Stress responses in preterm neonates after normal and at‐risk pregnancies
Identifieur interne : 001448 ( Istex/Corpus ); précédent : 001447; suivant : 001449Stress responses in preterm neonates after normal and at‐risk pregnancies
Auteurs : Pj Van Reempts ; A. Wouters ; W. De Cock ; Kj Van AckerSource :
- Journal of Paediatrics and Child Health [ 1034-4810 ] ; 1996-10.
English descriptors
Abstract
Objective: To evaluate the autonomic response in preterm neonates born after an at‐risk pregnancy. Methodology: Twenty‐one preterm neonates (gestational age; GA) 29‐37 weeks; bodyweight (BW): 720‐2113 g; postnatal age: 2‐126 days), born after at‐risk pregnancies (stressed (STR) group), were compared to 30 preterm neonates (GA: 26‐36 weeks; BW: 813‐2380 g; postnatal age: 2‐86 days) without any intrauterine risk factor (C group). A 10s pain stimulus was given on the forefoot and heart rate, respiratory rate and blood pressure were measured at 15 and 30 s, at 1, 2, 3, 4 and 5 min. After 10 s ocular compression six cardiac variables were recorded. Results: After the pain stimulus the STR‐group had a significant increase of heart rate at 15 s and an increase of diastolic blood pressure at 30 s. In the C group a significant increase of heart rate at 15 s was recorded. For the respiratory rate both groups showed an initial depression (significant at 15 s in the C group) followed by an increase. The time to react to the ocular compression was significantly shorter in the STR‐group than in the C‐group and thus more parasympathetic. Conclusions: We hypothesize that the different sympathetic and parasympathetic reaction patterns of the vital parameters to triggers in the STR‐group are due to chronic stress, pointing to an altered maturation of the two components of the autonomic nervous system after chronic intrauterine stress (CIUSTR).
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DOI: 10.1111/j.1440-1754.1996.tb00948.x
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De Cock</name><affiliation><mods:affiliation>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Van Acker, Kj" sort="Van Acker, Kj" uniqKey="Van Acker K" first="Kj" last="Van Acker">Kj Van Acker</name><affiliation><mods:affiliation>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:1ABF9E885F94BFE76D0CE165ADACEF7A3903BD3F</idno><date when="1996" year="1996">1996</date><idno type="doi">10.1111/j.1440-1754.1996.tb00948.x</idno><idno type="url">https://api.istex.fr/document/1ABF9E885F94BFE76D0CE165ADACEF7A3903BD3F/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001448</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Stress responses in preterm neonates after normal and at‐risk pregnancies</title><author><name sortKey="Van Reempts, Pj" sort="Van Reempts, Pj" uniqKey="Van Reempts P" first="Pj" last="Van Reempts">Pj Van Reempts</name><affiliation><mods:affiliation>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Wouters, A" sort="Wouters, A" uniqKey="Wouters A" first="A" last="Wouters">A. Wouters</name><affiliation><mods:affiliation>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</mods:affiliation></affiliation></author><author><name sortKey="De Cock, W" sort="De Cock, W" uniqKey="De Cock W" first="W" last="De Cock">W. De Cock</name><affiliation><mods:affiliation>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Van Acker, Kj" sort="Van Acker, Kj" uniqKey="Van Acker K" first="Kj" last="Van Acker">Kj Van Acker</name><affiliation><mods:affiliation>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Paediatrics and Child Health</title><idno type="ISSN">1034-4810</idno><idno type="eISSN">1440-1754</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1996-10">1996-10</date><biblScope unit="volume">32</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="450">450</biblScope><biblScope unit="page" to="456">456</biblScope></imprint><idno type="ISSN">1034-4810</idno></series><idno type="istex">1ABF9E885F94BFE76D0CE165ADACEF7A3903BD3F</idno><idno type="DOI">10.1111/j.1440-1754.1996.tb00948.x</idno><idno type="ArticleID">JPC450</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1034-4810</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>autonomic nervous system</term><term>chronic intrauterine stress</term><term>neonate</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To evaluate the autonomic response in preterm neonates born after an at‐risk pregnancy. Methodology: