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PubMed1985

Multimethod assessment of temperament in twins: birth to six months.

The predictive relationship between neonatal behavior and temperament at 6 months was assessed in 62 pairs of twins. The neonatal assessment evaluated irritability, resistance to soothing, reactivity, and activity level across various activities. Temperament at 6 months was appraised by a laboratory assessment, ratings on the Infant Behavior Record, and a questionnaire completed by the mother. Examination for temperament consistency from the neonatal period to 6 months indicated that neonates rated by an examiner as irritable and difficult to soothe were reported by the mother to be more negative, irritable, and slower to adapt at 6 months; neonates rated as more irritable and active were more attentive and responsive during mental testing at 6 months; there was no relationship between the neonatal measures and the laboratory ratings, possibly reflecting methodological problems influenced by maturation and vegetative processes at 6 months. Analyses for patterns of concordance within the various data sets for MZ and DZ twins indicated that there was no pattern of differential concordance favoring MZ twins for the temperament measures at birth or at 6 months. It was concluded that a modest predictive relationship between temperament variables had been demonstrated from birth to 6 months, but no specific genetic effects were detected at these early ages.

Attention↗
PubMed1996

Effects of in utero substance exposure on infant neurobehavior.

OBJECTIVE: This study had two objectives: (1) to assess infant behavior by using the NICU Network Neurobehavioral Scale (NNNS), an assessment designed specifically for prenatally drug-exposed infants; and (2) to control for the effects of polydrug use involving alcohol, marijuana, and cigarettes on the neurobehavioral status of the newborn infant. METHODS: The subjects and controls in this study were full-term infants of appropriate gestational age with no medical problems. At 1 to 2 days of age, 20 infants exposed to cocaine, alcohol, marijuana, and cigarettes; 17 infants exposed to alcohol and/or marijuana and cigarettes; and 20 drug-free infants were evaluated by using the Neonatal Intensive Care Unit Network Neurobehavioral Scale. The data were reduced to reflect clinically defined categories of neurobehavioral function and were analyzed by using analysis of variance and chi 2 statistics. RESULTS: Cocaine-exposed infants showed increased tone and motor activity, more jerky movements, startles, tremors, back arching, and signs of central nervous system and visual stress than unexposed infants. They also showed poorer visual and auditory following. There were no differences in how the examination was administered to cocaine-exposed and nonexposed infants. Reduced birth weight and length were also observed in cocaine-exposed infants. CONCLUSION: Differences attributable to cocaine-exposed infants were related to muscle tone and motor performance, following during orientation, and signs of stress. However, cocaine-exposed infants were not more difficult to test, nor did they require an alteration in the examination. Both neurobehavioral patterns of excitability and lethargy were observed. Findings may have been due to the synergistic effects of cocaine with alcohol and marijuana.

Cannabis↗
PubMed2005

In-hospital formula supplementation of healthy breastfeeding newborns.

The UNICEF/WHO Baby-Friendly Hospital Initiative suggests that breastfeeding activities in hospital are important to later breastfeeding. Understanding reasons for in-hospital supplementation may help to optimize the successful implementation of this initiative. The objective was to identify predictors of in-hospital initial formula supplementation of healthy, breastfeeding newborns. The authors analyzed 564 Canadian mother-infant pairs and interviewed nurses. Half of the study infants (47.9%) received formula in hospital; the median age at first supplementation was 8.4 hours. Risk for supplementation was affected by birth occurring between 7 PM and 9 AM (hazard ratio [HR] varied with time) and high maternal trait anxiety (HR=1.61, 95% confidence interval [CI]=1.01, 2.59). The following variables were protective against supplementation: planning to exclusively breastfeed (HR=0.46, 95% CI=0.33, 0.64), planning to breastfeed for >or=3 months (HR=0.56, 95% CI=0.37-0.86), childbirth education (HR=0.61, 95% CI=0.43, 0.86), mother born in Canada (HR=0.68, 95% CI=0.53, 0.87), completion of community college (HR=0.76, 95% CI=0.59, 0.98), male infant (HR=0.78, 95% CI=0.61, 0.99), and breastfeeding at delivery (HR varied with time). Nurses reported breastfeeding problems, infant behavior, and maternal fatigue as reasons for supplementing. Reassessing patterns of night feeds and encouraging breastfeeding at delivery may decrease supplementation. Trait anxiety reduction and the role of infant gender in supplementation merit further study.

