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Newborn Acoustic Cry Characteristics of Infants Subsequently Dying of Sudden Infant Death Syndrome
Abstract
Objective. To test the hypothesis that the occurrence of a neonatal cry exhibiting a high first formant is a risk factor for sudden infant death syndrome (SIDS) and to evaluate the association between SIDS and other acoustic cry variables. Method. We recorded cries and obtained medical and demographic data for 21 880 apparently healthy term newborns. Two cries were recorded between days 2 and 7 of life, after a painful stimulus at the time of routine blood drawing. Acoustic variables were measured with an automated computer-based analysis system. Twelve infants died of SIDS. Age at death ranged from 19 days to 6.5 months. Autopsies were performed in all cases. At least one cry was analyzed for all 12 infants who died of SIDS and 20 167 infants without SIDS. Two cries were analyzed for 9 infants who died of SIDS and 14 235 infants without SIDS. Results. Newborns whose first cries exhibited a high first formant were more likely to die of SIDS than infants whose first cries did not have this characteristic (relative risk, 3.5; 95% confidence interval [CI] 1.1 to 12). The relative risk for SIDS increased to 8.8 (95% CI, 2.2 to 35) for newborns whose second cries showed that this characteristic persisted. Newborns with the combination of both a high first formant and a high number of mode changes on both of two cries had a relative risk of 32 (95% CI, 8.7 to 120). Conclusions. We have shown an association between alterations in neonatal cry acoustics and SIDS. Cry analysis represents a potentially important research tool that, when studied in relation to other physiologic measures, may lead to an improved understanding of SIDS.
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SCG measurements are reported on adult populations, but their use in routine clinical practice is rare and absent in neonatal and/or pediatric contexts due at least partly to high chest curvature and fragile skin surface.
“Although SCG measurements are reported on adult populations50, their use in routine clinical practice is rare and is absent in neonatal and/or pediatric contexts due, at least partly, to the high degrees of curvature of the chest51 and the fragility of the skin surface52,53.”
From Skin-interfaced biosensors for advanced wireless physiological monitoring in neonatal and pediatric intensive-care units (2020) · cites this paper as [52]
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Self-citationAtypical Cry Acoustics in 6‐Month‐Old Infants at Risk for Autism Spectrum Disorder
Sheinkopf, S. J., Iverson, J. M., Rinaldi, M. L., & Lester, B. M. (2012) · Autism Research · doi:10.1002/aur.1244 · Cited by 129
“The resulting corpus of cry episodes was subjected to acoustic analysis using a computer system that has been specifically designed and well validated to perform cry analyses in infants [Corwin et al., 1992, 1995; Lester et al., 1991].”
MethodSelf-citationHuman Neonatal Cry Quality as an honest signal of fitness
Furlow, F. B. (1997) · Evolution and Human Behavior · doi:10.1016/s1090-5138(97)00006-8 · Cited by 88
The covariation of acoustic features of infant cries and autonomic state
Stewart, A. M., Lewis, G. F., Heilman, K. J., Davila, M. I., Coleman, D. D., Aylward, S. A., & Porges, S. W. (2013) · Physiology & Behavior · doi:10.1016/j.physbeh.2013.07.003 · Cited by 66
“, circumcision), sudden infant death syndrome, and substance exposure during pregnancy [8,14–19].”
BackgroundHow is crying perceived in children with Autistic Spectrum Disorder
Esposito, G., & Venuti, P. (2007) · Research in Autism · doi:10.1016/j.rasd.2007.09.003 · Cited by 45
The infant cry: What can it tell us?
Corwin, M. J., Lester, B. M., & Golub, H. L. (1996) · Current Problems in Pediatrics · doi:10.1016/s0045-9380(96)80012-0 · Cited by 45
Self-citation“Cry Baby”: Using Spectrographic Analysis to Assess Neonatal Health Status from an Infant’s Cry
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“For several decades, there has been an ongoing interest in the connection of acoustic characteristics of infant cry vocalizations with infant health and developmental issues [1–4].”
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“In addition, studies have examined infants who had siblings who died of SIDS [37,39].”
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“Previous reports of the cry F0 surrounding SIDS have ranged from findings of no difference between SIDS and HT infants [9,10], to a significantly low F0 [8] or a very high F0 [7].”
BackgroundResultInfluentialSpectrographic cry analysis in newborns with profound hearing loss and perinatal high-risk newborns.
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“There are some indications that at least some SIDS victims show a particular cry [14] that could induce phonotrauma [3], and mild upper respiratory inflammation is also quite common in such children and could induce vocal cord lesion due to coughing [15,16].”
BackgroundCry features in siblings of SIDS
Robb, M. P., Crowell, D. H., Dunn‐Rankin, P., & Tinsley, C. H. (2007) · Acta Paediatrica · doi:10.1111/j.1651-2227.2007.00486.x · Cited by 6
“(15) found a significantly high Fo in their SIDS infants, and a similar result was found in the current group of SIDS siblings.”
BackgroundResultGulia, K. K. (2023) · Annals of the National Academy of Medical Sciences (India) · doi:10.1055/s-0043-1770157 · Cited by 6
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Goberman, A. M., & Whitfield, J. A. (2013) · Perspectives on Speech Science and Orofacial Disorders · doi:10.1044/ssod23.1.18 · Cited by 5
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“Since there is a correlation between cry sound changes, early neurological development, and risk for SIDS, cry analysis was performed at enrollment and 1 month later.(4) We hypothesized that there would be a relationship between abnormal cry sounds and the probability of cardiorespiratory events (as defined and measur…”
BackgroundSelf-citationCordero, M. E., Samuel Benveniste, D., & René Prado, Y. (1997) · Revista chilena de pediatría · doi:10.4067/s0370-41061997000300001 · Cited by 1
ANÁLISIS DEL LLANTO EN NIÑOS HIPOACÚSICOS Y NORMOYENTES DE 0 A 2 AÑOS DE EDAD
Arch-Tirado, E., Verduzco-Mendoza, A., Valdés, M. M., et al. (2006) · Salud Mental · Cited by 1
Dysphonations in infant cry: A potential marker for health status
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Budylin, T. (2019) · CUNY Academic Works (City University of New York)
Zeskind, P. S. (2020) · The Encyclopedia of Child and Adolescent Development · doi:10.1002/9781119171492.wecad156
Metadata
- Authors
- Corwin, M. J., Lester, B. M., Sepkoski, C., Peucker, M., Kayne, H., & Golub, H. L.
- Affiliations
- Boston University (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 1995-07-01
- Volume
- 96
- Issue
- 1
- Pages
- 73-77
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1903401948
- Cited by
- 35
- References
- 0
- Citations by year
- 2023: 1 · 2020: 2 · 2019: 2 · 2018: 1 · 2016: 1 · 2015: 1 · 2013: 4 · 2012: 3
- FWCI
- 8.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r44hd020737-03)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R44 HD-20737)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- sudden infant death syndrome, first formant, mode switching, term infants
- MeSH terms
- Acoustics, Crying, Humans, Infant, Newborn, Prospective Studies, Risk Factors, Sudden Infant Death
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