scholarly journals Longitudinal Study of Music Therapy’s Effectiveness for Premature Infants and Their Caregivers (LongSTEP): Feasibility Study With a Norwegian Cohort

2021 ◽  
Author(s):  
Claire M Ghetti ◽  
Bente Johanne Vederhus ◽  
Tora Söderström Gaden ◽  
Annette K Brenner ◽  
Łucja Bieleninik ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Feasibility Study ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Perinatal Period ◽  
First Year ◽  
Structured Interviews ◽  
Post Discharge ◽  
Critical Realist ◽  
Musical Interaction

Abstract Premature infants and their parents experience significant stress during the perinatal period. Music therapy (MT) may support maternal–infant bonding during this critical period, but studies measuring impact across the infant’s first year are lacking. This nonrandomized feasibility study used quantitative and qualitative methods within a critical realist perspective to evaluate the feasibility, acceptability, and suitability of the treatment arm of the Longitudinal Study of music Therapy’s Effectiveness for Premature infants and their caregivers (LongSTEP) (NCT03564184) trial with a Norwegian cohort (N = 3). Families were offered MT emphasizing parent-led infant-directed singing during neonatal intensive care unit (NICU) hospitalization and across 3 months post-discharge. We used inductive thematic analysis of semi-structured interviews with parents at discharge from NICU and at 3 months and analyzed quantitative variables descriptively. Findings indicate that: (1) parents of premature infants are willing to participate in MT research where parental voice is a main means of musical interaction; (2) parents are generally willing to engage in MT in NICU and post-discharge phases, finding it particularly interesting to note infant responsiveness and interaction over time; (3) parents seek information about the aims and specific processes involved in MT; (4) the selected self-reports are reasonable to complete; and (5) the Postpartum Bonding Questionnaire appears to be a suitable measure of impaired maternal–infant bonding. Parents reported that they were able to transfer resources honed during MT to parent–infant interactions outside MT and recognized parental voice as a central means of building relation with their infants. Results inform the implementation of a subsequent multinational trial that will address an important gap in knowledge.

scholarly journals Parents’ Experiences of the First Year at Home with an Infant Born Extremely Preterm with and without Post-Discharge Intervention: Ambivalence, Loneliness, and Relationship Impact

2020 ◽  
Vol 17 (24) ◽  
pp. 9326
Author(s):  
Erika Baraldi ◽  
Mara Westling Allodi ◽  
Ann-Charlotte Smedler ◽  
Björn Westrup ◽  
Kristina Löwing ◽  
...  
Keyword(s):  
Survival Rates ◽  
Intervention Group ◽  
First Year ◽  
Structured Interviews ◽  
Post Discharge ◽  
Treatment As Usual ◽  
Recovery Processes ◽  
Extremely Preterm ◽  
Significant Research ◽  
At Home

With increasing survival rates of children born extremely preterm (EPT), before gestational week 28, the post-discharge life of these families has gained significant research interest. Quantitative studies of parental experiences post-discharge have previously reported elevated levels depressive symptoms, posttraumatic stress-disorder and anxiety among the parents. The current investigation aims to qualitatively explore the situation for parents of children born EPT in Sweden during the first year at home. Semi-structured interviews were performed with 17 parents of 14 children born EPT; eight parents were from an early intervention group and nine parents from a group that received treatment as usual, with extended follow-up procedures. Three main themes were identified using a thematic analytic approach: child-related concerns, the inner state of the parent, and changed family dynamics. Parents in the intervention group also expressed themes related to the intervention, as a sense of security and knowledgeable interventionists. The results are discussed in relation to different concepts of health, parent–child interaction and attachment, and models of the recovery processes. In conclusion, parents describe the first year at home as a time of prolonged parental worries for the child as well as concerns regarding the parent’s own emotional state.

scholarly journals A qualitative comparison of experiences of specialist mother and baby units versus general psychiatric wards