Adult↗
PubMed2006

Infant color vision: prediction of infants' spontaneous color preferences.

Infants show spontaneous looking preferences among isoluminant chromatic stimuli [Adams, R. J. (1987). An evaluation of color preferences in early infancy. Infant Behavior and Development, 10, 143-150; Bornstein, M. H. (1975). Qualities of color vision in infancy. Journal of Experimental Social Psychology, 19 (3), 401-419.]. These differences in preference have often been called "hue" or "color" preferences, and attributed to differences in hue, but there are alternative explanations. Spontaneous preference variations remain after stimuli are equated for adult brightness, and thus cannot be attributed to adult-like brightness differences [Teller, D. Y., Civan, A., & Bronson-Castain, K. (2004). Infants' spontaneous color preferences are not due to adult-like brightness variations. Visual Neuroscience, 21 (3), 397-401]. In the present paper, we address three more alternative explanations: colorimetric purity; infant detection thresholds; and adult-like variations in saturation. Three experiments were conducted. In Experiment 1 we measured infants' spontaneous preferences for each of 22 different chromatic stimuli of varying dominant wavelength and colorimetric purity, each paired against the same white standard. In Experiment 2, we measured infants' chromatic detection thresholds. In Experiment 3, adult subjects made saturation matches between a blue-green standard and each of five other chromatic stimuli. Infant detection thresholds accounted for 34% of the variance in infant "hue" preferences, much more than colorimetric purity (2.4%) or adult saturation judgments (3%), but none of the three variables accounted for the majority of the variance. In our view, the most likely remaining option is that infants' spontaneous "hue" preferences indeed arise from preferences for the hues of stimuli that adults see as blue, purple and red.

Adult↗
PubMed1977

Cultural relativity of toilet training readiness: a perspective from East Africa.

Ideas about infant capabilities and toilet training practice have changed in the United States following cultural trends and the advice of child care experts. Anthropologists have shown that a society's specific infant training practices are adaptive to survival and cultural values. The different expectations of infant behavior of the East African Digo produces a markedly different toilet training approach than the current maturational readiness method recommended in America. The Digo believe that infants can learn soon after birth and begin motor and toilet training in the first weeks of life. With a nurturant conditioning approach, night and day dryness is accomplished by 5 or 6 months. The success of early Digo training suggests that sociocultural factors are more important determinants of toilet training readiness than is currently thought.

Adult↗
PubMed2006

Physiological and behavioral parameters of infants' categorization: changes in heart rate and duration of examining across trials.

This report investigates the relations between duration of examining and heart rate (HR) across several trials of an object-examination task. A total of N= 20 11-month-olds were familiarized with a sequence of 10 different exemplars from the same global category (animals or furniture) before they received an exemplar from the contrasting category at test. Consistent with previous findings, HR was lower during states of focused attention (i.e. examining) than during states of casual attention (i.e. looking) or non-looking. Over the familiarization trials, examining stayed about the same, while mean HR increased. At test, examining increased and mean HR decreased, indicating that infants focused their attention on the out-of-category object. Psychophysiological and behavioral measures of attention were systematically related over trials, suggesting that heart rate provides a suitable objective measure to study infants' categorization performance in object-examination tasks.

Attention↗
PubMed2005

Pressure support ventilation combined with volume guarantee versus synchronized intermittent mandatory ventilation: a pilot crossover trial in premature infants in their weaning phase.

OBJECTIVE: To compare pressure support ventilation combined with volume guarantee (PSV-VG) to synchronized intermittent mandatory ventilation (SIMV) regarding safety, course of blood gases, and infant-ventilator interaction in premature infants. DESIGN: Prospective, two-treatment, crossover pilot study. SETTING: Tertiary care neonatal unit. PATIENTS: Twenty-five ventilated premature infants: median (range) gestational age 26.1 wks (23.1-35.7), birth weight 765 g (450-3170), age at study 5 days (2-27), in their weaning phase. INTERVENTIONS: Infants were studied for three 30-min periods, starting from SIMV, followed by PSV-VG, and back again to SIMV. After concluding the last period, all infants were switched back to PSV-VG. On the next day, infants were studied in the opposite direction. During each period, vital parameters, ventilation parameters, degree of physical activity, duration of rhythmic breathing, and the number of vital signs monitor alarms were recorded. MEASUREMENTS AND MAIN RESULTS: Nineteen infants (84%) could be successfully ventilated with PSV-VG till the next day. PSV-VG achieved a similar oxygenation level as SIMV but with significantly lower ventilation pressures. Comparable ventilation was achieved, but infants with strong respiratory drive were more liable to hyperventilation episodes during PSV-VG. Although infants breathed more rhythmically during PSV-VG, suggesting better infant-ventilator synchrony, the infants' behavioral state and the fluctuations in blood gases did not differ. CONCLUSIONS: The potentials of PSV-VG to improve infant-ventilator synchrony and to decrease pressure needed to ventilate premature lungs are promising, even though the changes were small. However, its benefits during acute illness and on the final outcome remain to be proven.

