State organization involves being able to transition in and out of different
stages of sleep smoothly and into alterness (but not crying, which is the highest
behavior state). Premtature infants have a very difficult time transitioning
from one stage of sleep to another and do not spend enough time in quiet sleep
stages. Queit sleep helps to protect the infants from environmental stimuli
and fosters motor organization. Quiet sleep is also characterised by regular
breathing patterns, so it leads to a decrease in apnea (kangaroo and sleep).
Crying is very bad for infants because it decreases lung capacity, increases
intracranial pressure, reestablishes some fetal circulatory patterns (book)
and starts stress reactions within the body. Kangaroo care prevents crying,
or at least severly limits crying in infants (book too). In addition, it reduces
active sleep and significantly increases quiet sleep.
| Period | % of Quiet Sleep | % of Awake Time | % of Active Sleep |
| Pre K Care | 13.6 | 59.8 | 28.65 |
| K Care | 25.55 | 46.9 | 24.1 |
| Post K Care | 14.95 | 60.95 | 27.84 |
| Source |
Findings |
|
|
Sleep |
||
| Ludington-Hoe, Hashemi, et al., 1992 | 65% of time in quiet regular sleep | |
| Ludington-Hoe et al., 1994 | 2.5 fold significatn increase in quiet regular sleep | |
| Crying | ||
| Ludington 1990 | Virtually nonexsistent during KC | |
| Whitelaw et al., 1988 | Less at 6 mo. after discharge (p=0.0422) |