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Published on: October 24, 2019
Sleep Disturbances in Newborns
Daphna Yasova Barbeau1, Michael D Weiss2
1Department of Pediatrics, University of Florida, Gainesville, FL 32610, USA. daphy@peds.ufl.edu.
Insights
This review introduces fetal and neonatal sleep, highlighting its role in information consolidation. Neonatal sleep cycles evolve, with active sleep decreasing and quiet sleep increasing, influenced by various factors.
Area of Science:
- Neonatal physiology
- Sleep science
- Developmental neuroscience
Background:
- Sleep is crucial for cognitive functions like memory consolidation.
- Understanding sleep patterns in newborns is essential for assessing their development and health.
- Sleep architecture undergoes significant changes from fetal to term neonatal stages.
Purpose of the Study:
- To provide an introductory overview of sleep in fetuses and neonates (preterm and term).
- To discuss the developmental changes in neonatal sleep cycles.
- To highlight factors affecting neonatal sleep and methods for its evaluation.
Main Methods:
- Review of existing literature on fetal and neonatal sleep.
- Analysis of sleep cycle characteristics and developmental trajectories.
- Discussion of electroencephalography (EEG) as a tool for sleep assessment.
Main Results:
- Neonatal sleep is characterized by a predominance of active sleep, which progressively shortens.
- Quiet sleep increases as neonates mature.
- Sleep patterns are dynamic and influenced by factors such as gestational age, disease, and environmental stimuli.
Conclusions:
- Sleep plays a vital role in neonatal development, particularly in information processing.
- The amplitude-integrated EEG is a valuable tool for monitoring neonatal sleep and detecting disturbances.
- Further research is needed to fully understand protective factors for infant sleep.
Abstract:
The purpose of this review is to serve as an introduction to understanding sleep in the fetus, the preterm neonate and the term neonate. Sleep appears to have numerous important roles, particularly in the consolidation of new information. The sleep cycle changes over time, neonates spend the most time in active sleep and have a progressive shortening of active sleep and lengthening of quiet sleep. Additionally, the sleep cycle is disrupted by many things including disease state and environment, and the amplitude integrated EEG can be a useful tool in evaluating sleep, and sleep disturbances, in neonates. Finally, there are protective factors for infant sleep that are still being studied.
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