The effect of kangaroo care on modulate chronic stress response in preterm infants and mothers

Stress ◽  
2021 ◽  
pp. 1-11
Author(s):  
Sandra Regina de Souza-Vogler ◽  
Geisy Maria de Souza Lima
Keyword(s):  
Stress Response ◽  
Preterm Infants ◽  
Chronic Stress ◽  
Kangaroo Care

scholarly journals What is stopping us? An implementation science study of kangaroo care in British Columbia’s neonatal intensive care units

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Coutts ◽  
Alix Woldring ◽  
Ann Pederson ◽  
Julie De Salaberry ◽  
Horacio Osiovich ◽  
...  
Keyword(s):  
Intensive Care ◽  
Healthcare Provider ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Healthcare Providers ◽  
Neurodevelopmental Outcomes ◽  
Kangaroo Care ◽  
Optimal Care ◽  
Barriers And Enablers ◽  
Provider Beliefs

Abstract Background The goal of the Neonatal Intensive Care Unit (NICU) is to provide optimal care for preterm and sick infants while supporting their growth and development. The NICU environment can be stressful for preterm infants and often cannot adequately support their neurodevelopmental needs. Kangaroo Care (KC) is an evidence-based developmental care strategy that has been shown to be associated with improved short and long term neurodevelopmental outcomes for preterm infants. Despite evidence for best practice, uptake of the practice of KC in resource supported settings remains low. The aim of this study was to identify and describe healthcare providers’ perspectives on the barriers and enablers of implementing KC. Methods This qualitative study was set in 11 NICUs in British Columbia, Canada, ranging in size from 6 to 70 beds, with mixed levels of care from the less acute up to the most complex acute neonatal care. A total of 35 semi-structured healthcare provider interviews were conducted to understand their experiences providing KC in the NICU. Data were coded and emerging themes were identified. The Consolidated Framework for Implementation Research (CFIR) guided our research methods. Results Four overarching themes were identified as barriers and enablers to KC by healthcare providers in their particular setting: 1) the NICU physical environment; 2) healthcare provider beliefs about KC; 3) clinical practice variation; and 4) parent presence. Depending on the specific features of a given site these factors functioned as an enabler or barrier to practicing KC. Conclusions A ‘one size fits all’ approach cannot be identified to guide Kangaroo Care implementation as it is a complex intervention and each NICU presents unique barriers and enablers to its uptake. Support for improving parental presence, shifting healthcare provider beliefs, identifying creative solutions to NICU design and space constraints, and the development of a provincial guideline for KC in NICUs may together provide the impetus to change practice and reduce barriers to KC for healthcare providers, families, and administrators at local and system levels.

scholarly journals Stress and Growth in children and adolescents

2021 ◽  
Author(s):  
Maria Mousikou ◽  
Andreas Kyriakou ◽  
Nicos Skordis
Keyword(s):  
Growth Hormone ◽  
Stress Response ◽  
Chronic Stress ◽  
Early Life ◽  
Stress System ◽  
Childhood And Adolescence ◽  
Conservation Of Energy ◽  
Targeted Interventions ◽  
The Impact

The infantile, childhood, and adolescent periods of growth and development represent times of increased vulnerability to stressors. The rate of growth in each period depends on the interplay of genetic, environmental, dietary, socioeconomic, developmental, behavioral, nutritional, metabolic, biochemical, and hormonal factors. A stressor may have an impact on growth directly through modulation of the growth hormone axis or indirectly through modulation of other factors. The adaptive response to stressors culminates in behavioral, physiological, and biochemical responses, which together support survival and conservation of energy. The process begins within seconds and involves activation of sympathetic nervous system and Hypothalamic-Pituitary-Adrenal axis. The time-limited stress response is at once anti-growth, anti-reproductive and catabolic with no lasting adverse consequences. However, chronic activation of the stress system and hypercortisolism have consequential negative impacts on growth, thyroid function, reproduction-puberty, and metabolism. They suppress Growth Hormone-Insulin like growth factor 1, Hypothalamic-Pituitary-Gonadal and Thyroid axes and can be responsible for an increase in visceral adiposity, a decrease in lean mass, suppression of osteoblastic activity with risk of osteoporosis, and induction of insulin resistance. Early life adversities, emotional or physical, have been associated with long-term negative physical and mental health outcomes. There are many models of chronic stress that corroborate that early life adversities affect optimal growth and have consequences throughout the lifespan. Targeted interventions to reduce stress during infancy, childhood and adolescence can have far reaching benefits to long-term health as well as attaining adequate growth. In this review we describe the neuroendocrinology of the stress response, the factors influencing growth, and the impact of chronic stress on growth during critical periods of infancy, childhood, and puberty with reference to each of growth, thyroid, and gonadal axis.

