Effect of nutrient upon the sucking behavior of newborn infants.
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BACKGROUND: The belief that behavioral observations assist in the clinical diagnosis of gastroesophageal reflux (GER) disease in premature neonates has not been formally tested. The purpose of this study was to determine whether esophageal acidification was associated with a recognizable pattern of behavioral changes in these infants. METHODS: The behavior of 14 healthy premature infants was recorded by a video camera while esophageal pH was simultaneously monitored. For each of 20 acid GER episodes recorded, a 10-minute video epoch, encompassing the onset of acid GER and lasting at least 4 minutes after the onset of GER, was examined. Two independent observers each scored reflux-associated epochs of "general" infant behavior and behavior previously shown to be indicative of reflux in normal term infants. RESULTS: The occurrence of esophageal acidification due to reflux did not significantly alter scores for general behavior. Infants frequently demonstrated reflux-specific behavior, including discomfort, head retraction, and mouthing; however, none of these behavioral patterns was temporally associated with the occurrence of acid GER. CONCLUSIONS: These data indicate that reflux-specific behavioral criteria, established in older term infants, may be inappropriate as diagnostic criteria for GER in premature neonates and may lead to the unnecessary use of antireflux therapy.
This study was conducted to provide the basic information for nursing intervention in infant teaching and feeding situation. The subjects were 30 pairs of mother and her infant (9 month) who were normally delivered at 3 university hospital in Seoul area. The data collection was conducted by observation using videotaperecord from September 27, 1989 to February 26, 1990 in their home. The measurement tools used by this researcher were Nursing child Assessment Teaching scale (NCATS) and Nursing child Assessment Feeding Scale (NCAFS) which was developed by Barnard. The higher sum of "yes" score means the higher mother-infant interaction level. Mother-Infant interaction behaviors in both situations were based on 6 subcategories;sensitivity to cue, response to distress, social-emotional growth fostering, cognitive growth fostering, clarity of + cues, and responsiveness to parent. The data collected through above method were analyzed by mean and t-test and the results were as follows. 1. The sum of maternal behavior score was 40.2 out of 50.0 in teaching situation and 37.9 out of 50.0 in feeding situation. Out of the 4 subcategories on maternal behavior in both situation, the highest subcategory was shown by response to infant's distress and the lowest subcategory by cognitive growth fostering. 2. The sum of infant behavior score was 14.7 out of 23 in teaching situation and 17.9 out of 26 in feeding situation. Out of the 2 categories on infant behavior in both situation, the highest sub category was shown by the clarity of infant's cue in both situation. 3. There was a statistical significance between father's educational level and mother-infant interaction in teaching situation; college group was higher than high school group, particularly in category of sensitivity to infant's cue and cognitive growth fostering. 4. There was a statistical significance in teaching situation between mother's educational level and mother-infant interaction; college group was higher than high school group, particularly sensitivity to infant cue, social-emotional growth fostering and cognitive fostering. 5. There was no statistical difference in between parent educational level and mother-infant interaction in feeding situation.
Three longitudinal studies are reported in which 6-8-month-old infants were tested on means-end problems involving pulling a cloth to retrieve a toy. Production of intentional means-end behavior increased between 6 and 7 months, but although 6-month-olds' behavior was unaffected by the presence or absence of a toy on the cloth, 7-month-olds more often produced means-end sequences when a toy could be retrieved. Infants' performance remained the same when the cloth was either attached to the toy or separate, suggesting that goal-subgoal conflict does not interfere with performance of means-end sequences. By 8 months, infants could appropriately adjust their means-end behavior to the distance of the toy. These results confirm J. Piaget's (1953) original description of a shift from transitional to intentional means-end behavior and suggest that development of means-end behavior involves acquisition of knowledge of appropriate means-end relations.
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Behavioral interactions of Norway rat pups and their dams during maternal anogenital licking (AGL) were observed. Regularities in posture and orientation that may facilitate AGL were noted, and age-related changes in the pup's postural adjustments that may contribute to the decline of AGL in the 3rd postpartum week were described. It was found that cutaneous stimulation of the perineum, such as that provided by AGL, stimulates a characteristic leg extension response from pups. It was concluded that this response, which includes immobility and extension of all limbs, may permit maternal licking to continue long enough to stimulate the pup to eliminate and to allow the dam to ingest the urine. Males and females were found to exhibit similar responses and similar age-related changes. However, the latency from onset of AGL to performance of the leg extension response was shorter in males.
The authors sought to apply evidence from research to nursing practice. Research about infant states, cues, and behaviors was presented to a birthing center nursing staff and expectant parent class instructors. Posttest results indicated that the staff's knowledge and skill in interpreting infant behavior for parents increased after an educational session. The results are important, for research supports the idea that parent-infant attachment affects both parents and infants by promoting a loving relationship and improved infant development, a healthy self-image, and better relationships later in life. Cue sensitivity has been documented as the origin of parent-infant attachment. Cue sensitivity involves recognition of individualized infant body language and provision of an appropriate response. Parents who are sensitive to their infant's needs and who respond consistently and appropriately foster a mutually satisfying reciprocal interaction that leads to a healthy relationship. Incorporating information about infant states, cues, and behaviors into prenatal education can provide parents with an introduction to quality parent-child interactions.