Twenty‐one preterm neonates (gestational age; GA) 29‐37 weeks; bodyweight (BW): 720‐2113 g; postnatal age: 2‐126 days), born after at‐risk pregnancies (stressed (STR) group), were compared to 30 preterm neonates (GA: 26‐36 weeks; BW: 813‐2380 g; postnatal age: 2‐86 days) without any intrauterine risk factor (C group). A 10s pain stimulus was given on the forefoot and heart rate, respiratory rate and blood pressure were measured at 15 and 30 s, at 1, 2, 3, 4 and 5 min. After 10 s ocular compression six cardiac variables were recorded. Results: After the pain stimulus the STR‐group had a significant increase of heart rate at 15 s and an increase of diastolic blood pressure at 30 s. In the C group a significant increase of heart rate at 15 s was recorded. For the respiratory rate both groups showed an initial depression (significant at 15 s in the C group) followed by an increase. The time to react to the ocular compression was significantly shorter in the STR‐group than in the C‐group and thus more parasympathetic. Conclusions: We hypothesize that the different sympathetic and parasympathetic reaction patterns of the vital parameters to triggers in the STR‐group are due to chronic stress, pointing to an altered maturation of the two components of the autonomic nervous system after chronic intrauterine stress (CIUSTR).</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>PJ VAN REEMPTS</name><affiliations><json:string>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</json:string></affiliations></json:item><json:item><name>A WOUTERS</name><affiliations><json:string>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</json:string></affiliations></json:item><json:item><name>W DE COCK</name><affiliations><json:string>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</json:string></affiliations></json:item><json:item><name>KJ VAN ACKER</name><affiliations><json:string>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>autonomic nervous system</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>chronic intrauterine stress</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>neonate</value></json:item></subject><articleId><json:string>JPC450</json:string></articleId><language><json:string>eng</json:string></language><abstract>Objective: To evaluate the autonomic response in preterm neonates born after an at‐risk pregnancy. Methodology: Twenty‐one preterm neonates (gestational age; GA) 29‐37 weeks; bodyweight (BW): 720‐2113 g; postnatal age: 2‐126 days), born after at‐risk pregnancies (stressed (STR) group), were compared to 30 preterm neonates (GA: 26‐36 weeks; BW: 813‐2380 g; postnatal age: 2‐86 days) without any intrauterine risk factor (C group). A 10s pain stimulus was given on the forefoot and heart rate, respiratory rate and blood pressure were measured at 15 and 30 s, at 1, 2, 3, 4 and 5 min. After 10 s ocular compression six cardiac variables were recorded. Results: After the pain stimulus the STR‐group had a significant increase of heart rate at 15 s and an increase of diastolic blood pressure at 30 s. In the C group a significant increase of heart rate at 15 s was recorded. For the respiratory rate both groups showed an initial depression (significant at 15 s in the C group) followed by an increase. The time to react to the ocular compression was significantly shorter in the STR‐group than in the C‐group and thus more parasympathetic. 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Methodology: Twenty‐one preterm neonates (gestational age; GA) 29‐37 weeks; bodyweight (BW): 720‐2113 g; postnatal age: 2‐126 days), born after at‐risk pregnancies (stressed (STR) group), were compared to 30 preterm neonates (GA: 26‐36 weeks; BW: 813‐2380 g; postnatal age: 2‐86 days) without any intrauterine risk factor (C group). A 10s pain stimulus was given on the forefoot and heart rate, respiratory rate and blood pressure were measured at 15 and 30 s, at 1, 2, 3, 4 and 5 min. After 10 s ocular compression six cardiac variables were recorded. Results: After the pain stimulus the STR‐group had a significant increase of heart rate at 15 s and an increase of diastolic blood pressure at 30 s. In the C group a significant increase of heart rate at 15 s was recorded. For the respiratory rate both groups showed an initial depression (significant at 15 s in the C group) followed by an increase. The time to react to the ocular compression was significantly shorter in the STR‐group than in the C‐group and thus more parasympathetic. Conclusions: We hypothesize that the different sympathetic and parasympathetic reaction patterns of the vital parameters to triggers in the STR‐group are due to chronic stress, pointing to an altered maturation of the two components of the autonomic nervous system after chronic intrauterine stress (CIUSTR).