm135 Blood Pressure
mm Hg
133/98
Respiration Rate bpm59 Oxygen Saturation %98
V Loop CPAP ON98 mg
Baby Vitals
Carrier 100%8:08 AM
mm Hg
133/98
P-V Loop CPAP ON
My Baby
Baby’s Vital
Kangaroo Care
Baby’s Diary
Baby’s Music
90

Baby Vitals
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Heart Rate 135 bpm
133/98Blood Pressure
mm Hg
V Loop CPAP ON
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160
140
80
60
100
120
hour date weak
22 29 sep 5Aug 15
Blood Pressure 133/98
mm Hg
98 mg
Baby Vitals
Carrier 100%8:08 AM
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mm Hg
133/98
V Loop CPAP ON
hour date weak
12
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140
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60
100
120
22 29 sep 5Aug 15
Heart Rate 135
bpm
98 mg
GRADUATIONPROJECT//
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Baby Vitals
Carrier 100%8:08 AM
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mm Hg
V Loop CPAP ON
hour date weak
12
100
96
84
80
88
92
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Oxygen Saturation 98%
98 mg
Respiration Rate 98%
Baby Vitals
Carrier 100%8:08 AM
Heart Rate 135 bpm
mm Hg
Respiration Rate 59 bpm Oxygen Saturation %98
V Loop CPAP ON
12
80
70
40
30
50
60
hour date weak
22 29 sep 5Aug 15
98 mg
CPAP
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Baby Vitals
Carrier 100%8:08 AM
Heart Rate 135 bpm
mm Hg
V Loop CPAP ON
hour date weak
12
24
20
8
4
12
16
22 29 sep 5Aug 15
8:23
0823hrs
0
CPAP
98 mg
Baby Vitals
Carrier 100%8:08 AM
Heart Rate 135 bpm
mm Hg
V Loop CPAP ON
hour date weak
12
100
96
84
80
88
92
22 29 sep 5Aug 15
V Loop 98mg
98 mg
GRADUATIONPROJECT//
93

12
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94

Kangaroo Care
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Heart Beat bpm105 Temperature F98
Breathing bpm39 Voice hertz144
Baby Vitals
Carrier 100%8:08 AM
mm Hg
133/98
P-V Loop CPAP ON
My Baby
Baby’s Vital
Kangaroo Care
Baby’s Diary
Baby’s Music
96

Kangaroo Care
Carrier 100%8:08 AM
Modulated Sound
Kangaroo Care
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Heart Beat
105
bpm
39
bpm
Breathing
Temperature 98 F
Voice 144
hertz
GRADUATIONPROJECT//
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Kangaroo Care
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Heart Beat
Biorythmic sound
Breathing
Modulated Sound
Auto Mannual
4/10
8/10
7/10
7/10
Kangaroo Care
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Biorythmic Sound
Modulated Sound
CPAP
98

Baby’s Diary
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3:088:28 PM
3:088:28 PM3:088:28 PM
3:088:28 PM 3:088:28 PM
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3:088:28 PM2:188:28 PM
3:088:28 PM 3:088:28 PM
3:088:28 PM
Baby Vitals
Carrier 100%8:08 AM
mm Hg
133/98
P-V Loop CPAP ON
My Baby
Baby’s Vital
Kangaroo Care
Baby’s Diary
Baby’s Music
100

27 March
3:19 22:18
Share With
27 March
3:19 22:18
GRADUATIONPROJECT//
101

Baby’s Music
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Track Name
0:30 -2:15
Baby Vitals
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mm Hg
133/98
P-V Loop CPAP ON
My Baby
Baby’s Vital
Kangaroo Care
Baby’s Diary
Baby’s Music
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Baby’s Music
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All that sooths
5 songs, 12 min
2014
Track One :19 3
Track Two :19 3
Track Three r:19 3
ack Four :19 3
Track Name
0:30 -2:15
Baby’s Music
Carrier 100%8:08 AM
104

