This study evaluated the noise level inside the incubators in a neonat
al intensive care unit and identified its sources in order to attempt
to reduce it. Although noise is not a proven risk factor as far as the
sensory integrity of newborns is concerned, it is certainly an import
ant cause of stress to them and a source of serious and dangerous chan
ges in their behavioral and physiologic states. Noise recorded inside
the incubators had two components. The first was background noise from
the incubator motors, which varied from 74.2 to 79.9 dB, and was simi
lar to environmental noise. The second source was impulsive events bey
ond 80 dB. These events were the result of voluntary and involuntary c
ontact with the incubators' Plexiglas surface or to the abrupt opening
and closing of their access ports. Considering its decibel levels and
frequency, this latter component is undoubtedly an important source o
f stress to newborns. Moreover, these data reveal the need to train he
alth care personnel on how to reduce such noise by taking more care in
the handling of infants.