PEDIATRICS Vol. 92 No. 3 September 1993, pp. 373-379
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Freudigman, K. A.
Right arrow Articles by Thoman, E. B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Freudigman, K. A.
Right arrow Articles by Thoman, E. B.

Infant Sleep During the First Postnatal Day: An Opportunity for Assessment of Vulnerability

Kimberly A. Freudigman 1 and Evelyn B. Thoman PhD1

1 From the Biobehavioral Sciences Graduate Degree Program, University of Connecticut, Storrs

Objective. The purpose of this study was to describe the sleep of newborns throughout the first 48 postnatal hours and to relate their earliest sleep characteristics to developmental status at 6 months.

Methods. The sleep of 36 healthy newborns was recorded continuously throughout the first two postnatal days, starting immediately after birth, using an automated Motility Monitoring System. The Motility Monitoring System consists of a pressure-sensitive mattress pad connected to an amplifier and a small 24-hour analog recorder. A single channel of analog signals produced by the newborn's respiration and motility is continuously recorded onto a 60-minute cassette tape. The signals are digitized and scored, in 30-second epochs, for Active Sleep, Quiet Sleep, Active-Quiet Transition, Sleep-Wake Transition, and Wake. In addition to the percent of time spent in each state, the Mean Bout Length of Active Sleep, Mean Bout Length of Quiet Sleep, Mean Sleep Period, Longest Sleep Period, and Arousals in Quiet Sleep were also measured.

Results. On postnatal day 1, four measures were significantly related to 6-month Bayley mental scores: Mean Sleep Period, Longest Sleep Period, Sleep-Wake Transition, and Arousals in Quiet Sleep; and two measures were significantly related to Bayley motor scores: Mean Sleep Period and Sleep-Wake Transition. On postnatal day 2, none of the measures were related to mental scores, while two measures were related to the motor scores: Quiet Sleep and Mean Bout Length of Quiet Sleep.

Conclusions. The results suggest that the newborn's sleep characteristics during the first postnatal day provide uniquely sensitive indices of later neurobehavioral function.

Key Words: newborn • sleep • sleep consolidation • risk prediction

Submitted on December 17, 1992
Accepted on March 16, 1993




This article has been cited by other articles:


Home page
 Am. J. Clin. Nutr.Home page
J. C McCann and B. N Ames
Is docosahexaenoic acid, an n-3 long-chain polyunsaturated fatty acid, required for development of normal brain function? An overview of evidence from cognitive and behavioral tests in humans and animals
Am. J. Clinical Nutrition, August 1, 2005; 82(2): 281 - 295.
[Abstract] [Full Text] [PDF]

Home page
 J Child NeurolHome page
M. S. Scher
Topical Review: Fetal and Neonatal Neurologic Case Histories: Assessment of Brain Disorders in the Context of Fetal-Maternal-Placental Disease: Part 2: Neonatal Neurologic Consultations in the Context of Adverse Antepartum and Intrapartum Events
J Child Neurol, March 1, 2003; 18(3): 155 - 164.
[Abstract] [PDF]

Home page
 Am. J. Clin. Nutr.Home page
S. R Cheruku, H. E Montgomery-Downs, S. L Farkas, E. B Thoman, and C. J Lammi-Keefe
Higher maternal plasma docosahexaenoic acid during pregnancy is associated with more mature neonatal sleep-state patterning
Am. J. Clinical Nutrition, September 1, 2002; 76(3): 608 - 613.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. L. Ariagno, E. B. Thoman, M. A. Boeddiker, B. Kugener, J. C. Constantinou, M. Mirmiran, and R. B. Baldwin
Developmental Care Does Not Alter Sleep and Development of Premature Infants
Pediatrics, December 1, 1997; 100(6): e9 - e9.
[Abstract] [Full Text] [PDF]