Influence of sleeping position of the infant on sleep

an integrative review

Authors

  • Ingrid Felix Modesto São PauloSP, Universidade Federal de São Paulo, Escola Paulista de Enfermagem , Curso de Enfermagem, Brasil
  • Nathalie Sales Llaguno São PauloSP, Universidade Federal de São Paulo, Escola Paulista de Enfermagem , Curso de Enfermagem, Brasil
  • Marta José Avena São PauloSP, UNIFESP, Departamento de Enfermagem Pediátrica , Brasil
  • Mavilde da Luz Gonçalves Pedreira São PauloSP, UNIFESP, Departamento de Enfermagem Pediátrica , Brasil
  • Eliana Moreira Pinheiro São PauloSP, UNIFESP, Departamento de Enfermagem Pediátrica , Brasil
  • Ariane Ferreira Machado Avelar São PauloSP, UNIFESP, Departamento de Enfermagem Pediátrica , Brasil

DOI:

https://doi.org/10.5935/1415-2762.20150077

Keywords:

Sleep, Child, Patient Positioning, Nursing Care

Abstract

This study aimed to verify the influence of infant sleeping position on sleep. An integrative literature review was conducted in Pubmed, LILACS, SciELO and Cochrane, with the descriptors, "sleep', "infant' and the terms "position' and "positioning", in Spanish, English and Portuguese, published between 2000 and 2013. Six articles met the criteria for inclusion and exclusion. These studies were categorized into arousal from sleep and sleep stages. The results indicated that in the prone position, the infant had fewer arousal events, enabling deeper active sleep and greater amount of quiet sleep. The supine position is related to a greater amount of active sleep and more arousals, and does not expose the infant to the risk of Sudden Infant Death Syndrome. The supine position results in more arousals than the prone position, however, it promotes greater safety to the infant during sleep.

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References

1. Crabtree VML, Williams NA. Normal sleep in children and adolescents. Child Adolesc Psychiatr Clin N Am. 2009 Oct; 18(4):799-811.

2. Paiva MB, Souza CAC, Soares E. Fatores que interferem na preservação do sono e repouso de criança em terapia intensiva. Esc Anna Nery Rev Enferm. 2006; 10(1):29- 35.

3. Kato I, Scaillet S, Groswasser J, Montemitro E, Togari H, Lin JS, et al. Spontaneous arousability in prone and supine position in healthy infants. Sleep. 2006; 29(6): 785-90.

4. Jones BE. Brain mechanisms of sleep-wake states. In: Kryger MH, Roth T, Dement WC. Principles and practice of sleep medicine. 4ª ed. Philadelphia: Elsevier Saunders; 2005. p.136 53.

5. Madje JA, Krueger JM. Links between the innate immune system and sleep. J Allergy Clin Immunol. 2005; 116(8): 1188-98.

6. Geib LTC. Desenvolvimento dos estados de sono na infância. Rev Bras Enferm. 2007; 60(3): 323-6.

7. Bonan KC, Pimentel Filho JC, Tristão RM, Jesus JA, Campos Junior D. Sleep deprivation, pain and prematurity: a review study. Arq Neuropsiquiatr. 2015; 73(2): 147-54.

8. Bruni O, Baumgartner E, Sette S, Ancona M, Caso G, Di Cosimo ME, et al. Longitudinal study of sleep behavior in normal infants during the first year of life. J Clin Sleep Med. 2014; 10(10):1119-27.

9. Khan RL, Raya JP, Nunes ML. Behavioral assessment of sleep state in newborns. J Epilepsy Clin Neurophysiol. 2009; 32(11):1449-58.

10. Sukumaran TU. Pediatric sleep project. Indian Pediatr. 2011; 48:17.

11. Ednick M, Cohen AP, McPhail GL, Beebe D, Simakajornboon N, Amin RS. A review of the effects of sleep during the first year of life on cognitive, psychomotor, and temperament development. Sleep. 2009; 32(11):1449-58.

