Differential effects of breast- and formula-feeding on preterm infants' sleep-wake patterns.
Differential effects of breast- and formula-feeding on preterm infants' sleep-wake patterns.
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母乳喂养和配方奶喂养对早产儿睡眠觉醒模式的不同影响。
DOI：
10.1111/j.1552-6909.2000.tb02034.x
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Thomas,KA
中科院分区：
文献类型：
--
作者：
Thomas,KA
目的：比较母乳喂养和配方奶喂养的早产儿的睡眠-觉醒模式。设计：数据取自婴儿生物节律成熟的探索性研究。父母完成婴儿睡眠、清醒、哭泣状态和喂养的 24 小时日记，每隔 30 分钟记录一次。婴儿健康数据从医疗记录和家长报告中收集。 背景：婴儿从新生儿重症监护病房出院后在家中进行研究。 参与者：方便样本包括 12 名母乳喂养和 25 名配方奶喂养的早产儿（胎龄为 26-33 周；校正产后年龄为 4-6 周）。各组在胎龄、产后年龄、Apgar评分、产妇年龄和家庭环境方面具有可比性。主要指标：24小时记录时间分为白天（0600-1800）和夜间（1800-0600）。研究变量包括白天、夜晚和 24 小时睡眠、清醒和哭泣。结果：母乳喂养的早产儿比配方奶喂养的婴儿表现出更多的白天哭泣和 24 小时哭泣。婴儿在哭泣、清醒和睡眠方面表现出昼夜模式。母乳喂养的早产儿每天比配方奶喂养的婴儿哭闹时间多约 1 小时。结论：母乳喂养的早产儿比配方奶喂养的婴儿哭闹更多。喂养方法和睡眠觉醒模式之间的关系对于支持哺乳以及研究设计具有重要意义。
Objective:To compare sleep‐wake patterns of breastfed and formula‐fed preterm infants.Design:Data were taken from an exploratory study of infant biorhythm maturation. Parents completed a 24‐hour diary of infant Sleep, Awake, and Cry states and feedings, recorded at 30‐minute intervals. Infant health data were collected from medical records and parents’reports.Setting:Infants were studied in the home after discharge from a neonatal intensive‐care unit.Participants:The convenience sample included 12 breastfed and 25 formula‐fed preterm infants (gestational age, 26–33 weeks; corrected postnatal age, 4–6 weeks). Groups were comparable in terms of gestational age, postnatal age, Apgar scores, maternal age, and home environment.Main Outcome Measure:The 24‐hour recording period was divided into day (0600‐1800) and night (1800‐0600). Study variables were Day, Night, and 24‐hour Sleep, Awake, and Cry.Results:Breastfed preterm infants exhibited more Day Cry and 24‐hour Cry than did formulafed infants. Infants demonstrated a diumal pattern in Cry, Awake, and Sleep. Breastfed preterm infants cried approximately 1 hour per day more than formula‐fed infants.Conclusion:Preterm breastfed infants experienced more cry than did formula‐fed infants. The relationship between feeding method and sleepwake pattern has implications for supporting lactation as well as for research design.