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Publication Date:
March 2009
ISSN:
1619-3997
DOI:
10.1515/JPM.2009.059

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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Aslam, Muhammad / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Brezinka, Christoph / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / Dimitrou, G. / Foulon, Walter / Grunebaum, G. E. / Harding, Jane / Hentschel, Roland / Kawabata, Ichiro / Keirse, M.J.M.C. / Kurjak M.D., Asim / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Nishida, Hiroshi / Papp, Zoltán / Makatsariya, Alexander / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Geijn, Herman P. / Vetter, Klaus / Young, Bruce K. / Zimmermann, Roland / Köpcke, W.

6 Issues per year

IMPACT FACTOR 2011: 1.702
5-year IMPACT FACTOR: 1.779
Rank 36 out of 79 in category Obstretics and Gynecology and 45 out of 113 in category Pediatrics in the 2011 Thomson Reuters Journal Citation Report/Science Edition

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Issues

Effect of sitting position on respiratory status in preterm infants

Mika Shiraishi1, 2 / Kyoko Hirasawa1 / Satoru Shimizu3 / Hiroshi Nishida4 / Makiko Osawa1

1Department of Pediatrics, Tokyo Women's Medical University, Japan

2Department of Infants' Brain and Cognitive Development, Tokyo Women's Medical University, Japan

3Department of Hygiene and Public Health II, Tokyo Women's Medical University, Japan

4Maternal and Neonatal Center, Tokyo Women's Medical University, Japan

Corresponding author: Mika Shiraishi, MD Pediatrics, Department of Infants' Brain and Cognitive Development Tokyo Women's Medical University 8-1 Kawada-cho Shinjuku-ku Tokyo 162-8666 Japan Tel.: +81-3-3353-8111 Fax: +81-3-5269-7338

Citation Information: Journal of Perinatal Medicine. Volume 37, Issue 4, Pages 407–412, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: 10.1515/JPM.2009.059, March 2009

Publication History:
Received:
2008-07-06
Revised:
2008-12-17
Accepted:
2009-01-26
Published Online:
2009-03-23

Abstract

Objective: To evaluate whether using a sitting-type car safety seats for preterm infants is advisable.

Patients and methods: A total of 65 preterm infants underwent polysomnography in the supine and sitting positions. The infants with <95% of SpO2 were assigned to the desaturation (DS) group. Their backgrounds, breathing patterns, and breathing types were analyzed.

Results: Of the 65 cases, 18 were assigned to the DS group. No significant differences were observed between the DS and non-DS groups in their background characteristics. Of the 18 DS cases, 15 were included in the non-obstructive group (8, periodic breathing; 6, tachypnea; 1, irregular breathing).

Conclusions: Immaturity of the respiratory center and decompensation for the respiratory changes caused by the sitting position were suspected to cause DS in infants. Sitting-type car safety seats should be used with caution for preterm infants, and all preterm infants need to be screened by polysomnographic examination in the sitting position.

Keywords: Car safety seat (CS); desaturation (DS); preterm infants; polysomnography; sitting position

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