12. Graven S. Sleep and brain development. Clin Perinatol. 2006; 33: 693-706.

13. Marta CB, Bragança KL, Leite JL, Francisco MTR, Seabra Junior HC, Silva PO. The newborns berth’s positions associated to practice care of the nursing staff. Rev Pesq Cuid Fundam Online. 2012; 4(3):2521-8.

14. Horne RSC, Franco P, Adamson TM, Groswasser J, Kahn A. Effects of body position on sleep and arousal characteristics in infants. Early Hum Develop. 2002; 69: 25-33.

15. Bertelle V, Sevestre A, Laou-Hap K, Nagahapitiye MC, Sizun J. Sleep in the neonatal intensive care unit. J Perinat Neonat Nurs. 2007; 21(2):140-8.

16. Gaíva MAM, Marquesi MC, Rosa MKO. Sleeping pattern of a newborn hospitalized in the intensive care unit: nursing care. Ciênc Cuid Saúde. 2010; 9(3):602-9.

17. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005; 52(5):546-53.

18. Centre for Evidence-Based Medicine. Levels of Evidence (March 2009). Oxford: Oxford Centre for Evidence-Based Medicine; 2014. [Cited 2014 Sep15]. Available from: http://www.cebm.net/index.aspx?o=1025

19. Sahni R, Schulze KF, Kashyap S, Ohira-Kist K, Fifer WP, Myers MM. Sleeping position and electrocortical activity in low birthweight infants. Arch Dis Child Fetal Neonatal Ed. 2005; 90(4): F311-5.

20. Horne RSC, Ferens D, Watts AM, Vitkovic J, Lacey B, Andrew S, et al. The prone sleeping position impairs arousability in term infants. J Pediatr. 2001; 138(6): 811-6.

21. Horne RSC, Bandopadhayay P, Vitkovic J, Cranage SM, Adamson TM. Effects of age and sleeping position on arousal from sleep in preterm infants. Sleep. 2002; 25(7): 746-50.

22. Peng NH, Chen LL, Li TC, Smith M, Chang YS, Huang LC. The effect of positioning on preterm infants’ sleep–wake states and stress behaviours during exposure to environmental stressors. J Child Health Care. 2013; 34(2): 257-63.

23. Jarus T, Bart O, Rabinovich G, Sadeh A, Bloch L, Dolfin T, Litmanovitz I. Effects of prone and supine positions on sleep state and stress responses in preterm infants. Infant Behav Dev. 2011; 34(2): 257-63.

24. Liaw J, Yang L, Lo C, Yuh Y, Fan H, Chang Y, Chao S. Caregiving and positioning effects on preterm infant states over 24 hours in a Neonatal Unit in Taiwan. Res Nurs Health. 2012; 35: 132-45.

25. Gerard CM, Harris KA, Thach BT. Spontaneous arousals in supine infants while swaddled and unswaddled during rapid eye movement and quiet sleep. Pediatr. 2002; 110(6): e70.

26. Wei Hu, Suresh Kotagal. Sleep in the pediatric intensive care unit. Sleep Med Rev. 2014; 18:101-2

27. Kudchadkar SR, Aljohani OA, Punjabi NM. Sleep of critically ill children in the pediatric intensive care unit: a systematic review. Sleep Med Rev. 2014;18(2):103-10.

28. Sociedade Brasileira de Pediatria. Bebês devem dormir de barriga para cima. Rio de Janeiro: SBP; 2014. [Citado em 2014 set. 15]. Disponível em: http:// www.sbp.com.br/arquivo/bebes-devem-dormir-de-barriga-para-cima/

Published

2015-12-01

Issue

Section

Review

How to Cite

1.
Influence of sleeping position of the infant on sleep: an integrative review. REME Rev Min Enferm. [Internet]. 2015 Dec. 1 [cited 2025 Dec. 8];19(4). Available from: https://periodicos.ufmg.br/index.php/reme/article/view/50069

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