| Abstract: | It has been reported that 83%–87% of full-term infants regularly sleep through the night (from midnight to 5 a.m.) by 6 months of age, but there is little information about the sleep patterns of premature infants. The purpose of the current study was to identify maternal perceptions of the sleep patterns of premature infants. Parents of 32 premature infants with birth weight below 1,750 gm and of 13 full-term infants completed a 24-hour sleep record in 30-minute epochs for 1 week at 7 months of chronological (term) or corrected age (premature). Mean birth weight of premature infants was 1,278 ± 340 gm, with a gestational age of 30.4 ± 2.7 weeks. The daily total sleep time, longest sleep segment, frequency of sleep-wake transitions, and percentage of night sleep (8 p.m.–8 a.m.), averaged from the 1-week sleep record and number of night wakenings per week, were used as indicators of sleep patterns. The longest reported sleep segments of premature infants were significantly shorter than those of full-term infants (8.2 ± 2 hours versus 9.6 ± 1 hour, p < 0.01) and the number of night wakenings per week was significantly greater (3.13 ± 3 versus 0.54 ± 7, p < 0.005). Total reported sleep time, percentage of night sleep, and sleep-wake transitions did not differ significantly between premature and full-term infants. However, analysis of feeding events revealed that premature infants received significantly more feedings between midnight and 5 a.m. (M = 0.31 + 3 versus M = 0.06 + 1, p < 0.001). We conclude that sleep pattern diaries kept by parents indicate that premature infants have developed a diurnal sleep rhythm by 7 months corrected age, but they still have shorter sleep segments and they awaken more during the night than term infants. |