Cross-Over Studies↗
PubMed2005

Detecting continuity violations in infancy: a new account and new evidence from covering and tube events.

Recent research on infants' responses to occlusion and containment events indicates that, although some violations of the continuity principle are detected at an early age e.g. Aguiar, A., & Baillargeon, R. (1999). 2.5-month-old infants' reasoning about when objects should and should not be occluded. Cognitive Psychology 39, 116-157; Hespos, S. J., & Baillargeon, R. (2001). Knowledge about containment events in very young infants. Cognition 78, 207-245; Luo, Y., & Baillargeon, R. (in press). When the ordinary seems unexpected: Evidence for rule-based reasoning in young infants. Cognition; Wilcox, T., Nadel, L., & Rosser, R. (1996). Location memory in healthy preterm and full-term infants. Infant Behavior & Development 19, 309-323, others are not detected until much later e.g. Baillargeon, R., & DeVos, J. (1991). Object permanence in young infants: Further evidence. Child Development 62, 1227-1246; Hespos, S. J., & Baillargeon, R. (2001). Infants' knowledge about occlusion and containment events: A surprising discrepancy. Psychological Science 12, 140-147; Luo, Y., & Baillargeon, R. (2004). Infants' reasoning about events involving transparent occluders and containers. Manuscript in preparation; Wilcox, T. (1999). Object individuation: Infants' use of shape, size, pattern, and color. Cognition 72, 125-166. The present research focused on events involving covers or tubes, and brought to light additional examples of early and late successes in infants' ability to detect continuity violations. In Experiment 1, 2.5- to 3-month-old infants were surprised (1) when a cover was lowered over an object, slid to the right, and lifted to reveal no object; and (2) when a cover was lowered over an object, slid behind the left half of a screen, lifted above the screen, moved to the right, lowered behind the right half of the screen, slid past the screen, and finally lifted to reveal the object. In Experiments 2 and 3, 9- and 11-month-old infants were not surprised when a short cover was lowered over a tall object until it became fully hidden; only 12-month-old infants detected this violation. Finally, in Experiment 4, 9-, 12-, and 13-month-old infants were not surprised when a tall object was lowered inside a short tube until it became fully hidden; only 14-month-old infants detected this violation. A new account of infants' physical reasoning attempts to make sense of all of these results. New research directions suggested by the account are also discussed.

Cognition↗
PubMed1992

The crying of infants with colic: a controlled empirical description.

To obtain a controlled empirical description of some of the measurable clinical features of colic in a naturalistic context, 38 infants whose mothers considered crying a problem ("colic") and 38 pair-matched control infants were observed and videotaped at home 10 minutes before and after an evening feed. The parents kept a diary of infant behaviors (including crying and fussing) for 7 days following the visit. Following Wessel et al (Pediatrics. 1954;14:421-434), each "colic" infant was classified according to the number of days per week that crying and fussing duration was greater than 3 h/d. The distribution of infants with colic suggested that there were two subgroups: Wessel's colic infants, with 3 days or more per week of more than 3 hours of crying and fussing per day; and non-Wessel's colic infants, with fewer such days. Maternal measures of total daily crying/fussing duration, crying/fussing bout length, and infant temperament and objective analyses of facial activity showed a consistent pattern of differences in which Wessel's colic infants differed from both non-Wessel's colic and control infants, who in turn did not differ from each other. Both colic groups differed from control infants only in the perception of postfeed cries as being more "sick sounding." The results imply that the complaint of colic represents two (or more) groups and that there may be meaningfully distinct colic syndromes. They also provide the first independent empirical support for Wessel and colleagues' clinical distinction between "fussy" and "contented" babies.