</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>autonomic nervous system</term></item><item><term>chronic intrauterine stress</term></item><item><term>neonate</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1996-10">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/1ABF9E885F94BFE76D0CE165ADACEF7A3903BD3F/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1440-1754</doi><issn type="print">1034-4810</issn><issn type="electronic">1440-1754</issn><idGroup><id type="product" value="JPC"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF PAEDIATRICS CHILD HEALTH">Journal of Paediatrics and Child Health</title></titleGroup></publicationMeta><publicationMeta level="part" position="10005"><doi origin="wiley">10.1111/jpc.1996.32.issue-5</doi><numberingGroup><numbering type="journalVolume" number="32">32</numbering><numbering type="journalIssue" number="5">5</numbering></numberingGroup><coverDate startDate="1996-10">October 1996</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0045000" status="forIssue"><doi origin="wiley">10.1111/j.1440-1754.1996.tb00948.x</doi><idGroup><id type="unit" value="JPC450"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><eventGroup><event type="firstOnline" date="2008-03-10"></event><event type="publishedOnlineFinalForm" date="2008-03-10"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-16"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-31"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="450">450</numbering><numbering type="pageLast" number="456">456</numbering></numberingGroup><correspondenceTo>Patrick J van Reempts, University Hospital, Antwerp, Division of Neonatology, Wilrijkstraat 10, 2560 Antwerp, Belgium.</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JPC.JPC450.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 21 May 1996.</unparsedEditorialHistory><countGroup><count type="referenceTotal" number="35"></count><count type="linksCrossRef" number="5"></count></countGroup><titleGroup><title type="main">Stress responses in preterm neonates after normal and at‐risk pregnancies</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>PJ</givenNames><familyNamePrefix>VAN</familyNamePrefix><familyName>REEMPTS</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>A</givenNames><familyName>WOUTERS</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>W</givenNames><familyNamePrefix>DE</familyNamePrefix><familyName>COCK</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>KJ</givenNames><familyNamePrefix>VAN</familyNamePrefix><familyName>ACKER</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="BE"><unparsedAffiliation>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">autonomic nervous system</keyword><keyword xml:id="k2">chronic intrauterine stress</keyword><keyword xml:id="k3">neonate</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p> <b>Objective</b>: To evaluate the autonomic response in preterm neonates born after an at‐risk pregnancy.</p><p> <b>Methodology</b>: Twenty‐one preterm neonates (gestational age; GA) 29‐37 weeks; bodyweight (BW): 720‐2113 g; postnatal age: 2‐126 days), born after at‐risk pregnancies (stressed (STR) group), were compared to 30 preterm neonates (GA: 26‐36 weeks; BW: 813‐2380 g; postnatal age: 2‐86 days) without any intrauterine risk factor (C group). A 10s pain stimulus was given on the forefoot and heart rate, respiratory rate and blood pressure were measured at 15 and 30 s, at 1, 2, 3, 4 and 5 min. After 10 s ocular compression six cardiac variables were recorded.</p><p> <b>Results</b>: After the pain stimulus the STR‐group had a significant increase of heart rate at 15 s and an increase of diastolic blood pressure at 30 s. In the C group a significant increase of heart rate at 15 s was recorded. For the respiratory rate both groups showed an initial depression (significant at 15 s in the C group) followed by an increase. The time to react to the ocular compression was significantly shorter in the STR‐group than in the C‐group and thus more parasympathetic.