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In infant rats, huddling improves surface-to-volume ratios and provides metabolic savings during cold exposure. It is unclear, however, whether endothermy is also a necessary component of huddling. In the present experiment, huddles composed of infant Norway rats (2- or 8-day-olds), which produce heat endogenously, or Syrian golden hamsters (8-day-olds), which do not produce heat endogenously, were exposed to decreases in air temperature. Behavioral and physiological responses were monitored throughout the test. Rats, especially at 8 days of age, were better able to thermoregulate using huddling than hamsters, due in part to endogenous heat production. Furthermore, 8-day-old rats exhibited behavioral responses that promote heat retention, suggesting that both physiological and behavioral mechanisms contribute to effective thermoregulation during huddling in the cold.
In this first behavior genetic study on infant-father attachment, we estimated genetic and environmental influences on infant-father attachment behaviors and on temperamental dependency, both assessed with the Attachment Q-Sort (AQS; B. E. Vaughn & E. Waters, 1990; E. Waters, 1995). Mothers of mono- and dizygotic twins (N = 56 pairs) sorted the AQS with a focus on the infant's behaviors in the presence of the father. Genetic modeling showed that attachment was largely explained by shared environmental (59%) and unique environmental (41%) factors. For dependency, genetic factors explained 66% of the variance, and unique environmental factors including measurement error explained 34%. Attachment to father appears to be, to a significant degree, a function of the environment that twins share.
The exploratory behaviors of a sample of 11 infants with Down syndrome and 11 nondelayed infants, matched on Bayley mental raw scores and gender, were analyzed. Transitional probabilities and z scores were computed for each possible behavior change as well as frequencies of each behavior. The analyses revealed significant differences in how the 2 samples distribute their exploratory activities. The significant transitional probabilities among the 6 behavioral states revealed a pattern of similarities and differences. In general, both groups of infants organized their exploratory activities in a similar manner. However, there were differences that appeared to depend on the level of exploratory sophistication. The results are discussed in the context of the similarities and differences between the samples.
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This clinical case study extends the literature on behavioral treatment of self-injury to an intellectually normal infant with spina bifida and diminished sensitivity to pain. After treatment by attention-play periods plus an aversive tasting substance applied to the injured finger, severe biting of the index finger was eliminated and the finger healed. Follow-up inquiries 2 months, 2 and 3 yr later revealed no biting and no substantial tissue damage.
Chronic sleep disturbance, such as bed refusal, sleep-onset delay, and night waking with crying, affects 15% to 35% of preschool children. Biological factors, particularly arousals associated with recurrent episodes of rapid-eye-movement sleep, render infants vulnerable to repeated awakenings. Parental failure to establish appropriate stimulus control of sleep-related behaviors and parent-mediated contingencies of reinforcement for sleep-incompatible behaviors may shape and maintain infant sleep disturbance. Treatment and prevention strategies are discussed, and research needs are identified.
The purpose of this study was to evaluate behavioral differences in healthy newborns in relationship to bilirubin serum levels within the normal physiological range. Seventy-three healthy full-term newborns of adequate weight for their gestational age had bilirubin levels measured in a blood sample obtained by heel puncture on the third day of life. The Brazelton Neonatal Behavioral Assessment Scale (NBAS, 1984 version) was administered between the 60th and 80th hours of life. Results showed a mean bilirubin value of 123.12 mumol/L (7.2 mg/dL). There was an inverse correlation between serum bilirubin levels and behavior in regards to habituation, orientation, motor maturity and interaction of the NBAS. Although it can not be concluded that physiological bilirubin levels cause significant neurological disturbances, these results suggest that newborns with higher physiological bilirubin levels have some difficulties interacting with their caretakers.
Observations of the social behavior of Macaca fascicularis exposed in utero to methylmercury (MeHg) and nonexposed control infants were performed as part of a study of the toxic, reproductive and developmental effects of maternal MeHg intake. Infants were tested twice weekly from 2 weeks to 8 months of age. Data were summarized into 6 categories of social behavior and 7 categories of nonsocial behavior. Analysis of the most prevalent behavior indicated that MeHg-exposed offspring exhibited a decrease in social play behavior and a concomitant increase in nonsocial passive behavior. The MeHg effect on social play behavior tended to decrease with age, while the group differences in nonsocial passive behavior tended to increase. The results indicate that maternal intake of MeHg during pregnancy can affect the social development of infant primates by suppressing social interactions and increasing nonsocial behavior.
In North America, an increasing number of babies are prenatally exposed to cocaine, yet the implications of cocaine use during pregnancy are not fully understood. The effects of cocaine are exerted primarily by its influence on aminergic receptors in the central and peripheral nervous systems. Developmental, physiological, and behavioral problems in infants and children are likely outcomes of maternal cocaine abuse, but these findings are confounded by concomitant use of other drugs such as marijuana and cocaine and by factors such as time, dosage, and route of cocaine intake. Different screening options exist for cocaine and its metabolites, including sampling of neonatal urine, hair and meconium need to be considered, as do the sensitivity and the ethical implications of such testing. Clinical management of cocaine-exposed infants requires attention to several issues, including: central nervous system irritation, cardiac anomalies, apnea, and feeding difficulties, as well as infant safety and follow-up postdischarge. Early detection and intervention remain the primary objectives of caring for cocaine-exposed infants.
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