Sleep of preterm neonates under developmental care or regular environmental conditions

Bertelle, Valérie; Mabin, D; Adrien, Joëlle; Sizun, Jacques

doi:10.1016/j.earlhumdev.2005.01.008

Cited by 67 publications

(79 citation statements)

References 24 publications

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“…The characteristics of the neonatal unit environment and care provided to premature infants according to the institutional routines can reduce the total sleep time leading them to consequent deprivation, which can be constituted in morbidity factor, especially when the gestational age is low and the length of hospital stay is long (2,4,6) . Many studies show that sleep deprivation of premature infants in the neonatal unit can lead to worsening of clinical status and delay hospital discharge, besides that, it could trigger behavioral disorders in adulthood (4,(7)(8) . PI present sleep with polyphasic pattern that are classified into three stages: active, quiet and indeterminate sleep (3,7,(9)(10) .…”

mentioning

confidence: 99%

“…Many studies show that sleep deprivation of premature infants in the neonatal unit can lead to worsening of clinical status and delay hospital discharge, besides that, it could trigger behavioral disorders in adulthood (4,(7)(8) . PI present sleep with polyphasic pattern that are classified into three stages: active, quiet and indeterminate sleep (3,7,(9)(10) . The different stages of sleep are essential for the homeostasis of premature infants, because they establish relations with important physiological and neurological activities (3,9) .…”

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Effect of reducing sensory and environmental stimuli during hospitalized premature infant sleep

Orsi

Llaguno

Avelar

et al. 2015

Rev. esc. enferm. USP

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Objective:To compare the total sleep time of premature infant in the presence or absence of reducing sensory and environmental stimuli in the neonatal unit. Method: Longitudinal study in a Neonatal Intermediate Care Unit of a public hospital in Sao Paulo. The sample consisted of 13 premature infants. We used polysomnograph and unstructured observation for data collection. We analyzed 240 and 1200 minutes corresponding to the periods of the presence and absence of environmental management, respectively. Data were compared in proportion to the total sleep time in the two moments proposed by the study. Results: The total sleep time in periods without environmental management was on average 696.4 (± 112.1) minutes and with management 168.5 (± 27.9) minutes, proportionally premature infant slept an average of 70.2% during periods with no intervention and 58.0% without management (p=0.002). Conclusion: Reducing stimulation and handling of premature infant environment periods was effective to provide greater total sleep time. DESCRIPTORS INTRODUCTIONThe estimate of premature births in Brazil is about 9.8% of the 2,913.160 births registered in 2011 (1) . Due to prematurity, the proportion of premature infants (PI) may require hospitalization in a neonatal unit, which is commonly characterized as in environment that has high sensory stimuli overload for the newborn, additionally, there is a need for frequent management for invasive and painful procedures (2)(3)(4)(5) . The characteristics of the neonatal unit environment and care provided to premature infants according to the institutional routines can reduce the total sleep time leading them to consequent deprivation, which can be constituted in morbidity factor, especially when the gestational age is low and the length of hospital stay is long (2,4,6) . Many studies show that sleep deprivation of premature infants in the neonatal unit can lead to worsening of clinical status and delay hospital discharge, besides that, it could trigger behavioral disorders in adulthood (4,(7)(8) . PI present sleep with polyphasic pattern that are classified into three stages: active, quiet and indeterminate sleep (3,7,(9)(10) . The different stages of sleep are essential for the homeostasis of premature infants, because they establish relations with important physiological and neurological activities (3,9) . In the quiet sleep, decreased basal metabolic rate occurs, which promotes replenishment of energy reserves as well as promote cellular repair, in the active sleep brain activation occurs, which is essential for the structural maturation of the central nervous system (10)(11) . It is noteworthy that the indeterminate sleep cannot be considered as quiet or active, it is characterized as the transition between these two types of sleep patterns (12) . Mitigating possible harmful effects of care provided to hospitalized newborns is one of the actions that should be prioritized by professionals working towards recovery (13) . In this context, the developmental care aims at reduc...

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mentioning

confidence: 99%

mentioning

confidence: 99%

Effect of reducing sensory and environmental stimuli during hospitalized premature infant sleep

Orsi

Llaguno

Avelar

et al. 2015

Rev. esc. enferm. USP

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“…Bu nedenle yenidoğan dönemindeki uyku kalitesi sağlıklı gelişimle doğrudan ilişkili-dir. 20,[52][53][54] Bertelle ve ark., NIDCAP kapsamında bakım verdikleri 32 hafta ve öncesi doğan ve spontan venTuba ARPACI ve ark.…”

Section: Uyku-uyaniklik Düzeni̇ni̇n Sağlanmasi-güvenli̇ Uykuunclassified

“…52 Yenidoğanın uyku-uyanıklık organizasyonunun gelişimi için ritmik bakım örüntüsü uygulanmalı, çevresel uyaranlar, ışık ve ses seviyeleri önerilen düzeylerde tutulmalı ve gece uykusunu desteklemek için devirli aydınlatma uygulanmalıdır. Uykuyu destekleyici bakıma ilişkin aktiviteler (uygun pozisyon, besleyici olmayan emme, kanguru bakımı vb.)…”

Section: Uyku-uyaniklik Düzeni̇ni̇n Sağlanmasi-güvenli̇ Uykuunclassified

Individualized Developmental Care in Neonatal Intensive Care Unit: Current Approaches: Review

Arpaci¹,

Altay²

2017

Turkiye Klinikleri J Nurs Sci

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“…Bertelle et al 48 also reported increased duration of sleep by NIDCAP. 49 Others have demonstrated less use of sedatives and opioids by implementing NIDCAP.…”

Section: Scientific Evidencementioning

confidence: 99%

Family-centered developmental supportive care: a holistic and humane approach to reduce stress and pain in neonates

2007

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The theoretical framework behind family-centered developmentally supportive care is endorsed by research from several scientific fields such as neuroscience, developmental and family psychology, medicine and nursing. The most developed and well-studied form of developmental care is the newborn individualized care and assessment program (NIDCAP). This program has been shown to reduce stress and pain behaviors, physiologic stress response and decrease the use of sedatives and opioids. In addition, NIDCAP has positive effects on pulmonary morbidity, brain lesions and costs in the newborn period. In the longer term, the program is also reported to improve cognitive outcome and behavior in former very low-birth weight infants. The introduction of NIDCAP is not a trivial process but involves a considerable investment at all levels of the organization. NIDCAP requires some physical changes in the neonatal intensive care unit as well as substantial educational efforts and changes in the practice of care. The findings of the presented NIDCAP studies are encouraging and, equally important, is attractive from an ethical and humane perspective.

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Sleep of preterm neonates under developmental care or regular environmental conditions

Cited by 67 publications

References 24 publications

Effect of reducing sensory and environmental stimuli during hospitalized premature infant sleep

Effect of reducing sensory and environmental stimuli during hospitalized premature infant sleep

Individualized Developmental Care in Neonatal Intensive Care Unit: Current Approaches: Review

Family-centered developmental supportive care: a holistic and humane approach to reduce stress and pain in neonates

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