Raylene M Phillips

Raylene M Phillips
Loma Linda University · Division of Neonatology

MD, IBCLC, FABM, FAAP

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28
Publications
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774
Citations

Publications

Publications (28)
Article
Full-text available
Creation of a small baby program requires special resources and multidisciplinary engagement. Such a program has the potential to improve patient care, parent and staff satisfaction, collaboration and communication. We have described benefits, challenges, and practical approaches to creating and maintaining a small baby program that could be a mode...
Article
Full-text available
Objectives Premature neonates often receive oral sucrose or dextrose before tissue-damaging procedures (TDPs). Previous work showed that a single dose of sucrose, but not dextrose, increased cellular energy utilization and ATP degradation. This pilot study probes the effects of repeated administration of sucrose or dextrose on energy metabolism. M...
Article
Full-text available
Objective Due to physiological and metabolic immaturity, prematurely born infants are at increased risk because of maternal separation in many neonatal intensive care units (NICUs). The stress induced from maternal–infant separation can lead to well-documented short-term physiologic instability and potentially lifelong neurological, sociological, o...
Article
Full-text available
Background: Skin-to-skin contact after birth between mother and baby has immediate and long-term advantages. Widström's 9 Stages of Newborn Behavior offer an opportunity to evaluate a baby in the natural, expected and optimal habitat. Intrapartum drugs, including fentanyl administered via epidural and synthetic oxytocin (synOT), have been studied...
Article
Birth at extremely low gestational ages presents a significant threat to infants’ survival, health, development, and future well-being. After birth, a critical period of brain development must continue outside the womb. Neuro-supportive and neuroprotective family centered developmental care for and standardized care practices for extremely preterm...
Article
Full-text available
Background: Although the benefits of immediate, continuous, uninterrupted skin-to-skin contact (SSC) and early breastfeeding have been widely researched and confirmed, the challenge remains to improve the consistency of this practice. Fewer than half of newborns worldwide are breastfed in the first hour. Design: Cross-sectional descriptive study...
Article
Full-text available
This paper describes a paradigm shift occurring in neonatal intensive care. Care teams are moving from a focus limited to healing the baby’s medical problems towards a focus that also requires effective partnerships with families. These partnerships encourage extensive participation of mothers and fathers in their baby’s care and ongoing bi-directi...
Article
Full-text available
The Neonatal Integrative Developmental Care Model, which outlines seven core measures for neuroprotective family-centered developmental care of premature infants, is a framework that guides clinical practice in many neonatal intensive care units (NICUs) around the globe. The seven neuroprotective core measures are depicted as overlapping petals of...
Article
Full-text available
Parents whose babies are admitted to neonatal intensive care units (NICUs) are subject to a variety of stresses that increase their risk to suffer from postpartum depression, posttraumatic stress disorder, and anxiety disorders. Parental distress can adversely impact parent-infant bonding, which in turn can lead to worse outcomes for the child. An...
Article
Full-text available
Background: Intrapartum drugs, including fentanyl administered via epidural and synthetic oxytocin, have been previously studied in relation to neonatal outcomes, especially breastfeeding, with conflicting results. We examined the normal neonatal behavior of suckling within the first hour after a vaginal birth while in skin-to-skin contact with mo...
Article
The Neonatal Integrative Developmental Care Model utilizes neuroprotective interventions as strategies to support optimal synaptic neural connections, promote normal development and prevent disabilities. Seven neuroprotective core measures for family-centered developmental care of the premature neonate are depicted on petals of a lotus as the Heali...
Article
Parents of infants admitted to a neonatal intensive care unit (NICU) experience stress and psychological distress. They need psychosocial support. While survival of even micropreemies has dramatically improved in the last decade, few best practices have developed for parental support. This article will describe an interdisciplinary team approach to...
Article
JPER is a multi-disciplinary journal that promotes the health of the preterm infant.
Article
Full-text available
Objective: To examine the effects of sucrose on pain and biochemical markers of adenosine triphosphate (ATP) degradation and oxidative stress in preterm neonates experiencing a clinically required heel lance. Study design: Preterm neonates that met study criteria (n = 131) were randomized into 3 groups: (1) control; (2) heel lance treated with p...
Article
Full-text available
JPER is a multi-disciplinary journal that promotes the health of the preterm infant.
Article
Full-text available
JPER is a multi-disciplinary journal that promotes the health of the preterm infant.
Article
Full-text available
The manner in which a new baby is welcomed into the world during the first hours after birth may have short- and long-term consequences. There is good evidence that normal, term newborns who are placed skin to skin with their mothers immediately after birth make the transition from fetal to newborn life with greater respiratory, temperature, and gl...
Article
Full-text available
Neuroplasticity refers to the ability of the brain to make short- or long-term modifications to the strength and number of its synaptic neuronal connections in response to incoming stimuli associated with activity and experience. Neuroplasticity is a lifelong property of the human brain, which peaks during early life during the period of most rapid...
Article
Full-text available
Unlabelled: Preterm neonates exposed to painful procedures in the neonatal intensive care unit exhibit increased pain scores and alterations in oxygenation and heart rate. It is unclear whether these physiological responses increase the risk of oxidative stress. Using a prospective study design, we examined the relationship between a tissue-damagi...
Article
Full-text available
Approximately 40% of women who smoke tobacco quit smoking during pregnancy, yet up to 85% relapse after delivery. Those who resume smoking often do so by 2 to 8 weeks postpartum. Smoking mothers are more than twice as likely to quit breastfeeding by 10 weeks postpartum. The hospitalization of a newborn, while stressful, is an opportunity to emphasi...
Conference Paper
Background: There is a known association between smoking and breastfeeding. Mothers who smoke are more than twice as likely to quit breastfeeding by 10 weeks postpartum. While a significant number of women who smoke tobacco quit smoking during pregnancy, more than 50% relapse after the birth of their babies, usually within 2-8 weeks postpartum. The...
Article
First, to compare analgesic effects of breast-feeding versus pacifier use in newborn infants undergoing blood collection via heel sticks. Second, to compare analgesic effects of pacifier use with maternal holding versus nonmaternal holding. A prospective, randomized, controlled trial. Normal newborn nursery at academic teaching hospital. Full-term...

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