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Size for Gestational Age and Neonatal Sleep Variables: Behavioral Indices of Risk in Fullterm Twins

Published online by Cambridge University Press:  06 September 2016

M.L. Riese
M.L. Riese*
Affiliation:
Louisville Twin Study, Child Development Unit, Health Sciences Center, University of Louisville, Louisville, Kentucky USA
*
Child Development Unit, Health Sciences Center, University of Louisville, Louisville, Kentucky 40292-0001, USA

Abstract

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Neonatal sleep behaviors and behavioral state cycling were observed for 20 pairs of same-sex, fullterm twins in which one twin of the pair was appropriate-for-gestational-age (AGA) and the other twin was small-for-gestational-age (SGA). Time-sampling recordings were made in active sleep of number and vigor of limb movements, body and head movements, and mouth movements. No group differences were observed for time spent in first active sleep, first quiet sleep, or length of first sleep cycle. Examination of specific behaviors indicated a significantly higher incidence of vigorous limb movements and right hand-to-mouth movements, with a trend for more small limb movements and left hand-to-face movements, for AGA twins when compared with SGA twins. SGA twins had significantly more spontaneous smiles and a trend for more spontaneous startles than AGA twins. A stepwise discriminant analysis indicated that a composite of the variables smile, large limb movement, startle, and left hand-to-face significantly discriminated between the two groups, with 90% correct classification of the AGA twins and 75% correct classification of the SGA twins. The results demonstrated the utility of evaluating specific sleep behaviors, rather than state cycling only, to describe differences in neonatal sleep characteristics between AGA and SGA twins.

Keywords

Size-for-gestational-ageNeonatesSleepTwins
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 42 , Issue 1 , 1993 , pp. 23 - 33
Copyright
Copyright © The International Society for Twin Studies 1993

