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No indications of increased quiet sleep in infants receiving care based on the Newborn Individualized Developmental Care and Assessment Program (NIDCAP)

Westrup, Björn LU ; Hellström-Westas, Lena LU ; Stjernqvist, K and Lagercrantz, H (2002) In Acta Pædiatrica 91(3). p.318-322
Abstract
It has been proposed that the developmentally supportive care of very-low-birthweight (VLBW) infants provided by the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) can improve the infants' opportunities for rest and sleep. The aim of the present study was to determine whether quiet sleep (QS) in VLBW infants is affected by NIDCAP care. Twenty-two infants with a gestational. age of <32 wk at birth randomly received either NIDCAP (n = 11) or conventional care (n = 11). These two groups were comparable (mean (SD)) with respect to birthweight (1021 (240) vs 913 (362)g, respectively) and gestational age (27.1 (1.7) vs 26.4 (1.8) wk). The infants in the NIDCAP group were cared for in a separate room by a group Of... (More)
It has been proposed that the developmentally supportive care of very-low-birthweight (VLBW) infants provided by the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) can improve the infants' opportunities for rest and sleep. The aim of the present study was to determine whether quiet sleep (QS) in VLBW infants is affected by NIDCAP care. Twenty-two infants with a gestational. age of <32 wk at birth randomly received either NIDCAP (n = 11) or conventional care (n = 11). These two groups were comparable (mean (SD)) with respect to birthweight (1021 (240) vs 913 (362)g, respectively) and gestational age (27.1 (1.7) vs 26.4 (1.8) wk). The infants in the NIDCAP group were cared for in a separate room by a group Of specially trained nurses and subjected to weekly NIDCAP observations until they reached a post-conceptional age (PCA) of 36 wk. Quiet sleep (QS) was assessed from 24-h amplitude-integrated EEGs recorded at 32 and 36 wk of PCA. The percentage of time [mean (SD)] spent in QS at 32 wk of PCA was 33.5 (2.6) % for the NIDCAP group and 33.3 (6.9) % for the control infants (ns). At 36 wk, the corresponding values were 24.5 (3.2) % and 25.7 (4.7) %, respectively (ns). The number of QS periods/24h decreased equally in both groups in association with maturation: from 24.6 (3.3) to 16.8 (1.8) and from 25.0 (5.8) to 17.5 (3.3), at 32 wk. and 36 wk of PCA, respectively (NS). Conclusions: There were no indications of increased QS at 32 or 36 wk of postconceptional age among VLBW infants who received care based on NIDCAP. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
preterm infant, neonatal nursing, intensive care, neonatal, EEG, cerebral function monitoring, developmental care, very-low-birthweight, sleep
in
Acta Pædiatrica
volume
91
issue
3
pages
318 - 322
publisher
Wiley-Blackwell Publishing Ltd
external identifiers
  • pmid:12022306
  • wos:000174840100016
  • scopus:0036218590
ISSN
1651-2227
language
English
LU publication?
yes
id
38e8b50a-a95c-42a1-a0a0-5adc73f86fd1 (old id 340979)
date added to LUP
2007-11-16 11:49:22
date last changed
2017-10-29 04:12:33
@article{38e8b50a-a95c-42a1-a0a0-5adc73f86fd1,
  abstract     = {It has been proposed that the developmentally supportive care of very-low-birthweight (VLBW) infants provided by the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) can improve the infants' opportunities for rest and sleep. The aim of the present study was to determine whether quiet sleep (QS) in VLBW infants is affected by NIDCAP care. Twenty-two infants with a gestational. age of &lt;32 wk at birth randomly received either NIDCAP (n = 11) or conventional care (n = 11). These two groups were comparable (mean (SD)) with respect to birthweight (1021 (240) vs 913 (362)g, respectively) and gestational age (27.1 (1.7) vs 26.4 (1.8) wk). The infants in the NIDCAP group were cared for in a separate room by a group Of specially trained nurses and subjected to weekly NIDCAP observations until they reached a post-conceptional age (PCA) of 36 wk. Quiet sleep (QS) was assessed from 24-h amplitude-integrated EEGs recorded at 32 and 36 wk of PCA. The percentage of time [mean (SD)] spent in QS at 32 wk of PCA was 33.5 (2.6) % for the NIDCAP group and 33.3 (6.9) % for the control infants (ns). At 36 wk, the corresponding values were 24.5 (3.2) % and 25.7 (4.7) %, respectively (ns). The number of QS periods/24h decreased equally in both groups in association with maturation: from 24.6 (3.3) to 16.8 (1.8) and from 25.0 (5.8) to 17.5 (3.3), at 32 wk. and 36 wk of PCA, respectively (NS). Conclusions: There were no indications of increased QS at 32 or 36 wk of postconceptional age among VLBW infants who received care based on NIDCAP.},
  author       = {Westrup, Björn and Hellström-Westas, Lena and Stjernqvist, K and Lagercrantz, H},
  issn         = {1651-2227},
  keyword      = {preterm infant,neonatal nursing,intensive care,neonatal,EEG,cerebral function monitoring,developmental care,very-low-birthweight,sleep},
  language     = {eng},
  number       = {3},
  pages        = {318--322},
  publisher    = {Wiley-Blackwell Publishing Ltd},
  series       = {Acta Pædiatrica},
  title        = {No indications of increased quiet sleep in infants receiving care based on the Newborn Individualized Developmental Care and Assessment Program (NIDCAP)},
  volume       = {91},
  year         = {2002},
}