scholarly journals Impact of the COVID-19 pandemic on developmental care practices for infants born preterm

2021 ◽  
Vol 163 ◽  
pp. 105483
Author(s):  
Melissa Scala ◽  
Virginia A. Marchman ◽  
Edith Brignoni-Pérez ◽  
Maya Chan Morales ◽  
Sarah E. Dubner ◽  
...  
2019 ◽  
Vol 27 (2) ◽  
pp. 97-104
Author(s):  
Dilek Küçük Alemdar ◽  
Sevil İnal

Background: Preterm infants are vulnerable humans requiring much care and attention. They may be exposed to irregular noise, light, and odor in the neonatal intensive care unit for a period of several weeks or months. This study was carried out to determine the effect of individualized developmental care on physiological parameters, growth, and transition to oral feeding in preterm infants. Methods: The study was a randomized controlled trial. The sample comprised premature infants meeting the inclusion criteria. They were randomly assigned to four groups: the maternal voice group, the breast milk odor (BMO) group, the incubator cover (IC) group, and the control group. Results: No statistically significant difference was found between the groups in terms of weight, height, and head circumference at time of discharge. Mean SO2 values were statistically higher in the IC group than the other groups; however, the heart rate and respiratory rate were not statistically different in a significant sense between the groups. The briefest duration of transition to total oral feeding was seen in the BMO group. Conclusion: Individualized developmental care practices based on the results of these interventions are likely to support the care of preterm infants. Breast milk odor may ease the transition to breastfeeding.


2009 ◽  
Vol 27 (03) ◽  
pp. 193-200 ◽  
Author(s):  
Karen Hendricks-Muñoz ◽  
Moi Louie ◽  
Yihong Li ◽  
Nok Chhun ◽  
Carol Prendergast ◽  
...  

2020 ◽  
Author(s):  
Melissa Scala ◽  
Virginia A. Marchman ◽  
Edith Brignoni-Pérez ◽  
Maya Chan Morales ◽  
Katherine E. Travis

AbstractObjectivesTo assess the impact of the COVID-19 pandemic on rates of hospital visitation and rates and durations of developmental care practices for infants born preterm delivered by both families and clinical staff.MethodsWe analyzed electronic medical record data from infants born at less than 32 weeks gestational age (GA) cared for in the Lucile Packard Children’s Hospital neonatal intensive care unit (NICU) in a COVID-19-affected period (March 8, 2020 to May 31, 2020) and the analogous period in 2019. Our final sample consisted of 52 infants (n=27, 2019 cohort; n=25, 2020 cohort). Rates of family visitation and of family- and clinical staff-delivered developmental care were compared across cohorts, adjusting for GA at start of study period.ResultsResults indicated that families of infants in the 2020 cohort visited less frequently (47% of available days) than those in the 2019 cohort (97%; p=0.001). Infants received developmental care activities less frequently in the 2020 cohort (3.51 vs. 4.72 activities per day; p=0.04), with a lower number of minutes per day (99.91 vs. 145.14; p=0.04) and a shorter duration per instance (23.41 vs. 29.65; p=0.03). Similar reductions occurred in both family- and staff-delivered developmental care activities.ConclusionsThe COVID-19 pandemic has negatively impacted family visitation and preterm infant developmental care practices in the NICU, both experiences associated with positive health benefits. Hospitals should create programs to improve family visitation and engagement, while also increasing staff-delivered developmental care. Careful attention should be paid to long-term follow up of preterm infants and families.


2018 ◽  
Vol 37 (3) ◽  
pp. 149-154 ◽  
Author(s):  
Media Esser ◽  
Sharon Dore ◽  
Felicia Fitzgerald ◽  
Kelli Kelley ◽  
Joanne Kuller ◽  
...  

Developmental care measures are integrated in the NICU, but these measures are largely overlooked when it comes to standard care activities such as diapering. This general review of developmental care in the NICU discusses how caregivers can apply appropriate, individualized developmental care measures to diapering regimens. Numerous opportunities to expand developmental care measures into diapering care are identified; these opportunities can protect and promote sleep for hospitalized infants, enhance the diapering environment, minimize stress that infants may experience with diapering, improve infant skin health outcomes through use of evidence-based skin care practices, and foster family involvement during diapering care in the NICU. A developmental approach to diapering offers hospitalized infants regular opportunities to reach their neurodevelopmental potential.


2020 ◽  
Vol 220 ◽  
pp. 93-100 ◽  
Author(s):  
Thomas A. Miller ◽  
Amy J. Lisanti ◽  
Madolin K. Witte ◽  
Justin J. Elhoff ◽  
William T. Mahle ◽  
...  

2011 ◽  
Vol 25 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Jacqueline M. McGrath ◽  
Haifa A. Samra ◽  
Carole Kenner

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