Advanced

No indication of increased quite sleep in infants receiving care based on Newborn Individulized Developmental Care and Assessment Program (NIDCAP)

Westrup, Björn LU ; Hellström-Westas, Lena LU ; Stjernqvist, Karin LU and Lagercrantz, Hugo (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 weeks 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) weeks). The infants in the NIDCAP group were cared for in a separate room by a... (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 weeks 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) weeks). 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 postconceptional age (PCA) of 36 weeks. Quiet sleep (QS) was assessed from 24-h amplitude-integrated EEGs recorded at 32 and 36 weeks of PCA. The percentage of time [mean (SD)] spent in QS at 32 weeks 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/24 h 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 weeks, and 36 wk of PCA, respectively (NS). Conclusions: There were no indications of increased QS at 32 or 36 weeks of postconceptional age among VLBW infants who received care based on NIDCAP. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cerebral, Function, Monitoring, Developmental, Care, Neonatal, Intensive, Nursing, Preterm, Infant, Sleep, Very-LOW-BIRTHWEIGHT
in
Acta Pædiatrica
volume
91
issue
3
pages
318 - 322
publisher
Wiley-Blackwell Publishing Ltd
external identifiers
  • scopus:0036218590
ISSN
1651-2227
DOI
10.1080/08035250252833996
language
English
LU publication?
yes
id
04c8b0b5-d234-44d1-a4ac-1d5e7a764a02 (old id 925463)
date added to LUP
2008-01-31 16:09:38
date last changed
2017-10-29 03:24:48
@article{04c8b0b5-d234-44d1-a4ac-1d5e7a764a02,
  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 weeks 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) weeks). 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 postconceptional age (PCA) of 36 weeks. Quiet sleep (QS) was assessed from 24-h amplitude-integrated EEGs recorded at 32 and 36 weeks of PCA. The percentage of time [mean (SD)] spent in QS at 32 weeks 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/24 h 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 weeks, and 36 wk of PCA, respectively (NS). Conclusions: There were no indications of increased QS at 32 or 36 weeks of postconceptional age among VLBW infants who received care based on NIDCAP.},
  author       = {Westrup, Björn and Hellström-Westas, Lena and Stjernqvist, Karin and Lagercrantz, Hugo},
  issn         = {1651-2227},
  keyword      = {Cerebral,Function,Monitoring,Developmental,Care,Neonatal,Intensive,Nursing,Preterm,Infant,Sleep,Very-LOW-BIRTHWEIGHT},
  language     = {eng},
  number       = {3},
  pages        = {318--322},
  publisher    = {Wiley-Blackwell Publishing Ltd},
  series       = {Acta Pædiatrica},
  title        = {No indication of increased quite sleep in infants receiving care based on Newborn Individulized Developmental Care and Assessment Program (NIDCAP)},
  url          = {http://dx.doi.org/10.1080/08035250252833996},
  volume       = {91},
  year         = {2002},
}