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Effect of reading to preterm infants on measures of cardiorespiratory stability in the neonatal intensive care unit

Abstract

Objective

To evaluate the impact of parental bedside reading (PR) on cardio-respiratory (CR) stability of preterm infants.

Methods/Study design

Prospective examination of the impact of PR on CR stability in preterm NICU infants. CR data from 3 time points: pre-reading (3 and 1 h before reading), during PR, and post-reading (1 h after reading) were compared.

Results

Eighteen infants born at 23–31wks gestation, and 8 to 56 days old, were enrolled. Episodes of oxygen desaturation to <85% were fewer during PR as compared to the pre-reading periods and were fewer with live and maternal PR.

Conclusion

Preterm infants showed fewer desaturation events less than 85% during PR than prior to reading exposure. This effect persisted up to 1 h after reading exposure. Desaturation events were fewer with live and maternal PR. Voice exposure can be an important way for parents to participate in the care of their preterm infants.

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References

  1. Hart B, Risley TR. Meaningful differences in the everyday experience of young American children. Baltimore: Paul H Brookes Publishing; 1995.

    Google Scholar 

  2. Hamilton B, Martin J, Osterman M, Curtin S, Mathews T. Births: Final Data for 2014. Natl Vital Stat Rep. 2015;64:1–65.

    PubMed  Google Scholar 

  3. World Health Orgnaization [Internet]. Preterm birth fact sheet, November 2017. http://www.who.int/mediacentre/factsheets/fs363/en/. Accessed 4 April 2018.

  4. Walsh MC, Bell EF, Kandefer S, Saha S, Carlo WA, D’angio C, et al. Neonatal outcomes of moderately preterm infants compared to extremely preterm infants. Pediatr Res. 2017;82:297–304.

    Article  Google Scholar 

  5. Catts HW, Fey ME, Tomblin JB, Zhang X. A longitudinal investigation of reading outcomes in children with language impairments. J Speech Lang Hear Res. 2002;45:1142–57.

    Article  Google Scholar 

  6. Mikkola K, Ritari N, Tommiska V, Salokorpi T, Lehtonen L, Tammela O, et al. Neurodevelopmental outcome at 5 years of age of a national cohort of extremely low birth weight infants who were born in 1996–1997. Pediatrics. 2005;116:1391–400.

    Article  Google Scholar 

  7. Allen MC. Neurodevelopmental outcomes of preterm infants. Curr Opin Neurol. 2008;21:123–8.

    Article  Google Scholar 

  8. Anderson P, Doyle L. Victorian Infant Collaborative Study Group. Neurobehavioral outcomes of school-aged children born extremely low birth weight or very preterm in the 1990s. JAMA. 2003;289:3264–72.

    Article  Google Scholar 

  9. Aylward GP. Cognitive and neuropsychological outcomes: more than IQ scores. Ment Retard Dev Disabil Res Rev. 2002;8:234–40.

    Article  Google Scholar 

  10. Bhutta AT, Cleves MA, Casey PH, Cradock MM, Anand KJ. Cognitive and behavioral outcomes of school-aged children who were born preterm: a meta-analysis. JAMA. 2002;288:728–37.

    Article  Google Scholar 

  11. Johnson S, Hennessy E, Smith R, Trikic R, Wolke D, Marlow N. Academic attainment and special educational needs in extremely preterm children at 11 years of age: the EPICure study. Arch Dis Child Fetal Neonatal Ed. 2009;94:F283–9.

    Article  CAS  Google Scholar 

  12. Luu TM, Ment LR, Schneider KC, Katz KH, Allan WC, Vohr BR. Lasting effects of preterm birth and neonatal brain hemorrhage at 12 years of age. Pediatrics. 2009;123:1037–44.

    Article  Google Scholar 

  13. Foster-Cohen S, Edgin J, Champion PR, Woodward LJ. Early delayed language development in very preterm infants: evidence from the MacArthur-Bates CDI. J Child Lang. 2007;34:655–75.

    Article  Google Scholar 

  14. Guarini A, Sansavini A, Fabbri C, Alessandroni R, Faldella G, Karmiloff-Smith A. Reconsidering the impact of preterm birth on language outcome. Early Hum Dev. 2009;85:639–45.

    Article  Google Scholar 

  15. Stolt S, Klippi A, Launonen K, Munck P, Lehtonen L, Lapinleimu H, et al. Size and composition of the lexicon in prematurely born very-low-birth-weight and full-term Finnish children at two years of age. J Child Lang. 2007;34:283–310.

    Article  Google Scholar 

  16. Le Normand M, Cohen H. The delayed emergence of lexical morphology in preterm children: the case of verbs. J Neurolinguist. 1999;12:235–46.

    Article  Google Scholar 

  17. Sansavini A, Guarini A, Alessandroni R, Faldella G, Giovanelli G, Salvioli G. Are early grammatical and phonological working memory abilities affected by preterm birth? J Commun Disord. 2007;40:239–56.

