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Skin-to-skin contact (Kangaroo Care) accelerates autonomic and neurobehavioural maturation in preterm infants
Open accessAbstract
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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“Positive touch facilitates social and emotional (Feldman and Eidelman, 2004), neurobehavioral and cognitive development (Feldman and Eidelman, 2003).”
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Cites
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771
PORGES, S. W. (1995) · Psychophysiology · doi:10.1111/j.1469-8986.1995.tb01213.x · Cited by 1,624
The International Neonatal Network (1993) · The Lancet · doi:10.1016/0140-6736(93)92296-6 · Cited by 773
An early marker for neurological deficits after perinatal brain lesions
Prechtl, H. F. R., Einspieler, C., Cioni, G., Bos, A. F., Ferrari, F., & Sontheimer, D. (1997) · The Lancet · doi:10.1016/s0140-6736(96)10182-3 · Cited by 719
Experiential canalization of behavioral development: Theory.
Gottlieb, G. (1991) · Developmental Psychology · doi:10.1037/0012-1649.27.1.4 · Cited by 696
Individualized Developmental Care for the Very Low-Birth-Weight Preterm Infant
Als, H. (1994) · JAMA · doi:10.1001/jama.272.11.853 · Cited by 673
Feldman, R., Eidelman, A. I., Sirota, L., & Weller, A. (2002) · PEDIATRICS · doi:10.1542/peds.110.1.16 · Cited by 634
Self-citationCan Adverse Neonatal Experiences Alter Brain Development and Subsequent Behavior?
Anand, K. J. S., & Scalzo, F. M. (2000) · Neonatology · doi:10.1159/000014197 · Cited by 616
Vagal Tone: A Physiologic Marker of Stress Vulnerability
Porges, S. W. (1992) · Pediatrics · doi:10.1542/peds.90.3.498 · Cited by 541
Feldman, R., Weller, A., Sirota, L., & Eidelman, A. I. (2002) · Developmental Psychology · doi:10.1037/0012-1649.38.2.194 · Cited by 315
Self-citationNewborn Pain Cries and Vagal Tone: Parallel Changes in Response to Circumcision
Porter, F. L., Porges, S. W., & Marshall, R. E. (1988) · Child Development · doi:10.2307/1130327 · Cited by 283
Physiological regulation in high-risk infants: A model for assessment and potential intervention.
Porges, S. W. (1996) · Development and Psychopathology · doi:10.1017/s0954579400006969 · Cited by 222
Lehmann, J., Stöhr, T., & Feldon, J. (2000) · Behavioural Brain Research · doi:10.1016/s0166-4328(99)00122-9 · Cited by 217
Developmental patterns of rhythmic suck and swallow in preterm infants
Gewolb, I. H., Vice, F. L., Schweitzer‐Kenney, E. L., Taciak, V. L., & Bosma, J. F. (2001) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2001.tb00381.x · Cited by 213
Auerbach, J. G., Geller, V., Lezer, S., Shinwell, E. S., Belmaker, R. H., Levine, J., & Ebstein, R. P. (1999) · Molecular Psychiatry · doi:10.1038/sj.mp.4000531 · Cited by 206
Sloan, N. L., Rojas, E. P., Stern, C., Camacho, L. W. L., & Maternidad Isidro Ayora Study Team (1994) · The Lancet · doi:10.1016/s0140-6736(94)92341-8 · Cited by 194
Development of sleep states in normal premature and full‐term newborns
Curzi‐Dascalova, L., Peirano, P. D., & MORELKAHN, F. (1988) · Developmental Psychobiology · doi:10.1002/dev.420210503 · Cited by 187
Massage stimulates growth in preterm infants: A replication
SCAFIDI, F. A., Field, T. M., Schanberg, S. M., Bauer, C. R., Tucci, K., Roberts, J., Morrow, C. E., & Kuhn, C. M. (1990) · Infant Behavior and Development · doi:10.1016/0163-6383(90)90029-8 · Cited by 175
Exogenous Opioids in Human Breast Milk and Acute Neonatal Neurobehavior
Wittels, B., Scot, D. T., & Sinatra, R. S. (1990) · Anesthesiology · doi:10.1097/00000542-199011000-00012 · Cited by 162
Doussard-Roosevelt, J. A., Porges, S. W., Scanlon, J. W., Alemi, B., & Scanlon, K. B. (1997) · PubMed · Cited by 153
The Relation between Neonatal Heart Period Patterns and Developmental Outcome
Fox, N. A., & Porges, S. W. (1985) · Child Development · doi:10.1111/j.1467-8624.1985.tb00082.x · Cited by 145
Thoman, E. B., Denenberg, V. H., Sievel, J., Zeidner, L. P., & Becker, P. (1981) · Neuropediatrics · doi:10.1055/s-2008-1059638 · Cited by 128
Neurobehavioral profiles of neonates exposed to cocaine prenatally
Mayes, L. C., Granger, R. H., Frank, M. A., Schottenfeld, R., & Bornstein, M. H. (1993) · Pediatrics · doi:10.1542/peds.91.4.778 · Cited by 122
Anders, T. F., Keener, M. A., & KRAEMER, H. C. (1985) · SLEEP · doi:10.1093/sleep/8.3.193 · Cited by 117
EEG Patterns of Preterm Infants, Home Environment, and Later IQ
Beckwith, L., & Parmelee, A. H. (1986) · Child Development · doi:10.1111/j.1467-8624.1986.tb00245.x · Cited by 117
Cardiac activity in infancy: Reliability and stability of individual differences
Fracasso, M. P., Porges, S. W., Lamb, M. E., & Rosenberg, A. A. (1994) · Infant Behavior and Development · doi:10.1016/0163-6383(94)90006-x · Cited by 113
Laviola, G., & Terranova, M. L. (1998) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(98)00021-9 · Cited by 109
Skin-to-skin (kangaroo) care, respiratory control, and thermoregulation
Bohnhorst, B., Heyne, T., Peter, C. S., & Poets, C. F. (2001) · The Journal of Pediatrics · doi:10.1067/mpd.2001.110978 · Cited by 109
Developmental Intervention for Low Birth Weight Infants: Improved Early Developmental Outcome
Resnick, M. B., Eyler, F. D., Nelson, R. M., Eitzman, D. V., & Bucciarelli, R. L. (1987) · PEDIATRICS · doi:10.1542/peds.80.1.68 · Cited by 106
The Jerusalem perinatal study: the first decade 1964--73.
