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Pain, Parental Involvement, and Oxytocin in the Neonatal Intensive Care Unit

Manuela Filippa1,2,3, Pierrick Poisbeau4, Jérôme Mairesse5,6

  • 1Division of Development and Growth, Department of Paediatrics, Gynaecology and Obstetrics, University of Geneva, Geneva, Switzerland.

Frontiers in Psychology
|April 20, 2019
PubMed

Insights

Painful procedures and early maternal separation in preterm infants (PTI) can negatively impact brain development. Interventions like maternal vocalizations and parental contact, mediated by the oxytocin system, offer protective benefits.

Area of Science:

  • Neonatal intensive care
  • Neuroscience
  • Developmental psychology

Background:

  • Preterm infants (PTI) face numerous painful and stressful events in the NICU.
  • These early life experiences can significantly affect brain development and function.

Purpose of the Study:

  • To review environmental risk factors for PTI during hospitalization.
  • To focus on the impact of pain and early maternal separation.
  • To explore protective interventions mediated by the oxytocin system.

Main Methods:

  • Literature review of studies on preterm infant hospitalization.
  • Analysis of the effects of pain and maternal separation.
  • Examination of oxytocin system's role in protective mechanisms.

Main Results:

  • Pain and maternal separation have long-term adverse effects on brain development.
  • Maternal vocalizations and parental contact show potential benefits.
  • The oxytocin system appears central to these protective effects.

Conclusions:

  • Early life stress in preterm infants requires targeted interventions.
  • Oxytocin-mediated strategies can mitigate adverse neurodevelopmental outcomes.
  • Promoting parent-infant contact is crucial for preterm infant well-being.

Keywords:
early contactearly separationpainparentsprematurity

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