Document Detail


Relation of prematurity and brain injury to crying behavior in infancy.
MedLine Citation:
PMID:  16818538     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The objective of this study was to assess crying behavior during infancy in very preterm infants with or without brain injury. METHODS: A total of 125 very low birth weight infants survived during January 2001 to July 2004 in Turku University Hospital, Finland. They were categorized according to the most pathologic brain finding either in ultrasound or MRI. Baby Day Diary was used to assess crying behavior at term, 6 weeks, and 5 months of corrected age. The behavior of a group of term control infants (n = 49) was assessed at 5 months. RESULTS: Severe brain injuries in very low birth weight infants did not affect the duration of fussing or crying. In very low birth weight infants, brain injuries did not affect the frequency of fussing or crying bouts or the development of circadian rhythm in crying behavior. At 5 months of corrected age, fussing bouts were more frequent in very low birth weight infants compared with term control infants (6.4 per day vs 4.5 per day), and very low birth weight infants were held more (169 minutes [97] vs 130 minutes [69], respectively). CONCLUSIONS: This prospective study using a validated cry diary showed that brain injuries that are related to prematurity do not have major effects on crying behavior or development of circadian rhythm. Prematurity does not increase the duration but increases the frequency of fussing and crying at 5 months of corrected age compared with term control infants. It also seems that prematurity and brain pathology may increase caregiving activity in the form of holding.
Authors:
Jonna Maunu; Jarkko Kirjavainen; Riikka Korja; Riitta Parkkola; Hellevi Rikalainen; Helena Lapinleimu; Leena Haataja; Liisa Lehtonen;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatrics     Volume:  118     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-04     Completed Date:  2006-08-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e57-65     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatric Neurology, Turku University Central Hospital, Pediatric Research Unit, Vähä-Hämeenkatu 1 A 3, 20500 Turku, Finland. jonna.maunu@utu.fi
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Brain Diseases / ultrasonography
Brain Injuries / epidemiology*
Cerebral Ventricles / pathology
Circadian Rhythm
Crying*
Humans
Infant Behavior*
Infant, Newborn
Infant, Premature*
Infant, Very Low Birth Weight*
Leukomalacia, Periventricular / epidemiology,  ultrasonography
Magnetic Resonance Imaging
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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