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
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).”
From The evolved nest, oxytocin functioning, and prosocial development (2023) · cites this paper as Feldman and Eidelman (2003)
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Self-citationCan Adverse Neonatal Experiences Alter Brain Development and Subsequent Behavior?
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Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis
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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