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Cited by 411Infant Development and Preterm CareInfant Health and DevelopmentNeonatal Respiratory Health Research

The DOI matches its Crossref record; 58 of the 63 references it cites were found in a registry or an index.

Skin-to-skin contact (Kangaroo Care) accelerates autonomic and neurobehavioural maturation in preterm infants

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Feldman, Ruth, Eidelman, Arthur I·2003·Developmental Medicine & Child Neurology
DOI 10.1017/s0012162203000525
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Abstract

The effects of mother-infant skin-to-skin contact (Kangaroo Care; KC) on autonomic functioning, state regulation, and neurobehavioural status was examined in 70 preterm infants, half of whom received KC over 24.31 days (SD 7.24) for a total of 29.76 hours (SD 12.86). Infants were matched for sex (19 males and 16 females in each group); birthweight (KC, 1229.95 g [SD 320.21]; controls, 1232.17 g [SD 322.15]); gestational age (GA) (KC, 30.28 weeks [SD 2.54]; controls, 30.19 weeks [SD 2.65]); medical risk; and family demographics. Vagal tone was calculated from 10 minutes of heart rate before KC and again at 37 weeks' GA. Infant state was observed in 10-second epochs during four consecutive hours before KC and again at 37 weeks' GA. Neurobehavioural status was assessed at 37 weeks' GA with the Neonatal Behavioral Assessment Scale (NBAS). Infants receiving KC showed a more rapid maturation of vagal tone between 32 and 37 weeks' GA (p=0.029). More rapid improvement in state organization was observed in KC infants, in terms of longer periods of quiet sleep (p=0.016) and alert wakefulness (p=0.013) and shorter periods of active sleep (p=0.023). Neurodevelopmental profile was more mature for KC infants, particularly habituation (p=0.032) and orientation (p=0.007). Results underscore the role of early skin-to-skin contact in the maturation of the autonomic and circadian systems in preterm infants.

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Research works printed but not linked: 3

  1. Brazelton TB. (1973) The Neonatal Behavioral Assessment Scale. Philadelphia, Pennsylvania: Lippincott.
  2. Hofer MA. (1995) Hidden regulators: implication for a new understanding of attachment, separation, and loss. In: Golberg S, Muir R, Kerr J, editors. Attachment Theory: Social, Developmental, and Clinical Perspectives. Hillsdale, NJ: Analytic Press. p 203-30.
  3. Lester BM. (1984) Data analysis and prediction. In: Brazelton TB, editor. Neonatal Behavioral Assessment Scale. 2nd edn. Clinics in Developmental Medicine No. 88. London: Spastic International Medical Publications. (Mac Keith Press).

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Metadata

Authors
Feldman, R., & Eidelman, A. I.
Affiliations
  • Bar-Ilan University (IL)
  • Shaare Zedek Medical Center (IL)
ORCID
Venue
Developmental Medicine & Child Neurology
Publisher
Wiley
Published
2003-04
Volume
45
Issue
04
Pages
274-281
ISSN
  • 0012-1622 (ISSN-L)
  • 1469-8749
DOI
10.1017/s0012162203000525
OpenAlex
W2126717500
Cited by
397
References
63
Citations by year
2026: 13 · 2025: 18 · 2024: 16 · 2023: 16 · 2022: 15 · 2021: 37 · 2020: 20 · 2019: 29 · 2018: 24 · 2017: 16 · 2016: 16 · 2015: 27 · 2014: 18 · 2013: 15 · 2012: 18
FWCI
8.71
Type
journal article
Language
en
Open access
Licence
doi.wiley.com/10.1002/tdm_license_1 (tdm, 4536 d)
Locations
  • Developmental Medicine & Child Neurology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
Keywords
kangaroo mother care, skin-to-skin contact, preterm infants, vagal tone, government regulation, circadian rhythm, quiet sleep, active sleep, habituation, orientation, neonatal neurodevelopment
MeSH terms
Adult, Autonomic Nervous System, Child Development, Female, Gestational Age, Habituation, Psychophysiologic, Heart Rate, Humans, Infant, Newborn, Infant, Premature, Male, Maternal Age, Mother-Child Relations, Skin, Vagus Nerve

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