Neonatal Skin-to-Skin Contact: Implications for Learning and Autonomic Nervous System Function in Infants With Congenital Heart Disease.

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  • Additional Information
    • Publication Year:
      2019
    • Author-Supplied Keywords:
      autonomic nervous system
      congenital heart disease
      heart rate variability
      neurodevelopment
      skin-to-skin contact
    • NAICS/Industry Codes:
      NAICS/Industry Codes 541910 Marketing Research and Public Opinion Polling
      621498 All Other Outpatient Care Centers
    • Abstract:
      Background: Infants with complex congenital heart disease (CCHD) often develop neurodevelopmental disabilities. Cognitive abilities are associated with vagally mediated autonomic function. Skin-to-skin contact (SSC) interventions enhance infant neurodevelopment and autonomic function in other high-risk populations. Aim: To examine the effects of a neonatal SSC intervention on learning and autonomic function in 3-month-old infants: infants with CCHD who received neonatal SSC (n = 10), typically developing (TD) infants (n = 16), and infants with CCHD without SSC (n = 10). Methods: This secondary data analysis measured cognitive function using the mobile paradigm (MP), a classic measure of learning based on operant conditioning. Autonomic function was assessed with heart rate (HR) and HR variability (HRV). Data were analyzed with repeated-measures general linear mixed modeling with α =.10 for this exploratory study. Results: Learning rates were TD = 75%, cardiac-SSC = 70%, and cardiac-control = 40%. Learners demonstrated significant reductions in HRV during the MP; nonlearners exhibited no change. TD and cardiac-SSC groups exhibited increases in HR and reductions in HRV during the MP. No significant changes occurred in the cardiac-control group. Nonlinear HRV during the MP differed only in the TD group. Conclusions: Findings suggest improvements in cognitive and autonomic development in 3-month-old infants with CCHD who received neonatal SSC. Learning and autonomic function results in infants with CCHD who had not received SSC suggest reduced capacity to muster the physiologic resources to carry out this cognitive task. Findings provide preliminary evidence in support of implementation of SSC with infants with CCHD and support additional research. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Biological Research for Nursing is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • ISSN:
      10998004
    • Accession Number:
      135877295
  • Citations
    • ABNT:
      HARRISON, T. M. et al. Neonatal Skin-to-Skin Contact: Implications for Learning and Autonomic Nervous System Function in Infants With Congenital Heart Disease. Biological Research for Nursing, [s. l.], v. 21, n. 3, p. 296, 2019. Disponível em: . Acesso em: 23 set. 2019.
    • AMA:
      Harrison TM, Chen C-Y, Stein P, Brown R, Heathcock JC. Neonatal Skin-to-Skin Contact: Implications for Learning and Autonomic Nervous System Function in Infants With Congenital Heart Disease. Biological Research for Nursing. 2019;21(3):296. http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=135877295&authtype=sso&custid=s5834912. Accessed September 23, 2019.
    • APA:
      Harrison, T. M., Chen, C.-Y., Stein, P., Brown, R., & Heathcock, J. C. (2019). Neonatal Skin-to-Skin Contact: Implications for Learning and Autonomic Nervous System Function in Infants With Congenital Heart Disease. Biological Research for Nursing, 21(3), 296. Retrieved from http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=135877295&authtype=sso&custid=s5834912
    • Chicago/Turabian: Author-Date:
      Harrison, Tondi M., Chao-Ying Chen, Phyllis Stein, Roger Brown, and Jill C. Heathcock. 2019. “Neonatal Skin-to-Skin Contact: Implications for Learning and Autonomic Nervous System Function in Infants With Congenital Heart Disease.” Biological Research for Nursing 21 (3): 296. http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=135877295&authtype=sso&custid=s5834912.
    • Harvard:
      Harrison, T. M. et al. (2019) ‘Neonatal Skin-to-Skin Contact: Implications for Learning and Autonomic Nervous System Function in Infants With Congenital Heart Disease’, Biological Research for Nursing, 21(3), p. 296. Available at: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=135877295&authtype=sso&custid=s5834912 (Accessed: 23 September 2019).
    • Harvard: Australian:
      Harrison, TM, Chen, C-Y, Stein, P, Brown, R & Heathcock, JC 2019, ‘Neonatal Skin-to-Skin Contact: Implications for Learning and Autonomic Nervous System Function in Infants With Congenital Heart Disease’, Biological Research for Nursing, vol. 21, no. 3, p. 296, viewed 23 September 2019, .
    • MLA:
      Harrison, Tondi M., et al. “Neonatal Skin-to-Skin Contact: Implications for Learning and Autonomic Nervous System Function in Infants With Congenital Heart Disease.” Biological Research for Nursing, vol. 21, no. 3, May 2019, p. 296. EBSCOhost, widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=135877295&authtype=sso&custid=s5834912.
    • Chicago/Turabian: Humanities:
      Harrison, Tondi M., Chao-Ying Chen, Phyllis Stein, Roger Brown, and Jill C. Heathcock. “Neonatal Skin-to-Skin Contact: Implications for Learning and Autonomic Nervous System Function in Infants With Congenital Heart Disease.” Biological Research for Nursing 21, no. 3 (May 2019): 296. http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=135877295&authtype=sso&custid=s5834912.
    • Vancouver/ICMJE:
      Harrison TM, Chen C-Y, Stein P, Brown R, Heathcock JC. Neonatal Skin-to-Skin Contact: Implications for Learning and Autonomic Nervous System Function in Infants With Congenital Heart Disease. Biological Research for Nursing [Internet]. 2019 May [cited 2019 Sep 23];21(3):296. Available from: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=135877295&authtype=sso&custid=s5834912