Background. Rooming-in practice improves breastfeeding and reduces newborn stress reactivity. When this modality is not available, partial rooming-in after birth can be considered. Salivary cortisol levels (SCLs) are considered reliable biomarkers to indicate stress. Objective. To test the hypothesis that rooming-in duration impacts neonatal stress response in hospitalized newborns. Design/methods. Forty term newborns, enrolled in the Neonatology and Obstetrics Nursing, C.G. Ruesch, Naples, Italy, were divided, according to the mother's choice, into the study (SG; n = 20) and control (CG; n = 20) groups if they received full (24 hs) or partial (14 hs) rooming-in care, respectively. Saliva samples were collected from all babies between 7: 00 a.m. and 8: 00 a.m. of the 3rd day of life by using oral swab. Salivary cortisol levels were measured using an enzyme immunoassay kit (Salimetrics LLC, PA, USA). Results. A statistically significant difference in the SCLs between SG and CG was found (median: 258 ng/dl versus 488.5 ng/dl; p = 0 048). Conclusions. Data support the practice of full rooming-in care compared with partial rooming-in. The rooming-in duration clearly reduces SCLs and likely neonatal stress. These lower SCLs may have long-term positive effects reducing the risk of metabolic syndrome, high blood pressure, and cognitive and behavioural changes.

Rooming-in Reduces Salivary Cortisol Level of Newborn / De Bernardo, Giuseppe; Riccitelli, Marina; Giordano, Maurizio; Proietti, Fabrizio; Sordino, Desiree; Longini, Mariangela; Buonocore, Giuseppe; Perrone, Serafina. - In: MEDIATORS OF INFLAMMATION. - ISSN 0962-9351. - 2018:(2018), pp. 1-5. [10.1155/2018/2845352]

Rooming-in Reduces Salivary Cortisol Level of Newborn

Perrone, Serafina
2018-01-01

Abstract

Background. Rooming-in practice improves breastfeeding and reduces newborn stress reactivity. When this modality is not available, partial rooming-in after birth can be considered. Salivary cortisol levels (SCLs) are considered reliable biomarkers to indicate stress. Objective. To test the hypothesis that rooming-in duration impacts neonatal stress response in hospitalized newborns. Design/methods. Forty term newborns, enrolled in the Neonatology and Obstetrics Nursing, C.G. Ruesch, Naples, Italy, were divided, according to the mother's choice, into the study (SG; n = 20) and control (CG; n = 20) groups if they received full (24 hs) or partial (14 hs) rooming-in care, respectively. Saliva samples were collected from all babies between 7: 00 a.m. and 8: 00 a.m. of the 3rd day of life by using oral swab. Salivary cortisol levels were measured using an enzyme immunoassay kit (Salimetrics LLC, PA, USA). Results. A statistically significant difference in the SCLs between SG and CG was found (median: 258 ng/dl versus 488.5 ng/dl; p = 0 048). Conclusions. Data support the practice of full rooming-in care compared with partial rooming-in. The rooming-in duration clearly reduces SCLs and likely neonatal stress. These lower SCLs may have long-term positive effects reducing the risk of metabolic syndrome, high blood pressure, and cognitive and behavioural changes.
2018
Rooming-in Reduces Salivary Cortisol Level of Newborn / De Bernardo, Giuseppe; Riccitelli, Marina; Giordano, Maurizio; Proietti, Fabrizio; Sordino, Desiree; Longini, Mariangela; Buonocore, Giuseppe; Perrone, Serafina. - In: MEDIATORS OF INFLAMMATION. - ISSN 0962-9351. - 2018:(2018), pp. 1-5. [10.1155/2018/2845352]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2860519
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