Maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo care
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.
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Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
2012
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oai:scielo:S0104-116920120003000032012-09-12Maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo careCastral,Thaíla CorrêaWarnock,Fay FathaleeRibeiro,Laiane MedeirosVasconcelos,Maria Gorete Lucena deLeite,Adriana MoraesScochi,Carmen Gracinda Silvan Neonatal Nursing Premature Infant Pain Mother-Child Relations 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.info:eu-repo/semantics/openAccessEscola de Enfermagem de Ribeirão Preto / Universidade de São PauloRevista Latino-Americana de Enfermagem v.20 n.3 20122012-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692012000300003en10.1590/S0104-11692012000300003 |
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Castral,Thaíla Corrêa Warnock,Fay Fathalee Ribeiro,Laiane Medeiros Vasconcelos,Maria Gorete Lucena de Leite,Adriana Moraes Scochi,Carmen Gracinda Silvan |
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Castral,Thaíla Corrêa Warnock,Fay Fathalee Ribeiro,Laiane Medeiros Vasconcelos,Maria Gorete Lucena de Leite,Adriana Moraes Scochi,Carmen Gracinda Silvan Maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo care |
author_facet |
Castral,Thaíla Corrêa Warnock,Fay Fathalee Ribeiro,Laiane Medeiros Vasconcelos,Maria Gorete Lucena de Leite,Adriana Moraes Scochi,Carmen Gracinda Silvan |
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Castral,Thaíla Corrêa |
title |
Maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo care |
title_short |
Maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo care |
title_full |
Maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo care |
title_fullStr |
Maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo care |
title_full_unstemmed |
Maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo care |
title_sort |
maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo care |
description |
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. |
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Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo |
publishDate |
2012 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692012000300003 |
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