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

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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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Authors: Feldman, R., & Eidelman, A. I.
Affiliations: Bar-Ilan University (IL)
Shaare Zedek Medical Center (IL)
ORCID: Feldman, Ruth
Eidelman, Arthur I
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: bronze
doi.org
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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Skin-to-skin contact (Kangaroo Care) accelerates autonomic and neurobehavioural maturation in preterm infants

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