Posture and movement in very preterm infants at term age in and outside the nest

Zahed, Meriem; Berbis, Julie; Brévaut-Malaty, Véronique; Busuttil, Muriel; Tosello, Barthélémy; Gire, Catherine

doi:10.1007/s00381-015-2905-1

Cited by 4 publications

(1 citation statement)

References 19 publications

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“…The importance of nesting position with the flexion posture for the well‑being of the infant has been documented, which is an intrauterine position to support infants in mid line, thus improving sleep and development of sensory systems with alleviating pain during painful procedure [ 30 ]. To stabilize body posture, supine nesting position has been adopted by most NICUs in worldwide, and that was the reason for this position in the present study [ 31 , 32 ]. As the gold standard for promoting comfort of hospitalized preterm infants, nesting is a favoring factor for the baby’s sleep when compared to its non-use by a previous study [ 33 ], which could conserve energy and minimize weight loss [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Vitamin D supplementation improved physical growth and neurologic development of Preterm Infants receiving Nesting Care in the neonatal Intensive Care Unit

Tang

Meng

et al. 2023

BMC Pediatr

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Objective To study the effects of vitamin D supplementation on physical growth and neurologic development of very preterm infants receiving nesting intervention in the neonatal intensive care unit (NICU). Methods A total of 196 preterm infants had been hospitalized in NICU with the gestational age (GA) between 28 and 32 weeks. Among them, 98 preterm infants received nesting intervention, and the other 98 cases received both nesting and vitamin D supplementation (400 IU). The interventions were continued until 36 weeks postmenstrual age (PMA). The 25(OH)D serum levels, anthropometric parameters, and Premie-Neuro (PN) scores were compared at 36 weeks PMA. Results Higher median serum level of 25(OH)D was found in the nesting + vitamin D [38.40 ng/mL (IQR: 17.20 ~ 70.88) ng/mL] as compared to the nesting group [15.95 ng/mL (IQR: 10.80 ~ 24.30) ng/mL] at 36 weeks PMA. Besides, infants receiving combined nesting intervention and vitamin D supplementation had less proportion of vitamin D deficiency [VDD, 25(OH)D levels < 20 ng/mL] than those receiving nesting intervention alone. After intervention, the anthropometric parameters of infants, including weight, length, BMI and head circumference were improved in the nesting + vitamin D group as compared to the nesting group at 36 weeks PMA, with higher scores of neurological, movement and responsiveness. Conclusions Vitamin D supplementation effectively decreased the prevalence of VDD and led to higher concentrations of 25(OH)D at 36 weeks PMA. This was one more study that supported the necessity of vitamin D supplementation to improve physical growth and neurologic development of preterm-born newborns who received nesting intervention in the NICU.

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