Impact of skin-to-skin contact on the autonomic nervous system in the preterm infant and his mother

Butruille, Laura; Blouin, A; Jonckheere, Julien De; Mur, Sébastien; Margez, Thomas; Rakza, Thameur; Storme, Laurent

doi:10.1016/j.infbeh.2017.07.003

Cited by 31 publications

(28 citation statements)

References 26 publications

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“…Real-time HRV could also help choose between "positive" procedures, such as facilitated tucking-manually supporting the baby by holding the upper and lower extremities in flexion-plus human voice or skin-to-skin contact between the mother and the newborn: these procedures, if well performed, should increase the level of newborn's comfort, and a HRV monitor could be able to show their actual benefit (Alexandre et al, 2013;Butruille et al, 2017;Marvin et al, 2019).…”

Section: Hrv As An Innovative Tool In Neonatal Decision-making Intervmentioning

confidence: 99%

Heart Rate Variability in the Perinatal Period: A Critical and Conceptual Review

Chiera¹,

Cerritelli²,

Casini³

et al. 2020

Front. Neurosci.

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Neonatal intensive care units (NICUs) greatly expand the use of technology. There is a need to accurately diagnose discomfort, pain, and complications, such as sepsis, mainly before they occur. While specific treatments are possible, they are often timeconsuming, invasive, or painful, with detrimental effects for the development of the infant. In the last 40 years, heart rate variability (HRV) has emerged as a noninvasive measurement to monitor newborns and infants, but it still is underused. Hence, the present paper aims to review the utility of HRV in neonatology and the instruments available to assess it, showing how HRV could be an innovative tool in the years to come. When continuously monitored, HRV could help assess the baby's overall wellbeing and neurological development to detect stress-/painrelated behaviors or pathological conditions, such as respiratory distress syndrome and hyperbilirubinemia, to address when to perform procedures to reduce the baby's stress/pain and interventions, such as therapeutic hypothermia, and to avoid severe complications, such as sepsis and necrotizing enterocolitis, thus reducing mortality. Based on literature and previous experiences, the first step to efficiently introduce HRV in the NICUs could consist in a monitoring system that uses photoplethysmography, which is low-cost and non-invasive, and displays one or a few metrics with good clinical utility. However, to fully harness HRV clinical potential and to greatly improve neonatal care, the monitoring systems will have to rely on modern bioinformatics (machine learning and artificial intelligence algorithms), which could easily integrate infant's HRV metrics, vital signs, and especially past history, thus elaborating models capable to efficiently monitor and predict the infant's clinical conditions. For this reason, hospitals and institutions will have to establish tight collaborations between the obstetric, neonatal, and pediatric departments: this way, healthcare would truly improve in every stage of the perinatal period (from conception to the first years of life), since information about patients' health would flow freely among different professionals, and high-quality research could be performed integrating the data recorded in those departments.

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Section: Hrv As An Innovative Tool In Neonatal Decision-making Intervmentioning

confidence: 99%

Heart Rate Variability in the Perinatal Period: A Critical and Conceptual Review

Chiera¹,

Cerritelli²,

Casini³

et al. 2020

Front. Neurosci.

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“…KC improves autonomic function in premature infants (Butruille et al, 2017;Porges et al, 2019) and is associated with improved long-term cognitive function (Feldman et al, 2014). Findings from pilot studies suggest that KC promotes development of the ANS in infants with CCHD.…”

Section: Kangaroo Care and Neurodevelopmentmentioning

confidence: 99%

Improving neurodevelopment in infants with complex congenital heart disease

Harrison

2019

Birth Defects Research

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Worldwide, more than 400,000 infants are born each year with complex congenital heart disease (CCHD) requiring surgical intervention within the first months of life. Although improvements in perioperative care have resulted in increased rates of survival, more than half of infants with CCHD have neurodevelopmental impairments affecting subsequent educational achievements, job opportunities, and mental health. Brain maturity and impaired outcomes in infants with CCHD are similar to those of prematurely born infants. Developmentally supportive care, including foundational application of kangaroo care (KC), improves neurodevelopment in premature infants. Provision of developmentally supportive care with KC during the early hospitalization of infants with CCHD has the potential to similarly improve neurodevelopment. The purposes of the article are to describe common congenital heart defects, describe developmentally supportive care with an emphasis on KC, and to offer specific recommendations for KC and research in infants with CCHD.

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“…A similar HRV evaluation of the ANS has been adapted to the specific case of newborns: the Newborn Infant Parasympathetic Evaluation (NIPE, MDMS, France) reflects continuously and non-invasively the parasympathetic tone, which has been shown to decrease significantly in newborn infants after a painful surgical procedure [7] or after instrumental assisted delivery [8]. Even if the clinical benefit of increasing the parasympathetic activity cannot be fully grasped yet, we showed that NIPE was significantly higher after facilitated tucking [9] or skin to skin contact in neonates [10]. Continuous assessment of comfort is quite challenging in the newborn infant, especially in neonatal intensive care units.…”

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confidence: 91%