Crying, Sleep
Conditions
Keywords
cycled light, dim light, circadian rhythm, actigraphy, sleep, premature infant
Brief summary
This study shows that cycled light during neonatal care reduces infant's fussing and crying behavior at 5 and 11 weeks corrected age and improves growth during neonatal care.
Interventions
lights on at daytime, lights off at nighttime
Sponsors
Study design
Eligibility
Inclusion criteria
* very preterm infants (≤ 32 0/7 weeks gestational age, GA)
Exclusion criteria
* major cerebral injuries such as intraventricular haemorrhage grade III (according to Papile 16) or periventricular leukomalacia or venous infarction (according to Govaert and de Vries 17) diagnosed by cranial ultrasound * retinopathy of prematurity grade III and IV * congenital malformations * small for gestational age (birth weight \< 3rd percentile) * prenatal infections * intrauterine drug exposure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| mean duration and change over time for total duration per 24 hours for crying variables | 5 and 11 weeks corrected age | mean duration per 24 hours for following variables: content, fussing, crying, unsoothable crying change over time, measured at 5 and 11 weeks corrected age measured by diary |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| mean sleep duration per 24 hours and change over time | 5,11 and 25 weeks corrected age | mean sleep duration per 24 hours measured by sleep diary measured at 5, 11 and 25 weeks corrected age, for adressing change over time |
| mean weight gain per day | during hospital stay | mean weight gaing per day during hospital stay. |
| mean activity count per 24 hours and change over time | 5, 11, and 25 weeks corrected age | mean activity count per 24 hours measured by actigraph recordings measured at three time points, 5, 11 and 25 weeks corrected age to adress change over time |