Measuring preterm cumulative stressors within the NICU: The neonatal infant stressor scale

Newnham, Carol; Inder, Terrie E.; Milgrom, Jeannette

doi:10.1016/j.earlhumdev.2009.05.002

Cited by 117 publications

(112 citation statements)

References 35 publications

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“…Preterm neonates are a special population exhibiting the physiological immaturity of a fetus but not protected within the uterine environment. In the Neonatal Intensive Care Unit (NICU), these infants are constantly challenged by a set of stressful stimuli, including noise, light, pain, and excessive handling, which are all inherent in intensive care treatment (Grunau, Holsti, & Peters, 2006;Newnham, Inder, & Milgrom, 2009). Usually the infants present a relevant health history including adverse events when they are discharged from the NICU.…”

Section: Scientific and Clinical Advances In Perinatology Andmentioning

confidence: 99%

Early neurobehavioral development of preterm infants

Gabriel¹,

Formiga²,

Linhares³

2013

Psicol. Reflex. Crit.

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The aim of the present study was to assess the very early neurobehavioral development of preterm infants and to examine differences regarding sex. Two-hundred and two preterm infants were assessed by the Neurobehavioral Assessment of the Preterm Infant (NAPI), which was carried out at 32-37 weeks postconceptional age in the hospital setting. The infants' performance was compared to a norm-referenced sample and a comparison between groups regarding sex was also done. In comparison to the NAPI normreference, the preterm infants showed less muscular tonicity on the scarf sign, less vigor and spontaneous movement, higher alertness and orientation, weaker cry, and more sleep state. There was no statistical difference between males and females preterm infants at NAPI performances. Keywords: Preterm, neurobehavioral, sex. ResumoO objetivo do estudo foi avaliar o desenvolvimento neurocomportamental inicial de bebês prematuros e examinar as diferenças quanto ao sexo. Foram avaliados 202 bebês nascidos pré-termo pela Avaliação Neurocomportamental para Prematuros (NAPI), que foi realizada na fase de 32-37 semanas de idade pós-concepcional no contexto hospitalar. O desempenho dos bebês no NAPI foi comparado com a amostra de padronização do instrumento e também foi feita a comparação entre grupos diferenciados pelo sexo. Em relação à amostra de padronização, os bebês deste estudo apresentaram menor tonicidade muscular no sinal de cachecol, menor vigor e movimento espontâneo, mais alerta e orientação, choro mais fraco e mais estado de sono. Houve um padrão semelhante de desempenho neurocomportamental dos meninos e meninas nascidos prematuros. Palavras-chave: Prematuro, neurocomportamental, sexo.

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Section: Scientific and Clinical Advances In Perinatology Andmentioning

confidence: 99%

Early neurobehavioral development of preterm infants

Gabriel¹,

Formiga²,

Linhares³

2013

Psicol. Reflex. Crit.

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“…The caregiving, positioning, and NNS offered to preterm infants were measured by a caregiving coding scheme, which measured four patterns of caregiving (no caregiving, social interaction, routine caregiving, and intrusive caregiving), four positions (supine, lateral, prone, and other), and NNS. We developed a list of 49 caregiving activities offered to preterm infants in the NICU based on chart review, direct observation, our work experiences, and relevant research (Brandon et al, 1999;Newnham et al, 2009). These 49 caregiving activities were categorized into social interactions, routine caregiving, or intrusive caregiving by 10 nurses with more than 2 years work experience in the NICUs from four medical centers.…”

Section: Methodsmentioning

confidence: 99%

“…Common caregiving events in the NICU have been rated by physicians and nurses as stressful to preterm infants at different levels (Newnham, Inder, & Milgrom, 2009).…”

Section: Factors That Influence Infant Sleepmentioning

confidence: 99%

Caregiving and positioning effects on preterm infant states over 24 hours in a neonatal unit in Taiwan

Liaw

Yang

et al. 2011

Research in Nursing & Health

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In this prospective, descriptive study, we used a repeatedmeasures design to explore the 24-hour effects of caregiving and positioning on preterm infants' states and the factors associated with state changes. Thirty preterm infants (gestational age 27.6-36.1 weeks) were observed for 3 days in the neonatal intensive care unit to record six states: quiet sleep (QS), active sleep, transition, active awake, quiet awake, and fussy or crying. The occurrences of QS increased when infants received no caregiving, social interaction, non-nutritive sucking (NNS), and were laterally positioned. However, QS significantly decreased and fussy or crying state increased when infants received routine and intrusive caregiving. These results suggest that caregiving, NNS, and positioning should be appropriately provided to facilitate infants' sleep, and reduce fussiness or crying. ß

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“…The Neonatal Intensive Care Unit (NICU) is a stressful environment, including events of different stressful levels (extremely, very, moderately, and slightly), depending on the specific treatment of the inpatients (Newnham, Inder, & Milgrom, 2009). The clinical health status of the newborn is directly associated with gestational age and birth weight, with increased lengths of stay in NICU related to more painful procedures in the neonatal pain history (Goffaux et al, 2008;Valeri, Gaspardo, Martinez, & Linhares, 2012;Williams, Ktattak, Garza, & Lasky, 2009).…”

Section: Mbm Linhares and CM Gaspardomentioning

confidence: 99%

Non-pharmacological management of neonatal pain: Research and clinical practice in the Neonatal Intensive Care Unit

Linhares

Gaspardo

2017

Estud. psicol. (Campinas)

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According to the World Health Organization and the International Association for the Study of Pain, pain is a relevant worldwide problem in the healthcare field. The present study aimed to describe the definition of pediatric pain and the main characteristics, and to examine the findings regarding the impact of pain on the development of the child. The best clinical practices in Neonatal Intensive Care Units should include developmental care and specifically implement pain management, aiming to protect the health and development of the infants. The efficacious non-pharmacological management of neonatal pain includes breastfeeding, skin-to-skin, non-nutritive sucking, facilitated-tucking and swaddling. Sweet solutions also have pain relief effects. Psychologists could actively participate in the implementation of non-pharmacological interventions and in the whole process to sensitize and train the professional teams, to alert parents to protection against pain and to support policymakers in the implementation of pain guidelines in the hospital.

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Measuring preterm cumulative stressors within the NICU: The neonatal infant stressor scale

Cited by 117 publications

References 35 publications

Early neurobehavioral development of preterm infants

Early neurobehavioral development of preterm infants

Caregiving and positioning effects on preterm infant states over 24 hours in a neonatal unit in Taiwan

Non-pharmacological management of neonatal pain: Research and clinical practice in the Neonatal Intensive Care Unit

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