頻繁的餵奶會中斷嬰兒晚上的睡眠


  Jan. 23, 2003 -根據一月號的《兒童疾病檔案》(Archives of Disease in Childhood)的報導,太頻繁的餵奶可能會中斷新生兒夜晚的睡眠。然而,一項簡單的預防性行為計畫,可以使新生兒受益。
  
  英國倫敦大學的M. Nikolopoulou及Ian St. James-Roberts表示,許多西方的父母發現,新生兒及幼童晚上醒來頻繁,是造成他們壓力的來源。不論是對父母本身,或是父母和孩子的關係都會造成緊張。
  
  316名剛出生一週的新生兒樣本中,平均24小時之內接受超過11次餵奶,有2.7倍(95%信賴區間, 1.5 - 4.8)的比例在12週以後夜晚無法好好睡覺。
  
  新生兒和他們的家人,隨機接受以下三種控制方式的一種實驗:三階段的行為計畫、教育手冊及睡眠問題諮詢服務專線,或例行性的服務。三階段行為計畫包括增加日夜環境的差異,晚上將燈光調暗、減少互動;避免在晚上餵奶或抱孩子;並且從出生後三週起,嬰兒在晚上醒過來時,逐漸延遲餵奶的時間。
  
  接受行為計畫的睡眠失調新生兒,在12週時有82%可以整晚入睡,相較於接受其他方法的新生兒只有61%。用母乳與用奶瓶餵食的嬰兒比例類似。
  
  作者表示,預防新生兒睡眠問題,應該要更有成本效益觀念,而不是等他們醒來後才去處理。這項研究顯示出,可以早期發現新生兒夜晚無法入睡的問題,並利用簡單的三階段預防性行為計畫,增加徹夜好眠且機率達21%。

Frequent Feeding Disrupts Nigh

By Laurie Barclay, MD
Medscape Medical News

Jan. 23, 2003 — Newborn infants that feed too often are at high risk for disrupted night sleep, according to a report in the January issue of the Archives of Disease in Childhood. However, these infants may benefit from a simple preventive behavioral program.

"Many Western parents find infant and child night waking to be a source of substantial stress, both for themselves and their relationships with their children," write M. Nikolopoulou and Ian St. James-Roberts, from the University of London, U.K.

In a community sample of 316 newborn infants, those who had more than 11 feeds per 24 hours at one week of age were 2.7 times (95% confidence interval, 1.5 - 4.8) more likely to fail to sleep through the night at 12 weeks of age.

The infants and their families were randomized to receive one of three interventions: a three-step behavioral program, an educational booklet and helpline access for sleeping problems, or routine services. The behavioral program consisted of maximizing the difference between night and day environments by minimizing light and social interaction at night; avoiding feeding or cuddling at night; and from the age of three weeks, gradually delaying feeds when the baby awoke at night.

At 12 weeks, 82% of at-risk infants who received the behavioral program slept through the night, compared with 61% of at-risk infants who received the other interventions. The findings were similar for both bottle- and breast-fed babies.

"Preventing infant sleeping problems should be more cost-effective than treating them after they have arisen," the authors write. "This study provides evidence that it is possible to identify infants who are at risk of failing to sleep through the night at an early age, and that a simple, three step, preventive behavioral program increases the number who sleep through the night by 21%."

Arch Dis Child. 2003;88:108-111

Reviewed by Gary D. Vogin, MD

    
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