Harlap, S., Davies, A. M., Grover, N., & Prywes, R. (1977) · PubMed · Cited by 104
Influence of light in the NICU on the development of circadian rhythms in preterm infants
Mirmiran, M., & Ariagno, R. L. (2000) · Seminars in Perinatology · doi:10.1053/sper.2000.8593 · Cited by 103
The development of sleeping and waking states in high-risk preterm infants
Holditch‐Davis, D. (1990) · Infant Behavior and Development · doi:10.1016/0163-6383(90)90020-9 · Cited by 93
Heart Rate and Heart Rate Variability during Sleep in Small-for-Gestational Age Newborns
Spassov, L., Curzi-Dascalova, L., Clairambault, J., Kauffmann, F., Eiselt, M., Médigue, C., & Peirano, P. D. (1994) · Pediatric Research · doi:10.1203/00006450-199404000-00022 · Cited by 90
The Impact of Temporally Patterned Stimulation on the Development of Preterm Infants
Barnard, K. E., & Bee, H. L. (1983) · Child Development · doi:10.2307/1129671 · Cited by 89
Developmental intervention for low birth weight infants: improved early development outcome.
Resnick, M. B., Eyler, F. D., Nelson, R. M., Eitzman, D. V., & Bucciarelli, R. L. (1987) · PubMed · Cited by 87
Neonatal cardiac vagal tone and school-age developmental outcome in very low birth weight infants
Doussard-Roosevelt, J. A., McClenny, B. D., & Porges, S. W. (2000) · Developmental Psychobiology · doi:10.1002/1098-2302(2001)38:1 · Cited by 87
The impact of temporally patterned stimulation on the development of preterm infants.
Barnard, K. E., & Bee, H. L. (1983) · PubMed · Cited by 85
Behavioral states of premature infants: Implications for neural and behavioral development
Davis, D. H., & Thoman, E. B. (1987) · Developmental Psychobiology · doi:10.1002/dev.420200107 · Cited by 76
THE EFFECTS OF MATERNAL EPIDURAL ANESTHESIA ON NEONATAL BEHAVIOR DURING THE FIRST MONTH
Sepkoski, C. M., Lester, B. M., Ostheimer, G. W., & Brazelton, T. B. (1992) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.1992.tb11419.x · Cited by 74
Vagal Responsiveness to Gavage Feeding as an Index of Preterm Status
DiPietro, J. A., & Porges, S. W. (1991) · Pediatric Research · doi:10.1203/00006450-199103000-00003 · Cited by 67
Thoman, E. B., & Ingersoll, E. W. (1999) · Child Development · doi:10.1111/1467-8624.00001 · Cited by 66
The Effect of Prenatal Cocaine Exposure on Neurobehavioral Outcome
Held, J. R., Riggs, M. L., & Dorman, C. (1999) · Neurotoxicology and Teratology · doi:10.1016/s0892-0362(99)00032-x · Cited by 63
Emerging and entraining patterns of the sleep–wake rhythm in preterm and term infants
Shimada, M., Takahashi, K., Segawa, M., Higurashi, M., Samejim, M., & Horiuchi, K. (1999) · Brain and Development · doi:10.1016/s0387-7604(99)00054-6 · Cited by 63
Maternally directed orienting behaviors of newborn rats
Polan, H. J., & Hofer, M. A. (1999) · Developmental Psychobiology · doi:10.1002/(sici)1098-2302(199905)34:2 · Cited by 50
Doussard-Roosevelt, J. A., Porges, S. W., Scanlon, J. W., Alemi, B., & Scanlon, K. B. (1997) · Child Development · doi:10.1111/j.1467-8624.1997.tb01934.x · Cited by 44
Behavioral organization in newborns and its relation to adrenocortical and cardiac activity.
