Document Detail

Maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo care.
MedLine Citation:
PMID:  22991104     Owner:  NLM     Status:  MEDLINE    
The relationship between maternal factors and the response of preterm infants to pain and stress experienced during heel puncture while in maternal kangaroo care was investigated. This descriptive study included 42 mothers and their preterm infants cared for in a neonatal unit. Data were collected in the baseline, procedure, and recovery phases. We measured the neonates' facial actions, sleep and wake states, crying, salivary cortisol levels, and heart rate, in addition to the mothers' behavior, salivary cortisol levels, and mental condition. The influence of the maternal explanatory variables on the neonatal response variables were verified through bivariate analysis, ANOVA, and multiple regression. The mothers' behavior and depression and/or anxiety did not affect the neonates' responses to pain and stress, though the mothers' levels of salivary cortisol before the procedure explained the variance in the neonates' levels of salivary cortisol after the procedure (p=0.036). Additionally, the mothers' baseline levels of salivary cortisol along with the neonates' age explained the variance in the neonates' heart rate (p=0.001). The ability of mothers to regulate their own stress contributed to the infants' responses to pain and stress.
Thaíla Corrêa Castral; Fay Fathalee Warnock; Laiane Medeiros Ribeiro; Maria Gorete Lucena de Vasconcelos; Adriana Moraes Leite; Carmen Gracinda Silvan Scochi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Revista latino-americana de enfermagem     Volume:  20     ISSN:  1518-8345     ISO Abbreviation:  Rev Lat Am Enfermagem     Publication Date:    2012 May-Jun
Date Detail:
Created Date:  2012-09-19     Completed Date:  2013-03-25     Revised Date:  2014-07-15    
Medline Journal Info:
Nlm Unique ID:  9420934     Medline TA:  Rev Lat Am Enfermagem     Country:  Brazil    
Other Details:
Languages:  eng; por; spa     Pagination:  435-43     Citation Subset:  N    
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MeSH Terms
Infant, Newborn
Infant, Premature*
Kangaroo-Mother Care Method*
Maternal Behavior*
Neonatal Screening
Pain* / physiopathology
Stress, Psychological* / physiopathology
Young Adult

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