Higher awakening threshold of preterm infants in prone position may be a risk factor for SIDS.
Acta Paediatr
; 113(7): 1562-1568, 2024 Jul.
Article
en En
| MEDLINE
| ID: mdl-38469704
ABSTRACT
AIM:
The supine sleeping position in the prevention of sudden infant death syndrome in preterm infants is poorly understood. We aimed to investigate the effect of sleep posture on cardiorespiratory parameters and movement patterns in preterm infants close to discharge.METHODS:
This observational study included neonates born in 2022 at the University Hospital Schleswig-Holstein, Lübeck, Germany. Motion sensor data, heart rate, respiratory rate and oxygen saturation were recorded for infants with postconceptional age 35-37 weeks during sleep in the prone and supine positions.RESULTS:
We recorded data from 50 infants, born at 31 (24-35) weeks of gestation (mean(range)), aged 5.2 ± 3.7 weeks (mean ± SD), of whom 48% were female. Five typical movement patterns were identified. In the prone position, the percentage of calm, regular breathing was higher and active movement was less frequent when compared to the supine position. The percentage of calm irregular breathing, number of apnoeas, bradycardias, desaturations and vital sign changes were not influenced by position.CONCLUSION:
The prone position seems to be associated with a higher arousal threshold. The supine position appears advantageous for escape from life-threatening situations such as sudden infant death syndrome.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Muerte Súbita del Lactante
/
Recien Nacido Prematuro
Límite:
Female
/
Humans
/
Male
/
Newborn
Idioma:
En
Revista:
Acta Paediatr
Año:
2024
Tipo del documento:
Article
País de afiliación:
Alemania