Colic↗
PubMed2000

The development of attachment in new relationships: single subject analyses for 10 foster infants.

This paper presents single-subject analyses of newly developing attachment relationships in 10 foster infant-caregiver dyads. Using a diary methodology, at least 2 months of daily data were provided by foster parents on infants' attachment behaviors. Foster infant attachment was also assessed using the Strange Situation. Foster mother state of mind regarding attachment was measured using the Adult Attachment Interview. For eight infants, diary data revealed predominant patterns of attachment behavior emerging within 2 months of placement. In most cases, diary data predicted Strange Situation classifications. Both Strange Situation and diary data indicated that the three children placed in foster care before 12 months of age with foster parents having primary or secondary autonomous states of mind were classified as having secure attachments. The five children placed after 12 months of age showed predominantly insecure attachment behavior in the diary and were classified as insecure in the Strange Situation. Contingency analyses of behavioral sequences reported in the diary revealed that foster parents tended to complement their foster childrens' attachment behaviors.

Adult↗
PubMedDate not supplied

Assessing maternal competence and sensitivity to premature infants' cues.

Because it is becoming increasingly evident that the sensitivity of mothers to their premature infants can affect the mother-infant relationship, means to assess maternal sensitivity to infants are essential. The Boston City Hospital Assessment of Parental Sensitivity (BCHAPS) was the tool used in this study to assess maternal competence and sensitivity to premature infants in the Neonatal Intensive Care Unit (NICU). The concurrent validity of the tool was determined by examining the relation between scores on the BCHAPS and several maternal characteristics (i.e., family income, education, and parity) and infant characteristics (i.e., weight, gestational age, APGAR scores, and severity of illness). The predictive validity of the BCHAPS was determined by comparing the BCHAPS scores to mother-infant interaction behaviors when infants were 8 months old. Scores obtained on the BCHAPS correlated with mother-infant interaction scores at 8 months and to parity. There was no correlation between the BCHAPS scores and other maternal-infant characteristics. The results of this study indicate that the BCHAPS is a tool that can be used clinically to assess maternal behaviors in the NICU and that can predict the mother-infant relationship long after the discharge of the infant.

Adult↗
PubMed1993

Specific antibody levels in free-ranging rhesus monkeys: relationships to plasma hormones, cardiac parameters, and early behavior.

Levels of tetanus-specific antibodies were assessed in free-ranging, yearling rhesus monkeys following prophylactic immunization with tetanus toxoid. Each subject's behavior had been observed between 11 and 25 weeks of age and approximately 2 months later during its mother's first concentrated mating period as a part of another study. Prior to immunization, at approximately 1 year of age, cardiovascular parameters, and several plasma parameters [cortisol, adrenocorticotrophic hormone (ACTH), growth hormone (GH), interleukin-2 (IL-2), and total plasma immunoglobulin G (IgG)] were measured during a brief period of captivity. Antibody titers noted approximately 2 weeks after immunization were related to cardiovascular parameters. Thus, yearlings with high heart rates and low heart rate variability during captivity had the highest tetanus-specific serum IgG. Levels of plasma cortisol, ACTH, total IgG, and IL-2 noted at the time of capture were unrelated to subsequent antibody levels. Antibody titers were, however, positively correlated with GH noted immediately following capture on the day prior to immunization. Antibody titers were also related to the infants' behavior observed during their mother's first concentrated mating period. Infants who were most distressed (high levels of distress vocalization) when their mother resumed mating (a time particularly stressful for free-ranging rhesus infants) showed lower antibody titers to tetanus immunization as a yearling. The present observations add support to the existence of a relationship between behavior during exposure to an early stressor and later immune regulation and that certain cardiovascular parameters may be related to certain indicators of immunoregulation.

Adrenocorticotropic Hormone↗
PubMed2006

Comparison of the breastfeeding patterns of mothers who delivered their babies per vagina and via cesarean section: an observational study using the LATCH breastfeeding charting system.

