Promoting and Protecting Infant Sleep

Allen, Kimberly A.

doi:10.1097/anc.0b013e3182653899

Cited by 43 publications

(29 citation statements)

References 41 publications

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“…By reviewing the literature and Review maternal records for history of prescription or illicit use, positive drug screens and at-risk behaviors 1 , 19 Initiate FSS Within 24 h of admission, or as soon as the infant is removed from short-term narcotics 19 , 22 FSS frequency Avoid waking baby, and assess with nursing assessments every 3 to 4 h 21 , 27 Nonpharmacologic care measures Placement in a quiet dark room with minimal disruptions, sleep protection, pacifi er use, support self-calming efforts, skin-to-skin holding, individualized caregiving 1,3,6,22,23,25,31 Nutrition Similac sensitive care, on demand feeds, avoid waking unless sick baby, adequate caloric intake to support growth with small frequent feedings of hypercaloric formula 1 , 6 Breastfeeding support Clinical practice guidelines provide nurses with clear direction when caring for their patients.…”

Section: Resultsmentioning

confidence: 99%

Evidence-Based Nurse-Driven Interventions for the Care of Newborns With Neonatal Abstinence Syndrome

Casper

Arbour

2014

Advances in Neonatal Care

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Neonatal abstinence syndrome (NAS) is a growing problem in the United States, related to increased maternal substance use and abuse, and a set of drug withdrawal symptoms that can affect the central nervous system and gastrointestinal and respiratory systems in the newborn when separated from the placenta at birth. Infants with NAS often require a significant length of stay in the neonatal intensive care unit (NICU). Pharmacologic treatments and physician-directed interventions are well researched, but nursing-specific interventions and recommendations are lacking. A thorough review and analysis of the literature and interviews with neonatal experts guided the development of a nursing clinical practice guideline for infants with NAS in a level IV NICU. Recommended nursing-specific interventions include methods for maternal drug-use identification, initiation and timing of the Finnegan Scoring System to monitor withdrawal symptoms, and bedside interventions to lessen the drug-withdrawal symptoms in the newborn with NAS.

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Section: Resultsmentioning

confidence: 99%

Evidence-Based Nurse-Driven Interventions for the Care of Newborns With Neonatal Abstinence Syndrome

Casper

Arbour

2014

Advances in Neonatal Care

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“…In several altricial species, such as rats, cats and humans, the major proportion of the sleep in the normal full-term neonates is AS (Allen, 2012;Anders et al, 1995;Jouvet-Mounier et al, 1970;Korotchikova et al, 2016), but the premature human babies (born between 27 and 37 weeks) still display a higher percentage of AS during the early gestational age (Foreman et al, 2008;Holditch-Davis, 1990). The sleep duration begins to decrease and W increases by a month in the full-term human infants, but similar changes are not found in the preterm babies (Ardura et al, 1995).…”

Section: Discussionmentioning

confidence: 99%

The effects of rapid eye movement sleep deprivation during late pregnancy on newborns' sleep

Aswathy

Kumar

Gulia

2017

Journal of Sleep Research

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Sleep deprivation during pregnancy is an emerging concern, as it can adversely affect the development of the offspring brain. This study was conducted to evaluate the effects of deprivation of rapid eye movement (REM) sleep during the third term of pregnancy on the sleep-wake profiles of neonates in the Wistar rat model. Sleep-wake patterns were assessed through electrophysiological measures and behavioural observations during postnatal days 1-21 on pups born to REM sleep-deprived dams and control rats. Pups of REM sleep-deprived dams had active sleep that was not only markedly higher in percentage during all the days studied, but also had reduced latency during later postnatal days 15-21. Quiet sleep and wake periods were lower. These factors, along with less frequent but longer sleep-wake cycles, indicated maturational delay in the sleep-wake neural networks. The disruption of time-bound growth of sleep-wake neural networks was substantiated further by the decreased slope of survival plots in the sleep bouts. Examination of altered sleep-wake patterns during early development may provide crucial information concerning deranged neural development in the offspring. This is the first report, to our knowledge, to show that maternal sleep deprivation during pregnancy can delay and impair the development of sleep-wake profile in the offspring.

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“…[1234567] Adequate sleep is of great importance in neonates as it affects the development of sensory system, the structure of hippocampus, pons, brainstem, middle brain, motor system, limbic, learning, long-term memory, thermoregulation, preservation of the capacity of coping with changes, and appropriate responses to environmental stimulations. [1235] In neonates, the sleep cycle includes three stages of active, quiet, and undetermined sleep.…”

Section: Introductionmentioning

confidence: 99%

Effects of nesting and swaddling on the sleep duration of premature infants hospitalized in neonatal intensive care units

Abdeyazdan

Mohammadian-Ghahfarokhi

Ghazavi

et al. 2016

Iranian J Nursing Midwifery Res

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Background:In neonatal intensive care unit (NICU), neonatal sleep is disrupted due to different factors. Due to the critical role of sleep in premature infants’ brain development, this study aimed to investigate the effect of nesting and swaddling on the sleep duration of premature infants hospitalized in NICUs.Materials and Methods:In a crossover clinical trial, 42 preterm infants who met the inclusion criteria were enrolled. They were randomly assigned to two groups of nest-swaddle and swaddle-nest. Sleep status was evaluated by observation and use of Prechtl's criteria. Then, durations of total sleep time (TST) and quiet sleep time (QST) were recorded. Data were analyzed using repeated measure analysis of variance (ANOVA).Results:Mean values of TST and QST during nesting and also swaddling periods were significantly higher than in the control period in both groups (P < 0.001). Mean values of TST and QST in the swaddling period were higher than in the nesting period in both groups, However, these differences were not significant (P = 0.245).Conclusions:Both swaddling and nesting could significantly increase the duration of TST and QST, compared to the control. There were no significant differences between the effects of these interventions on TST and QST. Therefore, using any of these methods is suggested to improve infants’ quality of sleep in NICU, with respect to the ward policies.

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Promoting and Protecting Infant Sleep

Cited by 43 publications

References 41 publications

Evidence-Based Nurse-Driven Interventions for the Care of Newborns With Neonatal Abstinence Syndrome

Evidence-Based Nurse-Driven Interventions for the Care of Newborns With Neonatal Abstinence Syndrome

The effects of rapid eye movement sleep deprivation during late pregnancy on newborns' sleep

Effects of nesting and swaddling on the sleep duration of premature infants hospitalized in neonatal intensive care units

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