Relationship-based intervention with at-risk mothers: Outcome in the first year of life

Background: Survival rates of premature infants have increased due to advances in medicine. Premature infants however, remain at risk for developmental delays including communication difficulties. The bonding and attachment experiences of premature infants and their parents are often challenged, further placing these infants at risk for communication difficulties. This study firstly aimed to explore mothers' perceptions of their premature infants' communication. The second aim was to explore the mothers' perceptions of their own role in the communication development of their infants.Methods: A descriptive, longitudinal study was conducted with two mother—infant dyads.Three visits took place in the first year of life. Subjective maternal reports were obtained through semi-structured interviews.Results: Differences in the two mothers' perceptions were noted. The mothers described helping their infants to communicate through physical contact and talking. Risk and protective factors for early communication development are discussed in relation to the findings.Conclusion: The findings support the need for a healthy mothereinfant relationship in the first few months of life. Health professionals should support premature infants and their families after discharge in order to help them interact with their infants and encourage attachment and bonding.

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Respiratory infections in the first year of life in children at risk of developing atopy.

BMJ ◽

10.1136/bmj.284.6321.1011 ◽

1982 ◽

Vol 284 (6321) ◽

pp. 1011-1013 ◽

Cited By ~ 45

Author(s):

J J Cogswell ◽

D F Halliday ◽

J R Alexander

Keyword(s):

At Risk ◽

Respiratory Infections ◽

First Year ◽

Children At Risk ◽

First Year Of Life

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Absence of Neisseria meningitidis Serogroup C-Specific Antibodies during the First Year of Life in The Netherlands: an Age Group at Risk?

Clinical and Vaccine Immunology ◽

10.1128/cvi.00274-09 ◽

2009 ◽

Vol 16 (10) ◽

pp. 1521-1523 ◽

Cited By ~ 1

Author(s):

Richarda M. de Voer ◽

Fiona R. M. van der Klis ◽

Laetitia E. M. Niers ◽

Ger T. Rijkers ◽

Guy A. M. Berbers

Keyword(s):

At Risk ◽

The Netherlands ◽

Neisseria Meningitidis ◽

Rapid Decline ◽

First Year ◽

Age Group ◽

Specific Antibodies ◽

Functional Antibodies ◽

First Year Of Life

ABSTRACT In The Netherlands, a single meningococcal serogroup C conjugate (MenCC) vaccination is administered to children at the age of 14 months. Here, we report the levels of MenC polysaccharide-specific antibodies in children at birth and at 3, 11, and 12 months of age and the presence of functional antibodies at 11 months of age, before infants receive their MenCC immunization. We observed a rapid decline in polysaccharide-specific antibodies after birth and no induction of naturally elicited polysaccharide-specific antibodies. Furthermore, at 11 months of age, no bactericidal antibodies are observed. These data indicate that these infants may be at risk in the period prior to MenCC immunization, if Neisseria meningitidis serogroup C starts to (re)circulate.

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134: Indoor Mold and the Risk of Wheeze in the First Year of Life for Infants at Risk for Asthma

American Journal of Epidemiology ◽

10.1093/aje/161.supplement_1.s34a ◽

2005 ◽

Vol 161 (Supplement_1) ◽

pp. S34-S34

Author(s):

P F Rosenbaum ◽

T M Hargrave ◽

J L Abraham ◽

J A Crawford ◽

A Hunt ◽

...

Keyword(s):

At Risk ◽

First Year ◽

Indoor Mold ◽

First Year Of Life

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Intra-breath measures of respiratory mechanics in healthy African infants detect risk of respiratory illness in early life

European Respiratory Journal ◽

10.1183/13993003.00998-2018 ◽

2019 ◽

Vol 53 (2) ◽

pp. 1800998 ◽

Cited By ~ 2

Author(s):

Diane M. Gray ◽

Dorottya Czovek ◽

Lauren McMillan ◽

Lidija Turkovic ◽

Jacob A.M. Stadler ◽

...

Keyword(s):

At Risk ◽

Lung Function ◽

Respiratory Illness ◽

Health Study ◽

Severe Illness ◽

First Year ◽

Forced Oscillation Technique ◽

Mortality And Morbidity ◽

Healthy Infants ◽

First Year Of Life

Lower respiratory tract illness (LRTI) is a leading cause of mortality and morbidity in children. Sensitive and noninvasive infant lung function techniques are needed to measure risk for and impact of LRTI on lung health. The objective of this study was to investigate whether lung function derived from the intra-breath forced oscillation technique (FOT) was able to identify healthy infants at risk of LRTI in the first year of life.Lung function was measured with the novel intra-breath FOT, in 6-week-old infants in a South African birth cohort (Drakenstein Child Health Study). LRTI during the first year was confirmed by study staff. The association between baseline lung function and LRTI was assessed with logistic regression and odds ratios determined using optimal cut-off values.Of the 627 healthy infants with successful lung function testing, 161 (24%) had 238 LRTI episodes subsequently during the first year. Volume dependence of respiratory resistance (ΔR) and reactance (ΔX) was associated with LRTI. The predictive value was stronger if LRTI was recurrent (n=50 (31%): OR 2.5, ΔX), required hospitalisation (n=38 (16%): OR 5.4, ΔR) or was associated with wheeze (n=87 (37%): OR 3.9, ΔX).Intra-breath FOT can identify healthy infants at risk of developing LRTI, wheezing or severe illness in the first year of life.