scholarly journals Central role of the habenulo-interpeduncular system in the neurodevelopmental basis of susceptibility and resilience to anxiety

2021 ◽  
Author(s):  
Malalaniaina Rakotobe ◽  
Niels Fjerdingstad ◽  
Nuria Ruiz-Reig ◽  
Thomas Lamonerie ◽  
Fabien D'Autréaux
Keyword(s):  
Stress Response ◽  
Brain Development ◽  
Chronic Stress ◽  
Environmental Stressors ◽  
Critical Node ◽  
Sensitive Periods ◽  
Early Stress ◽  
Effects Of Stress

Abstract Experiencing stress during sensitive periods of brain development has a major impact on how individuals cope with later stress. Although many become more prone to develop anxiety or depression, some appear resilient. The mechanisms underlying these differences are unknown. Key answers may lie in how genetic and environmental stressors interact to shape the circuits controlling emotions. Here we studied the role of the habenulo-interpeducuncular system (HIPS), a critical node of reward circuits, in early stress-induced anxiety. We found that a subcircuit of this system, characterized by Otx2 expression, is particularly responsive to chronic stress during puberty, which induces HIPS hypersensitivity to later stress and susceptibility to develop anxiety. We further show that Otx2 deletion restricted to the HIPS counteracts these effects of stress. Together, these results demonstrate that Otx2 and stress interact, around puberty, to shape the HIPS stress-response, revealed here as a key modulator of susceptibility/resilience to develop anxiety.

scholarly journals Reduction of the chronic stress response by inhalation of hiba (Thujopsis dolabrata) essential oil in rats

2014 ◽  
Vol 78 (7) ◽  
pp. 1135-1139 ◽  
Author(s):  
Tetsuya Matsuura ◽  
Takuya Yamaguchi ◽  
Youhei Zaike ◽  
Kousei Yanagihara ◽  
Mitsuyuki Ichinose
Keyword(s):  
Stress Response ◽  
Essential Oil ◽  
Chronic Stress

scholarly journals Stress response and mode of ventilation in preterm infants

1998 ◽  
Vol 78 (3) ◽  
pp. F195-F198 ◽  
Author(s):  
M W Quinn ◽  
R C de Boer ◽  
N Ansari ◽  
J H Baumer
Keyword(s):  
Stress Response ◽  
Preterm Infants

scholarly journals Maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo care

2012 ◽  
Vol 20 (3) ◽  
pp. 435-443 ◽  
Author(s):  
Thaíla Corrêa Castral ◽  
Fay Fathalee Warnock ◽  
Laiane Medeiros Ribeiro ◽  
Maria Gorete Lucena de Vasconcelos ◽  
Adriana Moraes Leite ◽  
...  
Keyword(s):  
Heart Rate ◽  
Preterm Infants ◽  
Salivary Cortisol ◽  
Mental Condition ◽  
Bivariate Analysis ◽  
Maternal Factors ◽  
Kangaroo Care ◽  
Explanatory Variables ◽  
Neonatal Response ◽  
Cortisol Levels

The relationship between maternal factors and the response of preterm infants to pain and stress experienced during heel puncture while in maternal kangaroo care was investigated. This descriptive study included 42 mothers and their preterm infants cared for in a neonatal unit. Data were collected in the baseline, procedure, and recovery phases. We measured the neonates' facial actions, sleep and wake states, crying, salivary cortisol levels, and heart rate, in addition to the mothers' behavior, salivary cortisol levels, and mental condition. The influence of the maternal explanatory variables on the neonatal response variables were verified through bivariate analysis, ANOVA, and multiple regression. The mothers' behavior and depression and/or anxiety did not affect the neonates' responses to pain and stress, though the mothers' levels of salivary cortisol before the procedure explained the variance in the neonates' levels of salivary cortisol after the procedure (p=0.036). Additionally, the mothers' baseline levels of salivary cortisol along with the neonates' age explained the variance in the neonates' heart rate (p=0.001). The ability of mothers to regulate their own stress contributed to the infants' responses to pain and stress.

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