PEDIATRICS Vol. 72 No. 2 August 1983, pp. 198-202
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Direct Computer Recording of Premature Infants and Nursery Care: Distress Following Two Interventions

Peter A. Gorski MD1, William T. Hole MD1, Carol H. Leonard PhD1, and John A. Martin PhD1

1 Child Development Unit, Department of Pediatrics, Mount Zion Hospital and Medical Center, San Francisco

Prematurely born neonates are born with an immature central nervous system. Temporal associates between care-giver interventions and infant biobehavioral responses can be recorded. A new methodology for continuous naturalistic computer-assisted recording of infants in nursery care is described. To illustrate a clinical implication of this recording, an infant's responses to two seemingly contrasted care-giver interventions were analyzed: chest physical therapy and close social interaction. There was significantly increased subtle as well as gross behavioral and physiologic distress following both chest physical therapy and close social interaction when compared with base line distress incidence. Perhaps timing of interventions is as consequential as their content toward safeguarding a preterm infant's developing autonomic regulation, motor patterns, and sleep/wake state.

Submitted on September 7, 1982
Accepted on December 3, 1982




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