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Carriage of multiple ribotypes of non-encapsulatedHaemophilus influenzaein Aboriginal infants with otitis media

Epidemiology and Infection ◽

10.1017/s0950268800052419 ◽

1996 ◽

Vol 116 (2) ◽

pp. 177-183 ◽

Cited By ~ 34

Author(s):

H. C. Smith-Vaughan ◽

A. J. Leach ◽

T. M. Shelby-James ◽

K. Kemp ◽

D. J. Kemp ◽

...

Keyword(s):

At Risk ◽

Statistical Analysis ◽

Haemophilus Influenzae ◽

Otitis Media ◽

Restriction Enzyme ◽

First Year ◽

High Level ◽

First Year Of Life ◽

Very High

SUMMARYRibotyping with the restriction enzymeXbaI was used to study the dynamics of carriage of non-encapsulatedHaemophilus influenzae(NCHi) in Aboriginal infants at risk of otitis media. Carriage rates of NCHi in the infants in the community were very high; the median age for detection was 50 days and colonization was virtually 100% by 120 days of age and persisted at a high level throughout the first year of life [1]. Eighteen different ribotypes of NCHi were identified from 34 positive swabs taken from 3 infants over a period of 9 months. The same ribotypes were recovered for up to 3 months from consecutive swabs of individual infants, and 12 of 27 swabs (44·4%) yielded two ribotypes from four colonies typed. Statistical analysis suggested that most swabs would have been positive for two ribotypes if enough colonies had been typed although the second most frequent ribotype was detected on average in only 13% of strains. Early colonization and carriage of multiple ribotypes of NCHi may help to explain the chronicity of carriage and thus the persistence of otitis media in Aboriginal infants.

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Stability of ABR Wave V Threshold in Early Hearing Diagnostics in Children from Selected Groups at Risk of Congenital Hearing Loss

Otolaryngologia Polska ◽

10.5604/01.3001.0014.3322 ◽

2020 ◽

Vol 74 (6) ◽

pp. 1-5

Author(s):

Sebastian Kocoń ◽

Konrad Skórkiewicz ◽

Paweł Stręk ◽

Remigiusz Ziarno ◽

Jacek Składzień ◽

...

Keyword(s):

At Risk ◽

Nervous System ◽

Hearing Loss ◽

Down Syndrome ◽

Cleft Palate ◽

Cleft Lip ◽

Risk Groups ◽

First Year ◽

Children With Down Syndrome ◽

First Year Of Life

Introduction: Upon hearing that the “little” patient has trouble with hearing, we are mostly interested in the level of his hearing threshold. When the child is in the first year of life, results can only be achieved by means of ABR test. Subsequent control tests, especially in children from the hearing loss risk groups selected in this study, show that the obtained outcomes are subject to fluctuations. Their fluctuating nature is manifested by the instability of wave V threshold in subsequent diagnostic periods. Such variability often delays the implementation of the appropriate proceeding. Knowledge of the dissimilarity of behavior of the wave V threshold occurring in individual groups at risk of hearing loss allows for the correct interpretation of the obtained results, and thus, effective therapeutic measures. Aim: The aim of the paper is to analyze the stability of wave V threshold during the first year of life in children from selected risk groups for congenital hearing disorders. Material and methods: From the patient population of 2,114 individuals examined in 2015–2016 at a reference center participating in the Universal Neonatal Hearing Screening Program in 2015–2016, the results of 250 children were subjected to retrospective analysis. Furthermore, 4 groups of little patients were formed (children with Down syndrome; children with other diseases or damage to the nervous system; children with cleft palate or cleft lip and cleft palate; children with congenital cytomegaly) in whom diagnostic practice revealed variable results of the wave V threshold. We analyzed the results of tests obtained during the first year of the child’s life divided into 4 diagnostic periods. Results: The highest percentage of instability in the established threshold of wave V between individual diagnostic periods occurred in the group of children with cleft palate or cleft lip and cleft palate. In the group of children with Down syndrome, it was observed that the instability of the ABR test results decreased over time. In the group of children with other diseases or damage of the nervous system, the highest percentage of the lack of stable ABR wave V thresholds was observed between the 1st and 2nd as well the 1st and 4th diagnostic periods. On the other hand, in the group of children with congenital CMV, there was a relatively low percentage of instability of results. Conclusions: (1) Although the ABR test is a diagnostic standard, in particular groups of patients the study is burdened with high variability of measurement results in subsequent diagnostic periods. Such a group of patients are children with cleft palate or cleft lip and cleft palate; therefore, it must receive particular attention in treatment planning; (2) in selected groups at risk of hearing loss, due to the high percentage of children with hearing impairment (70%), the validity of performing newborn hearing screening tests was confirmed.

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