Home Stimulation for Brain-Asphyxiated Infants

Inclusion Criteria All of the following criteria must be met: * Gestation age (GA) at birth \>= 28 weeks * Discharged to home care with parent or other guardian who has legal authority to give informed consent * Greater than 10th percentile for GA at birth using the scales according to Lubchenco, Hansman, and Boyd from Pediatrics 1966 volume 37 and Battaglia and Lubchenco in the Journal of Pediatrics 1967 volume 71 * Jewelry in pierced body parts can be removed * Mothers \> 17 years old * Recruited within 60 days of EDC (estimated date of conception) Two or more of the following must be met: * Intrapartum distress as determined by placental abruption, thick meconium staining of amniotic fluid, sustained fetal bradycardia of heart rate \< 100 beats/min, or late or absent heart rate variability * Profound metabolic or mixed academia as determined by umbilical artery pH \< 7.0, base deficit of \> 10 mEq/L or pH \< 7.1 and base excess greater than 14 mmol/L within 72 hours of birth, Apgar score \< 5 at 5 minutes or beyond, or need for positive pressure ventilation resuscitation for \> 1 min after birth * Neonatal neurological manifestations such as seizures during hospital stay, lethargy, hypotonia or hypertonia, stupor, flaccidity, or decerebration * Multiple organ system dysfunction * Abnormal EEG, CT scan, or MRI consistent with hypoxic or ischemic brain insult Exclusion Criteria: * Infants of substance abusing mothers (ISAM) * Intrauterine growth retardation (IUGR) * In…