Prone sleeping position in infancy: Implications for cardiovascular and cerebrovascular function.

Abstract:

:Advances in neonatal care have improved the survival rates of preterm infants, however, the likelihood of brain injury and neurodevelopmental disability remains a significant problem. Whilst the etiology of preterm brain injury is complex, impairments in the cardio- and cerebro-vascular function have been implicated. During infancy, sleep is vital for brain development. However, instabilities in cardio- and cerebro-vascular function are most marked during sleep. Sleeping position is an important part of a safe sleeping environment. Prone sleeping increases the risk of sudden infant death syndrome and is associated with reduced blood pressure, cerebral oxygenation and impaired autonomic cardiovascular control in infants born at term. Importantly, these effects are amplified by preterm birth. Hospitalized preterm infants are often slept in the prone position to improve respiratory function. However, there is little consensus regarding the sustained benefits of prone sleeping in this population. In light of the impaired cardio- and cerebro-vascular function during prone sleeping in term and preterm infants after hospital discharge, the likely adverse effects of prone sleeping in hospitalized preterm infants are concerning. This review examines the cardiovascular and cerebrovascular effects of prone sleeping in infants born at term, those born preterm after term equivalent age and whilst hospitalized.

journal_name

Sleep Med Rev

journal_title

Sleep medicine reviews

authors

Shepherd KL,Yiallourou SR,Horne RSC,Wong FY

doi

10.1016/j.smrv.2017.10.001

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

174-186

eissn

1087-0792

issn

1532-2955

pii

S1087-0792(17)30150-8

journal_volume

39

pub_type

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