Newborn behaviour to locate the breast when skin-to-skin: a possible method for enabling early self-regulation
Newborn behaviour to locate the breast when skin-to-skin: a possible method for enabling early self-regulation
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DOI：
10.1111/j.1651-2227.2010.01983.x
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发表时间：
2011-01-01
期刊：
影响因子：
3.8
通讯作者：
Nissen, E.
中科院分区：
文献类型：
--
作者：
Widstrom, A-M;Lilja, G.;Nissen, E.
目的：本研究的目的是对婴儿出生后立即开始、以抓握乳头、吸吮、然后入睡结束的行为序列进行更详细的分析。方法：对 28 名足月婴儿出生后立即进行录像。研究人员开发了一种视频方案来检查从五盘随机录像带中识别出的婴儿行为。结果：当分娩哭声停止时，婴儿表现出短暂的放松，然后逐渐变得警觉。它们经历了“觉醒阶段”、“活跃阶段”（包括四肢运动、寻觅活动和看着母亲的脸）、“爬行阶段”（发出恳求声音）、“熟悉阶段”（舔乳晕）、“吸吮阶段”和最后的“睡眠阶段”。与定位乳房所花费的时间相关的五个因素： 出生后 10-20 分钟查看乳房的次数更多 (p < 0.0001)；和哌替啶暴露 (p = 0.0006) 与时间增加有关。较早开始爬行（p = 0.0040）； “招揽声音”的数量增加（p = 0.0022）；手-乳-口运动（p = 0.0105）与较短的时间有关。结论：出生时母乳喂养反射较低，可能是由于感觉系统较低所致。据推测，当婴儿可以选择平静地经历出生哭泣、放松、觉醒、活动、爬行、休息、熟悉、哺乳和睡眠这九个行为阶段时，与母亲进行肌肤接触，这会导致早期最佳的自我调节。
Aim:The aim of this study was to provide a more detailed analysis of the infant's behavioural sequence that begins immediately after birth and terminates with grasping the nipple, suckling and then falling asleep.Method:Twenty-eight full-term infants were videotaped immediately after birth. A video protocol was developed to examine infant behaviours identified from five random videotapes.Results:When birth crying had stopped, the babies showed a short period of relaxation and then successively became alert. They went through an 'awakening phase', an 'active phase' with movements of limbs, rooting activity and looking at the mother's face, a 'crawling phase' with soliciting sounds, a 'familiarization phase' with licking of the areola, and a 'suckling phase' and last a 'sleeping phase'. Five factors related to the time spent to locate the breast: more number of looks at the breast 10-20 min after birth (p < 0.0001); and exposure to meperidine (p = 0.0006) related to increased time. Early start of crawling (p = 0,0040); increased number of 'soliciting sounds' (p = 0.0022); and performing hand-breast-mouth movements (p = 0.0105) related to shorter time.Conclusion:Inborn breastfeeding reflexes were depressed at birth, possibly because of a depressed sensory system. It is hypothesized that when the infant is given the option to peacefully go through the nine behavioural phases birth cry, relaxation, awakening, activity, crawling, resting, familiarization, suckling and sleeping when skin-to-skin with its mother this results in early optimal self-regulation.