Premature Birth Clinical Trial
Official title:
Evaluation of Environmental Stress and Individualized Sensorimotor Care on Autonomic Nervous System Activity in a Premature Population : a Prospective Study
Autonomic nervous system (ANS) is an essential regulator for the homeostasis, circulatory
and respiratory systems. Heart rate variability, under the dependence of the parasympathetic
and orthosympathetic arms is a peripheral witness of its well functioning.
Activity ANS indices are technically measurable from the birth by non invasive cardiac
monitoring: in given environmental conditions. According to the individualized care given to
the baby, we can easily observe by frequential analysis, modifications of ANS level
activity; If for a full-term newborn, the balance of ANS allows him to adapt its cardiac
frequency to its internal and external environment (thermoregulation, baroreflex, sinus
arrhythmia, awakening state) , the premature birth is at the origin of a prolonged defect of
global ANS maturation, probably induced by external environmental and stress factors (pain,
stimulations, aggressive noise and lights). This disrupted maturation profile in case of
prematurity, was confirmed in two preliminary studies on premature babies reaching term for
gestational age.
We hypothesis that adapted sensorimotor care could decrease this stress and optimize the ANS
activity profile.
In a prospective study, by a non invasive real-time measure, we analyse impact of stress on
ANS activity in a premature population, hospitalized in our neonatal intensive care units.
n/a
Observational Model: Case-Only, Time Perspective: Prospective
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