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[Stress in newborn infants: a literature review]

P Schotman-Schram1, P J Helders, C J Heijnen

  • 1Laboratorium Pediatrische Immunologie, Universiteitskliniek voor kinderen en jeugdigen, Het Wilhelmina Kinderziekenhuis, Utrecht.

Tijdschrift Voor Kindergeneeskunde
|April 1, 1992
PubMed

Insights

Handling sick newborns, particularly premature infants, is stressful. Researchers identified beta-endorphin as a reliable stress indicator for developing infant stress-reduction programs.

Area of Science:

  • Neonatal care
  • Pediatric stress physiology
  • Endocrinology

Context:

  • Neonatal intensive care units (NICUs) are environments where sick newborns, especially premature infants, undergo frequent handling.
  • Such handling is widely considered a significant source of physiological and behavioral stress for these vulnerable infants.
  • Developing effective stress-reducing interventions is crucial for improving neonatal outcomes.

Purpose:

  • To systematically review the literature on stress parameters in newborns undergoing handling.
  • To identify reliable biomarkers for quantifying stress in sick and premature infants.
  • To provide a basis for the development of targeted stress-reduction strategies.

Summary:

  • A literature review was conducted to assess stress parameters in newborns, with a focus on handling procedures.
  • Analysis of available data indicates that beta-endorphin levels serve as a highly reliable indicator of stress in newborns.
  • This finding highlights the potential of beta-endorphin as a key biomarker in neonatal stress research.

Impact:

  • Provides evidence for utilizing beta-endorphin as a primary stress biomarker in neonatal research.
  • Informs the design of future studies investigating the efficacy of stress-reduction interventions for premature and sick infants.
  • Contributes to the advancement of evidence-based neonatal care practices aimed at minimizing infant distress.

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