BACKGROUND: Breastfeeding has many advantages for both mothers and infants. Several factors related to the mother and the baby, however, have a negative effect on the initiation of breastfeeding. Mode of delivery is one of these factors. When delivery takes place by cesarean section, the mother becomes a surgical patient with all the inherent risks and problems. Cesarean delivery under general anesthesia rates are currently rising our country, but the effects of this factor on the initiation and duration of breastfeeding are unclear. OBJECTIVE: The purpose of this study was to assess and compare the breastfeeding process in mothers who had cesarean deliveries (CD) with those who delivered vaginally (VD). DESIGN: This study is an observational and comparative study. SETTING: The environment of the research was the private hospital in Istanbul. PARTICIPANTS: The samples in the research were volunteer participant mothers who were delivered of healthy neonates. There were 118 incidents of CD under general anesthesia and 82 of VD chosen for the study. METHODS: Data was obtained using an "Introductory Information Form" which was prepared as suggested by related literature, and by using the "(LATCH) Breastfeeding Charting System." RESULTS: According to the LATCH Scoring System, the average score for the first breastfeeding was 6.27 and 8.81 for the third in CD mothers and 7.46 for the first breastfeeding and 9.70 for the third in VD mothers. Statistically meaningful differences were defined between the first (t=10.48; p<.001), second (t=7.82; p<.001), and third (t=7.12; p<.001) breastfeeding sessions in both CD and VD mothers. CONCLUSIONS: It was found that the pattern of delivery affects breastfeeding and that CD mothers need more support and help as compared to VD mothers. CD mothers were seen to need more support, particularly in positioning their babies for breastfeeding.

Abbreviations as Topic↗
PubMed1983

Effect of mild iron deficiency on infant mental development scores.

To evaluate the effects of short-term iron therapy on developmental test scores of infants with varying stages of iron deficiency, 37 infants, all 15 months of age, were tested with the Bayley Scales of Infant Development before and 11 days after beginning a trial of orally administered iron therapy. They were separated into three groups according to iron status: 12 controls, with normal iron nutrition; 11 with mild anemia, i.e., hemoglobin less than 11.0 gm/dl but greater than 8.5 gm/dl; and 15 with iron deficiency without anemia, i.e., Hgb greater than or equal to 11.0 gm/dl but at least one abnormal biochemical measure of iron nutrition (transferrin saturation, free erythrocyte protoporphyrin, or serum ferritin). The Mental Development Index was significantly lower in the anemic infants before treatment, as compared with that of normal controls. Improvement with iron therapy was also significant in those with anemia and in nonanemic patients with two or more biochemical indicators of iron deficiency. The rise in Mental Development Index was associated with improvement in attention span and cooperativeness. These findings suggest that mild iron deficiency has an effect on infant behavior that is rapidly reversible with iron therapy.

Anemia, Hypochromic↗
PubMed1998

Links between maternal care and persistent infant crying in the early months.

A community sample was screened to select three groups of infants and their mothers according to how much the babies cried at 6 weeks of age, the peak age for infant crying. The three groups--of moderate (n = 55), evening (n = 38) and persistent criers (n = 67) and their mothers--were assessed by diary, observation and questionnaire measures of mother and infant characteristics and interactions at 6 weeks and 5 months of infant age. At 6 weeks, mothers of persistent criers spent more time interacting with and physically stimulating their babies. Below-optimum maternal sensitivity/affection was linked to moderately increased crying in the infants overall. However, most mothers of persistent criers showed optimum sensitivity and affection, while no significant links between maternal sensitivity/affection and infant crying were found in the persistent crying group. By 5 months, when infant crying declined, the range and size of differences between mothers of persistent criers and other mothers declined. Home observations and a standard play measure failed to show group differences in maternal sensitivity, affection and intrusiveness at this age. The findings show that persistent infant crying in the early months often occurs in spite of high quality maternal care, so that in most cases the crying is probably not due to inadequate parenting. The need to distinguish general community cases from those at social or medical risk is emphasized and the findings' implications for professionals are discussed.

Adult↗
PubMed1993

Effects of labels of infant health and gender on parent ratings of a preterm infant.

This study extends previous investigations of prematurity prejudice by manipulating labels of infant health status and infant gender in a 2 x 2 factorial design. Eighty-eight parents of young children born prematurely viewed a videotape of a preterm infant on an apnea monitor and then completed ratings of premature infant behavior, attractiveness, general health, and caregiving. Analyses of variance yielded significant results only on the General Health scale with a significant main effect for infant health. The health status bias did not globally influence all perceptions. Implications for clinical practice are discussed, and future research directions are outlined.

Analysis of Variance↗