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Les unités de néonatologie, un environnement inhospitalier ? Perceptions et attentes sensorielles du nouveau-né prématuré hospitalisé

Are neonatal units an inhospitable environment? Perceptual abilities and sensory expectations of preterm infants in the hospital

  • Article de Synthèse / Review Article
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Revue de médecine périnatale

Résumé

L’adaptation de l’environnement hospitalier aux capacités et aux attentes sensorielles du nouveau-né prématuré contribue à son bien-être et à son développement. Chaque système sensoriel se développe avant terme selon une chronologie propre. Les nouveau-nés grands prématurés sont équipés pour réagir à leur environnement à l’hôpital. Préserver l’enfant des stimulations hospitalières délétères dans toutes les modalités sensorielles, respecter la dyade mère–enfant et ajuster les stimulations aux réponses de l’enfant apparaissent essentiels pour délivrer des soins appropriés. Le peau-à-peau permet de limiter la discontinuité sensorielle liée à la naissance prématurée et de restaurer une familiarité sensorielle bénéfique.

Abstract

The adaptation of the hospital environment to the abilities and sensory expectations of preterm infants contributes to their well-being and neurodevelopment. Each sensory system matures before term according to a timeline specific for each modality. Very preterm infants are well equipped to react to the NICU environment (Neonatal Intensive Care Unit). It is essential to protect the infant from the noxious stimuli arising from the hospital environment, to preserve the mother–infant dyad, and to adjust the stimuli to the infant’s responsiveness, in order to provide appropriate care. Skin-to-skin care allows to restore the sensory discontinuity resulting from preterm birth and to provide a beneficial sensory familiarity.

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Authors and Affiliations

  1. Laboratoire de neurosciences cognitives et adaptatives, UMR 7364 CNRS, université de Strasbourg, F-67000, Strasbourg, France

    C. Koenig-Zores & P. Kuhn

  2. Médecine et réanimation du nouveau-né, service de pédiatrie-II, pôle médicochirurgical pédiatrique, hôpital de Hautepierre, centre hospitalier universitaire de Strasbourg, F-67000, Strasbourg, France

    C. Koenig-Zores & P. Kuhn

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  1. C. Koenig-Zores
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  2. P. Kuhn
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Correspondence to C. Koenig-Zores.

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Koenig-Zores, C., Kuhn, P. Les unités de néonatologie, un environnement inhospitalier ? Perceptions et attentes sensorielles du nouveau-né prématuré hospitalisé. Rev. med. perinat. 8, 141–148 (2016). https://doi.org/10.1007/s12611-016-0374-8

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  • DOI: https://doi.org/10.1007/s12611-016-0374-8

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