Spangler, G., & Scheubeck, R. (1993) · PubMed · Cited by 43
Intervention Programs for Premature Infants: How and Do They Affect Development?
Feldman, R., & Eidelman, A. I. (1998) · Clinics in Perinatology · doi:10.1016/s0095-5108(18)30101-5 · Cited by 43
Self-citationBrazelton, T. B. (1990) · Child Development · doi:10.1111/j.1467-8624.1990.tb03557.x · Cited by 37
The influence of respiratory distress syndrome on heart rate variability in very preterm infants
van Ravenswaaij‐Arts, C. M. A., Hopman, J. C. W., Kollée, L. A. A., van Amen, J. P. L., Stoelinga, G. B. A., & van Geijn, H. P. (1991) · Early Human Development · doi:10.1016/0378-3782(91)90195-9 · Cited by 35
Poeggel, G., Lange, E., Hase, C., Metzger, M., Gulyaeva, N. V., & Braun, K. (1999) · Neuroscience · doi:10.1016/s0306-4522(99)00289-4 · Cited by 35
DiPietro, J. A., Caughy, M. O., Cusson, R. M., & Fox, N. A. (1994) · Developmental Psychobiology · doi:10.1002/dev.420270302 · Cited by 33
Kangaroo Care: The Best You Can Do to Help Your Preterm Infant
Ludington‐Hoe, S. M., & Golant, S. K. (1993) · Cited by 30
Long-Lasting Effect of Early Handling on the Peripheral Benzodiazepine Receptor
Weizman, R., Lehmann, J., Leschiner, S., Allmann, I., Stoehr, T., Heidbreder, C. A., Domeney, A. M., Feldon, J., & Gavish, M. (1999) · Pharmacology Biochemistry and Behavior · doi:10.1016/s0091-3057(99)00138-0 · Cited by 24
Neonatal Behavioral Organization and Visual Processing at Three Months
Moss, M., Colombo, J. A., Mitchell, D. W., & Horowitz, F. D. (1988) · Child Development · doi:10.1111/j.1467-8624.1988.tb01490.x · Cited by 24
Predictions of developmental patterns during infancy: Assessments of children 0–1 years
Mothander, P. R. (1989) · Scandinavian Journal of Psychology · doi:10.1111/j.1467-9450.1989.tb01079.x · Cited by 14
Neonatal State Profiles: Reliability and Short-Term Prediction of Neurobehavioral Status
Colombo, J. A., Moss, M., & Horowitz, F. D. (1989) · Child Development · doi:10.1111/j.1467-8624.1989.tb03542.x · Cited by 12
Behavioral Organization in Newborns and Its Relation to Adrenocortical and Cardiac Activity
Spangler, G., & Scheubeck, R. (1993) · Child Development · doi:10.1111/j.1467-8624.1993.tb02932.x · Cited by 7
Behavior of Macrosomie and Appropriate-for-Gestational-Age Newborns
Pressler, J. L., & Hepworth, J. T. (1997) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.1997.tb02133.x · Cited by 5
Research works printed but not linked: 3
- Brazelton TB. (1973) The Neonatal Behavioral Assessment Scale. Philadelphia, Pennsylvania: Lippincott.
- 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.
- 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).
Cited by
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Boundy, E. O., Dastjerdi, R., Spiegelman, D., Fawzi, W. W., Missmer, S. A., Lieberman, E., Kajeepeta, S., Wall, S., & Chan, G. J. (2016) · Pediatrics · doi:10.1542/peds.2015-2238 · Cited by 661
The origins of 12-month attachment: a microanalysis of 4-month mother-infant interaction.
Beebe, B., Jaffe, J., Markese, S., Buck, K., Chen, H., Cohen, P., Bahrick, L., Andrews, H., & Feldstein, S. (2010) · Attachment & Human Development · doi:10.1080/14616730903338985 · Cited by 652
Gooding, J. S., Cooper, L. G., Blaine, A. I., Franck, L. S., Howse, J. L., & Berns, S. D. (2011) · Seminars in Perinatology · doi:10.1053/j.semperi.2010.10.004 · Cited by 646
Feldman, R., Rosenthal, Z., & Eidelman, A. I. (2014) · Biological Psychiatry · doi:10.1016/j.biopsych.2013.08.012 · Cited by 632
Self-citationCloseness and separation in neonatal intensive care
Flacking, R., Lehtonen, L., Thomson, G., Axelin, A., Ahlqvist‐Björkroth, S., Morán, V. H., Ewald, U., Dykes, F., & the SCENE group (2012) · Acta Paediatrica · doi:10.1111/j.1651-2227.2012.02787.x · Cited by 559
Metadata
- Authors
- Feldman, R., & Eidelman, A. I.
- Affiliations
- Bar-Ilan University (IL)
- Shaare Zedek Medical Center (IL)
- Venue
- Developmental Medicine & Child Neurology
- Publisher
- Wiley
- Published
- 2003-04
- Volume
- 45
- Issue
- 04
- Pages
- 274-281
- ISSN
- 0012-1622 (ISSN-L)
- 1469-8749
- 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
- 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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