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

Overview
Journal Front Psychol
Date 2019 Apr 20
PMID 31001173
Citations 17
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Abstract

Preterm infants (PTI) typically experience many painful and stressful procedures or events during their first weeks of life in a neonatal intensive care unit, and these can profoundly impact subsequent brain development and function. Several protective interventions during this sensitive period stimulate the oxytocin system, reduce pain and stress, and improve brain development. This review provides an overview of the environmental risk factors experienced by PTI during hospitalization, with a focus on the effects of pain, and early maternal separation. We also describe the long-term adverse effects of the simultaneous experiences of pain and maternal separation, and the potential beneficial effects of maternal vocalizations, parental contact, and several related processes, which appear to be mediated by the oxytocin system.

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References
1.
Petersson M, Hulting A, Uvnas-Moberg K . Oxytocin causes a sustained decrease in plasma levels of corticosterone in rats. Neurosci Lett. 1999; 264(1-3):41-4. DOI: 10.1016/s0304-3940(99)00159-7. View

2.
Bialoskurski M, Cox C, Hayes J . The nature of attachment in a neonatal intensive care unit. J Perinat Neonatal Nurs. 2000; 13(1):66-77. DOI: 10.1097/00005237-199906000-00007. View

3.
Anand K, Scalzo F . Can adverse neonatal experiences alter brain development and subsequent behavior?. Biol Neonate. 2000; 77(2):69-82. DOI: 10.1159/000014197. View

4.
Neumann I, Wigger A, Torner L, Holsboer F, Landgraf R . Brain oxytocin inhibits basal and stress-induced activity of the hypothalamo-pituitary-adrenal axis in male and female rats: partial action within the paraventricular nucleus. J Neuroendocrinol. 2000; 12(3):235-43. DOI: 10.1046/j.1365-2826.2000.00442.x. View

5.
Winslow J, Hearn E, Ferguson J, Young L, Matzuk M, Insel T . Infant vocalization, adult aggression, and fear behavior of an oxytocin null mutant mouse. Horm Behav. 2001; 37(2):145-55. DOI: 10.1006/hbeh.1999.1566. View