Newborn Clinical Trial
Official title:
Assessment of Autonomic Co-regulation Between Newborn and Parent During Kangaroo Care Sessions in Neonatal Intensive Care Units
Mother-infant separation, as a result of hospitalization, leads to stress and anxiety for
both parent and infant, lowers feelings of maternal competency and corrupts bonding process.
Kangaroo Care (KC), is as a widespread procedure in which the naked newborn is placed on the
parent's bare chest. KC is known to enhance neonatal outcome by improving temperature
regulation, cardiorespiratory stability or psychomotor development. It also promotes
mother-infant interactions and enhances parental psychological well-being.
Heart rate variability (HRV) analysis is a non-invasive tool able to consider autonomic
nervous system activity. Previous studies have shown that pleasant feelings are associated
with an increase of high frequencies variations index (HFnu index) reflecting a prevalence of
parasympathetic activity. This one can be assess by a new monitor called NIPĪ£ (Neonatal index
of parasympathetic activity) in newborns and ANI (Analgesic nociception index) in adults can
provide a comfort index by quantifying the parasympathetic tone.
The investigators hypothesize that kangaroo care could induce an autonomic co-regulation
between newborn and parent by increasing parasympathetic activity.
The study will involve 40 preterm or term newborns and their parent, performing a one hour
kangaroo care session in intensive unit and neonatal intensive care unit from hospital of
Saint-Etienne (France).
n/a
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