    Article  Google Scholar 

  18. Jansson-Verkasalo E, Valkama M, Vainionpää L, Pääkkö E, Ilkko E, Lehtihalmes M. Language development in very low birth weight preterm children: a follow-up study. Folia Phoniatr Logop. 2004;56:108–19.

    Article  CAS  Google Scholar 

  19. Landry SH, Smith KE, Swank PR. Environmental effects on language development in normal and high-risk child populations. Semin Pediatr Neurol. 2002;9:192–200.

    Article  Google Scholar 

  20. Pietz J, Peter J, Graf R, Rauterberg-Ruland I, Rupp A, Sontheimer D, et al. Physical growth and neurodevelopmental outcome of nonhandicapped low-risk children born preterm. Early Hum Dev. 2004;79:131–43.

    Article  Google Scholar 

  21. Lee ES, Yeatman JD, Luna B, Feldman HM. Specific language and reading skills in school-aged children and adolescents are associated with prematurity after controlling for IQ. Neuropsychologia. 2011;49:906–13.

    Article  Google Scholar 

  22. Foster-Cohen SH, Friesen MD, Champion PR, Woodward LJ. High prevalence/low severity language delay in preschool children born very preterm. J Dev Behav Pediatr. 2010;31:658–67.

    Article  Google Scholar 

  23. Vohr B. Speech and language outcomes of very preterm infants. Semin Fetal Neonatal Med. 2014;19:78–83.

    Article  Google Scholar 

  24. McMahon E, Wintermark P, Lahav A. Auditory brain development in premature infants: the importance of early experience. Ann N Y Acad Sci. 2012;1252:17–24.

    Article  Google Scholar 

  25. Rand K, Lahav A. Impact of the NICU environment on language deprivation in preterm infants. Acta Paediatr. 2014;103:243–8.

    Article  Google Scholar 

  26. Lahav A, Skoe E. An acoustic gap between the NICU and womb: a potential risk for compromised neuroplasticity of the auditory system in preterm infants. Front Neurosci. 2014;8:381.

    Article  Google Scholar 

  27. Caskey M, Stephens B, Tucker R, Vohr B. Adult talk in the NICU with preterm infants and developmental outcomes. Pediatrics. 2014;133:e578–84.

    Article  Google Scholar 

  28. Pineda RG, Neil J, Dierker D, Smyser CD, Wallendorf M, Kidokoro H, et al. Alterations in brain structure and neurodevelopmental outcome in preterm infants hospitalized in different neonatal intensive care unit environments. J Pediatr. 2014;164:52–60.

    Article  Google Scholar 

  29. Santos J, Pearce SE, Stroustrup A. Impact of hospital-based environmental exposures on neurodevelopmental outcomes of preterm infants. Curr Opin Pediatr. 2015;27:254–60.

    Article  CAS  Google Scholar 

  30. Fricke S, Bowyer-Crane C, Haley AJ, Hulme C, Snowling MJ. Efficacy of language intervention in the early years. J Child Psychol Psychiatry. 2013;54:280–90.

    Article  Google Scholar 

  31. Lariviere J, Rennick JE. Parent picture-book reading to infants in the neonatal intensive care unit as an intervention supporting parent-infant interaction and later book reading. J Dev Behav Pediatr. 2011;32:146–52.

    Article  Google Scholar 

  32. Krueger C, Parker L, Chiu SH, Theriaque D. Maternal voice and short-term outcomes in preterm infants. Dev Psychobiol. 2010;52:205–12.

    PubMed  PubMed Central  Google Scholar 

  33. Wachman EM, Lahav A. The effects of noise on preterm infants in the NICU. Arch Dis Child Fetal Neonatal Ed. 2011;96:F305–9.

    Article  Google Scholar 

  34. Brown G. NICU noise and the preterm infant. Neonatal Netw. 2009;28:165–73.

    Article  Google Scholar 

  35. American Academy of Pediatrics, Committee on Environmental Health. Noise: a hazard for the fetus and newborn. Pediatrics. 1997;100:724–7.

    Article  Google Scholar 

  36. Feldman R. Parent-infant synchrony and the construction of shared timing; physiological precursors, developmental outcomes and risk conditions. J Child Psychol Psychiatry. 2007;48:329–54.

    Article  Google Scholar 

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Acknowledgements

This work was supported by the Juliet Grace Smith Foundation.

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Correspondence to Melissa Scala.

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The authors declare that they have no conflict of interest.

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Scala, M., Seo, S., Lee-Park, J. et al. Effect of reading to preterm infants on measures of cardiorespiratory stability in the neonatal intensive care unit. J Perinatol 38, 1536–1541 (2018). https://doi.org/10.1038/s41372-018-0198-4

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  • DOI: https://doi.org/10.1038/s41372-018-0198-4

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