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Updated: Jul 15, 2026

Preterm EEG: A Multimodal Neurophysiological Protocol
Published on: February 18, 2012
Yawning frequency and distribution in preterm and near term infants assessed throughout 24-h recordings
Fiorenza Giganti1, Marie J Hayes, Giovanni Cioni
1Sleep Lab, Department of Psychology, University of Florence, Italy. fiorenza.giganti@unifi.it
Insights
Yawning frequency in preterm infants decreases with age, particularly during daytime. This reduction may reflect developing sleep-wake regulatory systems in infants.
Area of Science:
- Neonatal Physiology
- Developmental Neuroscience
Background:
- Yawning is observed in fetuses and preterm infants.
- Understanding yawning patterns in preterm infants is crucial for assessing development.
Purpose of the Study:
- To determine the frequency and 24-hour distribution of yawning in preterm infants.
- To investigate the relationship between yawning and sleep-wake states in this population.
Main Methods:
- Continuous 24-hour video recording of 12 low-risk preterm infants (31-40 weeks post-conceptional age).
- Definition of spontaneous yawning as a full mouth opening with a stretching movement.
- Analysis of yawning incidence across different motility patterns (waking, active sleep, quiet sleep).
Main Results:
- The overall yawning rate was 1.10 yawns per hour.
- Yawning occurred most frequently during waking motility patterns.
- Yawn incidence significantly decreased with increasing post-conceptional age, especially during the day.
Conclusions:
- Yawning frequency in preterm infants declines with age, particularly during daytime hours.
- This decrease may be associated with the maturation of circadian and homeostatic sleep-wake control mechanisms.
Abstract:
Yawning has been observed in foetuses and preterm infants. The aim of this study was to assess the frequency and the 24 h distribution of yawning in preterm infants. Twelve low-risk infants between 31 and 40 weeks of post-conceptional age (PCA) were continuously video-recorded for 24 h in their incubator. Spontaneous yawning was defined as opening of the mouth to its full extension in a dramatic stretch movement. The results showed that the rate of yawning across the 24-h period was 1.10/h. The highest incidence of yawns was in the waking motility pattern when compared to active sleep or quiet sleep motility patterns. Between 31 and 40 weeks, yawn incidence significantly decreased mainly during the day. The marked decrease in yawn frequency with age may be related to the development of circadian and homeostatic control of sleep and wake.
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