</p><p> <b>Conclusions</b>: We hypothesize that the different sympathetic and parasympathetic reaction patterns of the vital parameters to triggers in the STR‐group are due to chronic stress, pointing to an altered maturation of the two components of the autonomic nervous system after chronic intrauterine stress (CIUSTR).</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="n-fnt-1" numbered="no"><p>Patrick J van Reempts, MD, PhD, Assistant‐Head Department of Paediatrics, Head Division of Neonatology and SIDS evaluation. A Wouters MD, Resident in Paediatrics. W De Cock, Polysomnographist. Karel J Van Acker MD, PhD, Head, Department of Paediatrics.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Stress responses in preterm neonates after normal and at‐risk pregnancies</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Stress responses in preterm neonates after normal and at‐risk pregnancies</title></titleInfo><name type="personal"><namePart type="given">PJ</namePart><namePart type="family">VAN REEMPTS</namePart><affiliation>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</affiliation><description>Correspondence: Patrick J van Reempts, University Hospital, Antwerp, Division of Neonatology, Wilrijkstraat 10, 2560 Antwerp, Belgium.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A</namePart><namePart type="family">WOUTERS</namePart><affiliation>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">W</namePart><namePart type="family">DE COCK</namePart><affiliation>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">KJ</namePart><namePart type="family">VAN ACKER</namePart><affiliation>Department of Pediatrics, Division of Neonatology, University Hospital, Antwerp, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">1996-10</dateIssued><edition>Accepted for publication 21 May 1996.</edition><copyrightDate encoding="w3cdtf">1996</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="references">35</extent></physicalDescription><abstract lang="en">Objective: To evaluate the autonomic response in preterm neonates born after an at‐risk pregnancy. Methodology: Twenty‐one preterm neonates (gestational age; GA) 29‐37 weeks; bodyweight (BW): 720‐2113 g; postnatal age: 2‐126 days), born after at‐risk pregnancies (stressed (STR) group), were compared to 30 preterm neonates (GA: 26‐36 weeks; BW: 813‐2380 g; postnatal age: 2‐86 days) without any intrauterine risk factor (C group). A 10s pain stimulus was given on the forefoot and heart rate, respiratory rate and blood pressure were measured at 15 and 30 s, at 1, 2, 3, 4 and 5 min. After 10 s ocular compression six cardiac variables were recorded. Results: After the pain stimulus the STR‐group had a significant increase of heart rate at 15 s and an increase of diastolic blood pressure at 30 s. In the C group a significant increase of heart rate at 15 s was recorded. For the respiratory rate both groups showed an initial depression (significant at 15 s in the C group) followed by an increase. The time to react to the ocular compression was significantly shorter in the STR‐group than in the C‐group and thus more parasympathetic. Conclusions: We hypothesize that the different sympathetic and parasympathetic reaction patterns of the vital parameters to triggers in the STR‐group are due to chronic stress, pointing to an altered maturation of the two components of the autonomic nervous system after chronic intrauterine stress (CIUSTR).</abstract><subject lang="en"><genre>keywords</genre><topic>autonomic nervous system</topic><topic>chronic intrauterine stress</topic><topic>neonate</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Paediatrics and Child Health</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">1034-4810</identifier><identifier type="eISSN">1440-1754</identifier><identifier type="DOI">10.1111/(ISSN)1440-1754</identifier><identifier type="PublisherID">JPC</identifier><part><date>1996</date><detail type="volume"><caption>vol.</caption><number>32</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>450</start><end>456</end><total>7</total></extent></part></relatedItem><identifier type="istex">1ABF9E885F94BFE76D0CE165ADACEF7A3903BD3F</identifier><identifier type="DOI">10.1111/j.1440-1754.1996.tb00948.x</identifier><identifier type="ArticleID">JPC450</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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