Vulnerability of respiratory control in healthy preterm infants placed supine

Martin, Richard J.; DiFiore, Juliann M.; Korenke, C. B.; Randal, H.; Miller, Martha J.; Brooks, Lee J.

doi:10.1016/s0022-3476(95)70125-7

Cited by 63 publications

(49 citation statements)

References 28 publications

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“…The prone position was selected because it controlled for the positional component of KC, allowing us to test the maternal proximity component, and because it is recommended for neonates who are premature. 29,30 The heel-lancing procedure was selected as the pain stimulus for several reasons: (1) it is the most common tissuedamaging procedure that premature neonates undergo, (2) the procedure can be relatively standardized across times and staff, and (3) it is an event that occurs as part of routine care of premature neonates and is not an artificial stimulus. The same person conducted the procedure at each site.…”

Section: Methodsmentioning

confidence: 99%

Kangaroo Care Is Effective in Diminishing Pain Response in Preterm Neonates

Johnston¹,

Stevens²,

Pinelli³

et al. 2003

Arch Pediatr Adolesc Med

263

177

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For preterm neonates who are 32 weeks' postmenstrual age or older, KC seems to effectively decrease pain from heel lancing. Further study is needed to determine if younger neonates or those requiring assistance in breathing, or older infants or toddlers, would benefit from KC, or if it would remain effective over several procedures. Given its effectiveness, and that parents of neonates in critical care units want to participate more in comforting their children, KC is a potentially beneficial strategy for promoting family health.

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Section: Methodsmentioning

confidence: 99%

Kangaroo Care Is Effective in Diminishing Pain Response in Preterm Neonates

Johnston¹,

Stevens²,

Pinelli³

et al. 2003

Arch Pediatr Adolesc Med

263

177

View full text Add to dashboard Cite

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“…103 Unfortunately, preterm and very low birth weight infants continue to be more likely to be placed prone for sleep after hospital discharge. 104,105 Preterm infants are placed prone initially to improve respiratory mechanics 106,107 ; although respiratory parameters are no different in the supine or prone positions in preterm infants who are close to discharge, 108 both infants and their caregivers likely become accustomed to using the prone position, which makes it more difficult to change. One study of NICU nurses found that only 50% of nurses place preterm infants supine during the transition to an open crib, and more than 20% never place preterm infants supine or will only place them supine 1 to 2 days before discharge.…”

Section: Preterm Infants Should Be Placed Supine As Soon As Possiblementioning

confidence: 99%

SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment

Moon¹

2011

Pediatrics

219

115

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Despite a major decrease in the incidence of sudden infant death syndrome (SIDS) since the American Academy of Pediatrics (AAP) released its recommendation in 1992 that infants be placed for sleep in a nonprone position, this decline has plateaued in recent years. Concurrently, other causes of sudden unexpected infant death occurring during sleep (sleep-related deaths), including suffocation, asphyxia, and entrapment, and ill-defined or unspecified causes of death have increased in incidence, particularly since the AAP published its last statement on SIDS in 2005. It has become increasingly important to address these other causes of sleep-related infant death. Many of the modifiable and nonmodifiable risk factors for SIDS and suffocation are strikingly similar. The AAP, therefore, is expanding its recommendations from being only SIDS-focused to focusing on a safe sleep environment that can reduce the risk of all sleep-related infant deaths including SIDS. The recommendations described in this report include supine positioning, use of a firm sleep surface, breastfeeding, room-sharing without bed-sharing, routine immunization, consideration of a pacifier, and avoidance of soft bedding, overheating, and exposure to tobacco smoke, alcohol, and illicit drugs. The rationale for these recommendations is discussed in detail in this technical report. The recommendations are published in the accompanying “Policy Statement—Sudden Infant Death Syndrome and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment,” which is included in this issue (www.pediatrics.org/cgi/doi/10.1542/peds.2011-2220).

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“…9 In comparison, there are more reports on effects of body position on respiratory function in preterm infants during neonatal intensive care. [13][14][15][16][17][18][19][20] Although the beneficial effects of the prone position on pulmonary function were variable among these reports, it is generally believed that the prone position has advantages greater than the supine position in preterm infants with respiratory illness. 14,16,19,20 The American Academy of Pediatrics recommended in 1992 that term infants, and in 1996 also asymptomatic preterm infants, sleep nonprone to reduce risk for SIDS.…”

mentioning

confidence: 99%

More Awakenings and Heart Rate Variability During Supine Sleep in Preterm Infants

Goto

Mirmiran²,

Adams³

et al. 1999

Pediatrics

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In 36-week-postconceptional age preterm infants, the supine sleeping position had less quiet sleep and was associated with greater heart rate variability during the first sleep cycle after the feeding. More awakenings were seen during all sleep states in the supine position. These data support the American Academy of Pediatrics recommendation for "Back to Sleep" for asymptomatic preterm infants because more awakenings and lower threshold for arousal may provide some benefit for the infant responding to a life-threatening event. However, further studies are needed to address positional effect on the physiologic measures in preterm infants at older ages (later stages of development). Precisely what constitutes the most healthy or advantageous sleep for newborn infants remains an important question.

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Vulnerability of respiratory control in healthy preterm infants placed supine

Cited by 63 publications

References 28 publications

Kangaroo Care Is Effective in Diminishing Pain Response in Preterm Neonates

Kangaroo Care Is Effective in Diminishing Pain Response in Preterm Neonates

SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment

More Awakenings and Heart Rate Variability During Supine Sleep in Preterm Infants

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