Concept clarification of neonatal neurobehavioural organization

Bell, Aleeca F.; Lucas, Richard; White‐Traut, Rosemary

doi:10.1111/j.1365-2648.2007.04561.x

Cited by 22 publications

(21 citation statements)

References 61 publications

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“…Orally directed behaviors are critical indicators of organized oromotor neurobehaviors, reflective of the infant’s ability to self-comfort and regulate behavioral states (Bell, Lucas, & White-Traut, 2008). When an infant is more organized, transition from crying to calm occurs when s/he is able to maintain sucking on hand activity (Bell et al, 2012).…”

Section: Orally Directed Behaviorsmentioning

confidence: 99%

Preterm infants’ orally directed behaviors and behavioral state responses to the integrated H-HOPE intervention

White‐Traut

Rankin

Pham

et al. 2014

Infant Behavior and Development

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Preterm infants are challenged by immature infant behavioral organization which may negatively influence their ability to oral feed. The purpose of this study was to determine whether the integrated H-HOPE (Hospital to Home: Optimizing the Infant’s Environment) intervention would improve infant behavioral organization by increasing the frequency of orally directed behaviors and the proportion of time spent in an alert behavioral state when offered prior to oral feeding. Mother–infant dyads (n = 198) were randomly assigned to the H-HOPE intervention or the Attention Control groups. Infants were born at 29 to 34 weeks gestation and were clinically stable. Mothers had at least two social environmental risk factors such as minority status or less than high school education. H-HOPE is an integrated intervention that included (1) twice-daily infant directed stimulation using the ATVV intervention (auditory, tactile, visual, and vestibular stimuli) and (2) maternal participatory guidance sessions by a nurse-community advocate team. Orally directed behaviors and behavioral states were assessed weekly prior to feeding during hospitalization when infants were able to feed orally. There were no differences between the groups at baseline (Day 0, prior to the initiation of the integrated H-HOPE intervention). We observed a pattern of increased frequency of orally directed behaviors in the H-HOPE intervention group when compared to the Attention Control group, however, the proportion of time spent in an alert behavioral state remained stable in both groups over the course of the study. On Day 7, the H-HOPE intervention group exhibited a significantly higher mean frequency of orally directed behaviors than the Attention Control group (12.6 vs. 7.1 pre-intervention, 51.8 vs. 33.2 during intervention, 4.3 vs. 3.2 immediately after intervention, and 8.9 vs. 5.3 immediately prior to feeding). On Day 7, the H-HOPE intervention group exhibited a significantly higher proportion of time spent in an alert behavioral state only during intervention (0.26 vs. 0.11) and immediately after intervention (0.28 vs. 0.06). These findings are suggestive that the integrated H-HOPE intervention facilitated infant behavioral organization for clinically stable infants born between 29 and 34 weeks gestation. The orally directed behaviors appear to be an important indicator of the infant’s preparation for feeding, and when used in conjunction with assessment of behavioral states, are especially valuable to the clinician. Use of this combined assessment approach in practice would strengthen clinician assessment for initiation of (beginning the first oral feeding) and daily preparation for oral feeding in preterm infants.

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Section: Orally Directed Behaviorsmentioning

confidence: 99%

Preterm infants’ orally directed behaviors and behavioral state responses to the integrated H-HOPE intervention

White‐Traut

Rankin

Pham

et al. 2014

Infant Behavior and Development

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“…Behavioral state organization supports the infant's ability to coordinate the sensory, autonomic, and motor systems yielding optimal neurobehavioral organization [7-10]. In both preterm and full term infants, a predictable pattern of state development has been observed which is characterized by a decrease in active sleep and an increase in quiet sleep, alert states, and sleep state organization [11-17].…”

Section: Introductionmentioning

confidence: 99%

“…In full term infants, orally-directed behaviors emerge in the first hour following birth. Orally-directed behaviors are critical indicators of organized oromotor neurobehaviors, reflective of the infant's ability to self-comfort and regulate behavioral states [10]. After full term birth, mouthing and rooting occur within 3 to 21 minutes, sucking within 15 minutes, tonguing within 15-27 minutes, and hand-to-mouth activity within 12-34 minutes [29-32].…”

Section: Introductionmentioning

confidence: 99%

Do orally-directed behaviors mediate the relationship between behavioral state and nutritive sucking in preterm infants?

White‐Traut

Liu

Norr

et al. 2017

Early Human Development

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“…Most infants at birth have a neurobehavioral system that supports typical development (meeting expected developmental milestones), demonstrate behavioral cues to initiate breastfeeding, respond to maternal regulation, and breastfeed with an effective latch and efficient pattern (Hill & Johnson, 2007;Kaye & Wells, 1980). One observable feature of motherinfant dyadic interactions is infant breastfeeding behavior (Bell et al, 2008;Brazelton et al, 1974;Kaye & Wells, 1980). All infants at birth are affected in their ability to breastfeed by the characteristics of gestational age, route of birth, and medical complications (American Academy of Pediatrics, 2012).…”

Section: Theoretical Modelmentioning

confidence: 99%

“…The model was chosen to guide this study and theorizes that infants actively participate with the environment (Magnusson & Cairns, 1996). For newborns who are breastfeeding, the environment is their mother (Figure 1; Bell, Lucas, & White-Traut, 2008). Most infants at birth have a neurobehavioral system that supports typical development (meeting expected developmental milestones), demonstrate behavioral cues to initiate breastfeeding, respond to maternal regulation, and breastfeed with an effective latch and efficient pattern (Hill & Johnson, 2007;Kaye & Wells, 1980).…”

Section: Theoretical Modelmentioning

confidence: 99%

Dysregulated Breastfeeding Behaviors in Children Later Diagnosed With Autism

Lucas¹,

Cutler²

2015

J Perinat Educ

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Newborn breastfeeding behaviors have not been characterized in children later diagnosed with autism spectrum disorder (ASD). In a qualitative interview, 16 mothers (28–56 years) of children with ASD described their 19 full-term infants’ (38–42 weeks’ gestational age) breastfeeding behaviors. Nine mothers described their infants as demonstrating a dysregulated breastfeeding pattern of sucking without stopping of their own volition. The infants’ latch, weight gain, and other behaviors were recalled as not problematic. This feature of dysregulated feeding pattern in infancy has not been reported previously for children with ASD. If supported by future research, the pattern of a dysregulated feeding pattern in newborns could be evaluated by clinicians in the general pediatric population and/or at-risk infant siblings of children with ASD.

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Concept clarification of neonatal neurobehavioural organization

Cited by 22 publications

References 61 publications

Preterm infants’ orally directed behaviors and behavioral state responses to the integrated H-HOPE intervention

Preterm infants’ orally directed behaviors and behavioral state responses to the integrated H-HOPE intervention

Do orally-directed behaviors mediate the relationship between behavioral state and nutritive sucking in preterm infants?

Dysregulated Breastfeeding Behaviors in Children Later Diagnosed With Autism

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