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Biomedical subjects

M R Keefe

Publications and source records attributed to M R Keefe.

8 recordsLinked to original sources
PubMed1988

Irritable infant syndrome: theoretical perspectives and practice implications.

Conceptually weak and unsubstantiated theories attempting to explain the origins of infant colic have led to inconsistent and ineffective approaches to the management of the infant with persistent crying. A new theoretical perspective that views excessive crying as a developmental behavioral disorder is presented. The clinical implications of this model for nurses working with families of irritable infants are discussed.

Child Development↗
PubMedDate not supplied

The impact of infant rooming-in on maternal sleep at night.

Two opposing issues in postpartum rooming-in are the benefits of continuous interaction and the threat of maternal sleep disruption. A two-group comparison study was designed to investigate differences in sleep patterns for a group of mothers who roomed-in with their infants at night as compared with a group who was separated from their infants at night. The data collected from the mothers in the study indicated that mothers did not sleep longer or better when their infants were returned to the nursery during the night.

Adult↗
PubMedDate not supplied

Development of a system for monitoring infant state behavior.

The concept of infant state refers to patterns of behavior that comprise the sleep-wake cycle. The infant's ability to organize state behavior rhythmically is indicative of central nervous system maturation and predictive of later development. This article describes the development of a noninvasive, computerized infant monitoring system that can be used to categorize the infant's sleep-wake behavior into states. Development of the system occurred in two phases: In the first phase of the study, reliability and validity of the infant monitoring system for recording continuous behavioral and physiological data were assessed. These results were then used in the second phase to develop a rule-based computer program to interpret the signal data stored on a micro-diskette and to characterize the infant's state throughout the period of monitoring. The capability of computerized data collection and analysis of infant state behavior has expanded the application of this infant monitoring system. Its use as an investigative tool in clinical research is discussed.

Adult↗
PubMedDate not supplied

Comparison of neonatal nighttime sleep-wake patterns in nursery versus rooming-in environments.

A two-group design was used to compare the state behavior of newborns who roomed-in with their mothers at night with those who were cared for by the traditional nursery-at-night method. Twenty-one full-term, low-risk newborns comprised the study sample. Data were collected using a sleep monitor bassinet for two consecutive nights after delivery. Comparison of the nursery environment with the mother's postpartum room at night revealed greater light and sound levels in the nursery setting. Regarding caregiving practices, rooming-in infants received more contact with the caregiver and care that was more often related to their state behavior. Infants in the mother's room had significantly, p less than .001, more quiet sleep (33% vs. 25.4%), less indeterminate (4.8% vs. 11.2%), and less crying (0.6% vs. 7.5%) states than infants who remained in the nursery.

Adult↗