Coping with Aversive Stimulation in the Neonatal Period: Quiet Sleep and Plasma Cortisol Levels during Recovery from Circumcision

Measures of behavioral state and plasma cortisol were obtained on 80 healthy, full-term, 2-3-day-old, male newborns who were scheduled to be circumcised. To establish baseline or precircumcision levels, the newborns were observed, and behavioral state was recorded for the half hour prior to circumci...

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Veröffentlicht in:Child development 1985-08, Vol.56 (4), p.824-834
Hauptverfasser: Gunnar, Megan R., Malone, Stephen, Vance, Gail, Fisch, Robert O.
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creator Gunnar, Megan R.
Malone, Stephen
Vance, Gail
Fisch, Robert O.
description Measures of behavioral state and plasma cortisol were obtained on 80 healthy, full-term, 2-3-day-old, male newborns who were scheduled to be circumcised. To establish baseline or precircumcision levels, the newborns were observed, and behavioral state was recorded for the half hour prior to circumcision. Blood was sampled via heel-stick for plasma cortisol determination at the end of this observation period. The newborns were then circumcised and assigned randomly to one of 4 postcircumcision, blood-sampling time-point groups. The time points were 30, 90, 120, and 240 min following the beginning of circumcision. Behavioral state was observed during circumcision and for the half hour prior to taking the second blood sample. The results showed a return to baseline cortisol levels sometime prior to 240 min, with data from an additional group of 10 newborns indicating that the return occurred by 150 min. Behavioral distress during circumcision was associated with elevations in plasma cortisol at 30 and 90 min. Quiet sleep was correlated negatively with plasma cortisol prior to circumcision, and significant increases in quiet sleep followed circumcision, with the greatest increase corresponding to the period of most rapid reductions in cortisol.
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To establish baseline or precircumcision levels, the newborns were observed, and behavioral state was recorded for the half hour prior to circumcision. Blood was sampled via heel-stick for plasma cortisol determination at the end of this observation period. The newborns were then circumcised and assigned randomly to one of 4 postcircumcision, blood-sampling time-point groups. The time points were 30, 90, 120, and 240 min following the beginning of circumcision. Behavioral state was observed during circumcision and for the half hour prior to taking the second blood sample. The results showed a return to baseline cortisol levels sometime prior to 240 min, with data from an additional group of 10 newborns indicating that the return occurred by 150 min. Behavioral distress during circumcision was associated with elevations in plasma cortisol at 30 and 90 min. Quiet sleep was correlated negatively with plasma cortisol prior to circumcision, and significant increases in quiet sleep followed circumcision, with the greatest increase corresponding to the period of most rapid reductions in cortisol.</abstract><cop>Malden, MA</cop><pub>University of Chicago Press</pub><pmid>4042746</pmid><doi>10.2307/1130094</doi><tpages>11</tpages></addata></record>
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source MEDLINE; Periodicals Index Online; Jstor Complete Legacy; Education Source
subjects Activity levels. Psychomotricity
Adaptation, Psychological - physiology
Arousal - physiology
Biological and medical sciences
Birth weight
Blood
Blood plasma
Child Behavior
Circumcision, Male
Correlation coefficients
Correlations
Fundamental and applied biological sciences. Psychology
Humans
Hydrocortisone - blood
Infant, Newborn
Infants
Male
Miscellaneous
Newborns
Observational research
Physicians
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Sleep
Sleep Stages - physiology
title Coping with Aversive Stimulation in the Neonatal Period: Quiet Sleep and Plasma Cortisol Levels during Recovery from Circumcision
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