PRO-SLEEP
Enhanced Neuro-Assessment and Sleep Monitoring
PRO-SLEEP
Enhanced Neuro-Assessment and Sleep Monitoring of Preterm and Term Infants
Promoting newborn sleep
Sleep is vital for newborn brain development, and many infants spend up to 20 hours a day sleeping, as their bodies and brains continue their essential growth. Infants born preterm face added challenges as they leave the warm, dark, quiet womb earlier than expected and are exposed to frequent handling, bright lights and the noise of the neonatal intensive care unit (NICU). The goal of PRO-SLEEP is to understand how sleep and brain development in the tiniest babies can be supported by sleep-friendly NICU care.
PRO-SLEEP
Contact us to join our PRO-SLEEP study
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Purpose
Deep, restorative sleep is essential for newborns’ brain health. In fact, sleep is your baby’s main job. But being born prematurely impacts how well a baby sleeps. We will observe the quality of sleep in preterm babies as they grow bigger and stronger. Using safe and non-invasive monitoring routinely used in the NICU, we will track your infant’s sleep quality and duration during their NICU stay. We will observe babies’ eye and facial movements, heart rate and breathing patterns to tell when babies are asleep and need a protected environment. Our goal is to avoid inadvertently waking a sleeping baby for non-urgent care and, thus, allow the little brain to grow bigger and stronger during the earliest weeks of life.
- Babies born preterm who are younger than 35 weeks’ gestational age when they are admitted to Children’s neonatal intensive care unit (NICU)
- Infants born after full-term pregnancies who receive care at outpatient clinics affiliated with Children’s National
- Infants with known or suspected genetic conditions that affect brain development
PRO-SLEEP will enroll patients over three years, and there will be a variety of study-related activities over the study’s duration, starting in the NICU and continuing through preschool:
During your baby’s NICU stay
- We’ll observe your babies sleep by recording a bedside video as they sleep. Our experts will use that recording to score different sleep states, namely, Active (often confused with a fussy or awake baby), Quiet and Awake states.
- We’ll track their sleep quality maturation weekly during their NICU stay.
- We also will perform two formal sleep studies (polysomnography) using safe and bedside sensors that record brain waves, blood oxygen saturation, heart rate and breathing. The sleep studies can tell how well the baby is sleeping and if the baby is having difficulty in breathing during sleep, which is quite common in babies born prematurely.
- We’ll measure electrical activity in your newborn’s brain (EEG), the heart’s electrical activity (EKG), and we’ll gauge how well oxygen is traveling throughout your baby’s body (pulse oximetry) during sleep.
- As you baby grows older, we’ll gauge how their brain development is going by taking detailed pictures of your baby’s brain using safe, non-invasive magnetic resonance imaging (MRI) after they come to our NICU. Your baby will repeat the MRI when they reach their original due date (the age they would have been if the pregnancy had continued to full term).
- When your baby is ready to leave the NICU, we’ll gauge their brain function by a bedside examination of their behavior, also known as neurobehavior assessment.
After your baby graduates from our NICU
- We want to understand how well your baby sleeps at home after NICU discharge. Every few months, we’ll ask you a few questions about how your baby is sleeping.
- We’ll also perform a neurodevelopmental follow-up when your child turns 2 years old to see how their little brain is exploring the giant world around them and playing and interacting with it.
You will receive a voucher for study-related parking and $50 via a ClinCard (debit card) for each outpatient study visit (e.g., outpatient MRI) and after each completed neurodevelopment visit.
Meet the PRO-SLEEP team
Attending Neonatologist and PRO-SLEEP Study Co-PI
Director, Zickler Family Prenatal Pediatrics Institute and PRO-SLEEP Study Co-PI
Clinical Research Program Manager
Associate Chief, DBI Medical and Academic Affairs
Staff Scientist
Child Neurology Fellow
Director, Advanced Physiological Signals Processing Laboratory
Science & Communications Manager
Research Faculty
(Assistant Professor)
Clinical Research Coordinator
MRI Research Manager
Lead Clinical Research Coordinator
Developmental Psychologist
Director, Center for Prenatal, Neonatal & Maternal Health Research
Clinical Research Coordinator
Attending Neuroradiologist
Biostatistician
Division Chief, Pulmonary and Sleep Medicine
Attending Neonatologist
Clinical Research Coordinator
Data Analyst