Baby’s Music
Carrier 100%8:08 AM
Album Name
5 songs, 12 min
2014
Track One1 :19 3
Track Two2 :19 3
Track Three3 r:19 3
ack Four4 :19 3
GRADUATIONPROJECT//
105

PROTOTYPE DEVELOPMENT
106
After making the App Screens it was very important to
create working prototype to give the user a better
experience about the user interface. I made the
prototype online on invision. Invision provides many
facilities to enhance the experience of transitions,
gesture and hot spots. The prototype can be view and
operated like a real app on ios plateform in iphone or
ipod.

GRADUATIONPROJECT//
105
GRADUATIONPROJECT//
107

flash mockup
108
Invision helped me a lot with app working prototype.
But it had some limitation and that is animation on the
screen. So, I made animation on the of life line using
Adobe Flash to show the functioning of the app.

110
Understanding of Tata Elxsi Interaction design and Development
process.
Managing design deliverables.
Gaining insights from the feedbacks and critics.
Managing time e ciently.
Acquired a better understanding of the capabilities Of various design
Software.
The overall experience at Tata Elxsi was wonderful as I got to learn many more things
apart from my main Project and interact with people from varying
Backgrounds. Most of my expectations from this Project are fulfilled as I was
able to strengthen my Weaknesses. It is an excitement to see my designs being
developed. I think now I have become proactive , action Oriented and goal
driven.
Project Work commenced with assimilation of Communication and its usage through
research, which Led to Domain Understanding, Market Penetration and User
Understanding. Major tasks and workflow were Analyzed. Constant user
feedback and Client feedback On the process and on the completed tasks
helped in Identifying the User's pain points. from this reference, The design for
New Interface was Conceptualized. Initially Paper prototypes were made
and later Mockups were Generated which were Validated Through
internal discussions in an iterative process.

112
1. https://www.behance.net/
2. myhealthapps.net/
3. https://www.apple.com/in/ios/whats-new/health/
4. https://developer.apple.com/devcenter/ios/index.action
5. www.core77designawards.com/2014/.../neonook-neonatal-infant-care/
6. www.damngeeky.com/.../neonook-neonatal-infant-care-device-replicates/
7. www.tactiosoft.com/tactiohealth
8. https://www.fitbit.com/apps/tactiohealth
9. kidshealth.org › Parents › Doctors & Hospitals
10. www.babycenter.com › Premature Babies › Parenting in the NICU
11. www.chw.org/medical-care/neonatology/nicu/
12. www.marchofdimes.org/baby/in-the-nicu.aspx
13. www.tto.niu.edu/tto/.../WirelessANCforIncubators.shtml.shtml
14. pediatrics.aappublications.org/content/
15. www.researchgate.net/
16. www.hindawi.com/journals/aav/2008/495317
17. web.stanford.edu/~cbauburn/.../Design%20Review%20of%20Giraffe.pdf
WEB REFERENCES

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4. Paul M, ed. Occupational and Environmental Reproductive Hazards. A Guide for Clinicians. Baltimore,
MD: Williams & Wilkins; 1993:xviii
5. American Academy of Pediatrics, Committee on Environmental Hazards
(1974)Noise pollution: neonatal aspects. Pediatrics. 54:476–479.
6. The development of human fetal hearing. Science. 222:516–518.
7. Lary S, Briassoulis G, Dubowitz V (1985) Hearing threshold in preterm and term infants by auditory
brainstem response. J Pediatr. 107:593–599.
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Behavioral and Social Sciences. Prenatal Effects of Exposure to High-Level Noise. Report of Working
Group 85.Washington, DC: National Academy Press; 1982
9. Gerhardt KJ, Oliver CC (1990) Sound environment of the fetal sheep. Am J Obstet Gynecol.
162:282–287.
10. Yao QW, Jakobsson J, Nyman M, Westgren M (1990) Fetal responses to different intensity levels of
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