Effect of Maternal Speech on Neural Development in Premature Infant.

IF 1.5 4区 医学 Q3 NURSING
Khlood S Bubshait, Mildred M Maldonado, Charlene Krueger
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引用次数: 0

Abstract

Introduction: Maternal speech has been shown to benefit premature infants by improving feeding outcomes and potentiating the development of the auditory cortex. To our knowledge, limited studies have addressed the benefits of exposure to maternal speech on neural development in premature infants. The objective of this study was to investigate the effect of early controlled exposure to maternal recording a passage of speech on heart rate variability (obtained before, during, and after playback of a test stimulus of a female stranger speaking the same passage) in very low-birth-weight premature infants tracked weekly from 28 to 34 weeks.

Methods: Prospective, randomized controlled trial, longitudinal, and repeated-measures design were conducted on 49 subjects. Infants heard a recording of their mother's speech twice a day from either 28 to 34 weeks (group 1) or from 32 to 34 weeks (group 2). Spectral analysis was measured weekly for 45 seconds before, during, and after playback of maternal speech. A generalized linear mixed model was conducted to examine the 2-way interaction in the log high-frequency power between groups, genders, sessions, and conditions.

Results: It was found that there were no significant differences between groups before, during, and after playback of the stimulus. A significant difference, however, was noted between conditions (before vs during period).

Conclusion: It can be concluded cautiously that playing back of maternal speech recordings to the premature infant has a beneficial impact on neural development after 32 weeks gestational age.

母亲言语对早产儿神经发育的影响。
母体语言已被证明通过改善喂养结果和增强听觉皮层的发展对早产儿有益。据我们所知,有限的研究已经解决了暴露于母亲的语言对早产儿神经发育的好处。本研究的目的是调查早期受控暴露于母亲录音一段言语对极低出生体重早产儿心率变异性的影响(在播放女性陌生人说同一段话的测试刺激之前,期间和之后获得),每周跟踪28至34周。方法:采用前瞻性、随机对照试验、纵向、重复测量设计。从28到34周(第一组)或从32到34周(第二组),婴儿每天听两次母亲的语言录音。在播放母亲语言之前、期间和之后,每周测量45秒的频谱分析。采用广义线性混合模型来检验组、性别、会话和条件之间对数高频功率的双向交互作用。结果:在刺激回放前、回放中、回放后,各组间无显著性差异。然而,在不同的条件下(经期前和经期中),发现了显著的差异。结论:可以谨慎地认为,对32周后的早产儿播放母亲的语音录音对其神经发育有有益的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
7.70%
发文量
147
审稿时长
>12 weeks
期刊介绍: The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses. The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.
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