References

REFERENCES

1. Allen, MC (1984): Developmental outcome and followup of the small for gestational age infant. Semin Perinatology 8: 123–156.Google ScholarPubMed
2. Als, H, Tronick, E, Adamson, L, Brazelton, TB (1976): The behavior of the full-term yet underweight newborn infant. Dev Med Child Neurol 18: 590–602.CrossRefGoogle Scholar
3. Anders, T, Emde, R, Parmelee, A (eds,) (1971): A Manual of Standardized Terminology, Techniques and Criteria for Scoring of States of Sleep and Wakefulness in Newborn Infants. Los Angeles UCLA Brain Information Service/BRI Publications Office.Google Scholar
4. Babson, SG, Kangas, J (1969): Preschool intelligence of undersized term infants. Am J Dis Child 117: 553–557.Google ScholarPubMed
5. Booth, CL, Leonard, HL, Thoman, EB (1980): Sleep states and behavior patterns in preterm and fullterm infants. Neuropediatrics 11: 354–364.CrossRefGoogle ScholarPubMed
6. Dinges, D, Davis, MM, GLass, P (1980): Fetal exposure to narcotics: Neonatal sleep as a measure of nervous system disturbance. Science 209: 619–621.CrossRefGoogle ScholarPubMed
7. Emde, RN, Koenig, KL (1969): Neonatal smiling and rapid eye movement states. Am Acad Child Psychiatry 8: 57–67.CrossRefGoogle ScholarPubMed
8. Emde, RN, McCartney, RD, Harmon, RJ (1971): Neonatal smiling in REM states, IV: Premature study. Child Dev 42: 1657–1661.CrossRefGoogle ScholarPubMed
9. Emory, EK, Mapp, JR (1988): Effects of respiratory distress and prematurity on spontaneous startle activity in neonates. Infant Behavior and Development 11: 71–81.CrossRefGoogle Scholar
10. Feldman, JF, Brody, N (1978): Non-elicited newborn behaviors in relation to state and prandial condition. Merrill-Palmer Q 24: 79–84.Google Scholar
11. Field, C, Dempsey, J, Hatch, J, TIng, G, Clifton, RK (1979): Cardiac and behavioral responses to repeated tactile and auditory stimulation by preterm and term neonates. Dev Psychol 15: 406–416.CrossRefGoogle Scholar
12. Frankel, DG, Shapira, R, Arbel, T, Shapira, Y, Ayal, F (1982): The visual attention at 4-months of full-term, small-for-gestational-age and full-term appropriate-weight-for-gestational-age infants. In Lipsett, LP and Field, TM (eds): Infant Behavior and Development: Perinatal Risk and Newborn Behavior. Norwood, N.J.: Ablex, pp. 121–129.Google Scholar
13. Fukumoto, M, Mochizuki, N, Takeishi, M, Nomura, Y, Segawa, M (1981): Studies of body movements during night sleep in infancy. Brain Development 3: 37–43.CrossRefGoogle ScholarPubMed
14. Garret, HE (1955): Statistics in Psychology and Education. New York: Longmans Green.Google Scholar
15. Korner, AF, Brown, BW, Reade, EP, Stevenson, DK, Fernbach, SA, Thorn, VA (1988): State behavior of preterm infants as a function of development, individual and sex differences. Infant Behavior and Development 11: 111–124.CrossRefGoogle Scholar
16. Korones, SB (1986): High-risk Newborn Infants: The Basis for Intensive Nursing Care. St. Louis: CV Mosby.Google Scholar
17. Littman, B, Parmelee, A (1978): Medical correlates of infant development. Pediatrics 61: 470–474.CrossRefGoogle ScholarPubMed
18. Lubchenco, LO, Hansman, C, Boyd, E (1966): Intrauterine growth in length and head circumference as estimated from live births at gestational ages from 26 to 42 weeks. Pediatrics 37: 403–408.CrossRefGoogle ScholarPubMed
19. McCulloch, K (1988): Neonatal problems in twins. Clinics in Perinatology 15: 141–158.CrossRefGoogle ScholarPubMed
20. Michaelis, R, Schulte, FJ, Nolte, R (1970): Motor behavior of small for gestational age newborn infants. J. Pediatr 76: 208–213.CrossRefGoogle ScholarPubMed
21. Miller, HC (1985): Prenatal factors affecting intrauterine growth retardation. Clinics in Perinatology 12: 307–318.CrossRefGoogle ScholarPubMed
22. Monod, N, Guidasci, S (1976): Sleep and brain malformation in the neonatal period. Neuropediatrie 7: 229–249.CrossRefGoogle ScholarPubMed
23. Paine, PA, Pasquali, L (1982): Effects of intrauterine growth and gestational age upon infants’ early psychomotor development in Brazil, Percept Mot Skills 55: 871–880.CrossRefGoogle ScholarPubMed
24. Parkinson, CE, Wallis, S, Harvey, D (1981): School achievement and behaviour of children who were small-for-dates at birth. Dev Med Child Neurol 23: 41–50.CrossRefGoogle ScholarPubMed
25. Parmelee, AH, Schulte, FJ (1970): Developmental testing of pre-term and small-for-date infants. Pediatrics 45: 21–28.CrossRefGoogle ScholarPubMed
26. Prechtl, HF, Theorell, K, Blair, AW (1973): Behavioral state cycles in abnormal infants. Dev Med Child Neurol 15: 606–615.CrossRefGoogle ScholarPubMed
27. Read, MS, Catz, C, Grave, G, McNellis, D, Warshaw, JB (1984): Introduction: Intrauterine growth retardation — identification of research needs and goals. Semin in Perinatology 8:1.Google Scholar
28. Riese, ML (1990): Neonatal temperament in monozygotic and dizygotic twin pairs. Child Dev 61: 1230–1237.CrossRefGoogle ScholarPubMed
29. Rose, SA, Schmidt, K, Riese, ML, Bridger, WH (1980). Effects of prematurity and early intervention on responsivity to tactual stimuli: A comparison of preterm and full-term infants. Child Dev 51: 416–425.CrossRefGoogle ScholarPubMed
30. Rosett, HL, Snyder, P, Sander, LW, Lee, A, Cook, P, Weiner, L, Gould, J (1979): Effects of maternal drinking on neonate state regulation. Dev Med Child Neurol 21: 464–473.CrossRefGoogle ScholarPubMed
31. Sander, LW, Snyder, PA, Rosett, HL, Lee, A, Gould, JB, Ouellette, EM (1977): Effects of alcohol intake during pregnancy on newborn state regulation: A progress report. Alcoholism: Clinical and Experimental Research 1: 233–241.CrossRefGoogle ScholarPubMed
32. Sigman, M, Cohen, SE, Beckwith, L, Asarnow, R, Parmelee, AH (1989): Infant attention and sleep organization and cognitive skills in early adolescence. Paper presented at the 1989 meeting of the American Association for the Advancement of Science and the 1989 meeting of the Society for Research in Child Development, Kansas City, Kansas.Google Scholar
33. Sroufe, LA, Waters, E (1976): The ontogenesis of smiling and laughter: A perspective on the organization of development in infancy. Psychol Rev 83: 173–189.CrossRefGoogle Scholar
34. Tenovuo, A, Kero, P, Korvenranto, H, PIekkala, P, Sillanpaa, M, Erkkola, R (1988): Developmental outcome of 519 small-for-gestational-age children at the age of two years. Neuropediatrics 19: 41–45.CrossRefGoogle ScholarPubMed
35. Thoman, EB (1975a): Sleep and wake behaviors in neonates: Consistencies and consequences. Merrill-Palmer Q 21: 295–314.Google Scholar
36. Thoman, EB (1975b): Early development of sleeping behaviors in infants. In Ellis, NR (ed): Aberrant Development in Infancy: Human and Animal Studies. Hillsdale, NJ: Lawrence Erlbaum Associates, pp. 123–138.Google Scholar
37. Thoman, EB, Denenberg, VH, Sievel, J, Zeidner, LR, Becker, P (1981): State organization in neonates: Developmental inconsistency indicates risk for developmental dysfunction. Neuropediatrie 12: 45–54.CrossRefGoogle ScholarPubMed
38. Watt, JE, Strongman, KT (1985): The organization and stability of sleep states in fullterm, preterm, and small-for-gestational-age infants: A comparative study. Dev Psychobiol 18: 151–162.CrossRefGoogle ScholarPubMed
39. Wolff, PH (1959): Observations on newborn infants. Psychosom Med 21: 110–118.CrossRefGoogle ScholarPubMed