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jessica Griffiths ◽  
Billie Lever Taylor ◽  
Nicola Morant ◽  
Debra Bick ◽  
Louise M. Howard ◽  
...  
Keyword(s):  
Mental Health ◽  
Best Practice ◽  
Mental Health Problems ◽  
Perinatal Period ◽  
Psychiatric Ward ◽  
Structured Interviews ◽  
Post Discharge ◽  
Qualitative Comparison ◽  
Inpatient Settings ◽  
Perinatal Services

Abstract Background Mother and baby units (MBUs) are an inpatient mental health service where women experiencing acute severe postpartum psychiatric difficulties can be admitted with their babies. They are currently viewed as best practice in the UK and elsewhere. However, as service provision is fragmented, some women residing in areas without MBUs are admitted to acute general psychiatric wards without their infants. This study aimed to compare qualitatively experiences of these two service types from the perspectives of women and clinicians. Methods Semi-structured interviews were conducted with fifteen women who received treatment for perinatal mental health problems on a general psychiatric ward and/or MBU in England. Two focus groups were also conducted, one with MBU staff (n = 11) and one with acute ward staff (n = 6). Data were analysed thematically. Results Women generally preferred being co-admitted with their baby to an MBU over lone admission to a general psychiatric ward. Women and clinicians felt that MBUs provided more perinatally-focused, family-centred care, and were better-equipped to meet women’s needs. General wards were reported by women and staff to lack the necessary facilities and expertise to support perinatal women adequately, while separation of mothers and babies was often experienced by women as traumatic and detrimental to recovery. However, some areas for improvement were also identified across both service types, particularly relating to difficulties transitioning home post-discharge, inadequate support for family members, staffing issues and access problems (with MBUs). Conclusions Findings suggest that specialist perinatal inpatient care is considered preferable to generic care in the perinatal period from both service user and staff perspectives. Increased collaboration between perinatal and non-perinatal services could help improve perinatal expertise on general psychiatric wards, while further expansion of perinatal services (e.g. to cater for women currently considered too high risk for MBUs and for those discharged from inpatient settings) could tackle other shortfalls in care.

Technology supported rehabilitation for patients of critical illness caused by COVID-19: a protocol for a mixed-methods feasibility study

2020 ◽  
Vol 27 (10) ◽  
pp. 1-9 ◽  
Author(s):  
Ana-Carolina Gonçalves ◽  
Todd Leckie ◽  
Alexander Hunter ◽  
Daniel Fitzpatrick ◽  
Alan Richardson ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Critical Illness ◽  
Feasibility Study ◽  
Activity Levels ◽  
Structured Interviews ◽  
Post Discharge ◽  
Use Of Technology ◽  
Recovery Experiences ◽  
Study Population ◽  
Discharge From Hospital

Background/Aims The COVID-19 pandemic has created the need for research on how to effectively rehabilitate patients who have been discharged from an intensive care unit. This study is a protocol for a mixed methods feasibility study addressing the research questions: 1) what are the needs of patients who have survived COVID-19? 2) is the use of technology feasible to support their recovery? Methods A multicentre, technology supported, rehabilitation intervention for survivors of critical illness caused by COVID-19 will be assessed. Survivors in the study population will be offered a smartwatch to monitor their activity levels and will have biopsychosocial outcome measures monitored at three time points: discharge from hospital, 2–3 months post discharge and 1 year post discharge. Semi-structured interviews will be conducted across eight hospital sites with survivors, their relatives and professionals to understand their recovery experiences. Conclusions Designed by frontline clinicians, this protocol outlines a feasibility study that will provide new knowledge on the process of recovery of critical illness caused by COVID-19.

scholarly journals Evaluation of neuromotor development by means of the Harris Infant Neuromotor Test

2014 ◽  
Vol 48 (4) ◽  
pp. 586-593
Author(s):  
Márcia Maria Coelho Oliveira Lopes ◽  
Maria Vera Lúcia Moreira Leitão Cardoso
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Longitudinal Study ◽  
Neonatal Intensive Care Unit ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Infant Development ◽  
At Risk Children ◽  
Brazilian Version ◽  
Neuromotor Development

Objective: To investigate the neuromotor development of at-risk children between three and 12 months of life, administering the Brazilian version of the Harris Infant Neuromotor Test (HINT).Method: A longitudinal study, with 78 children and 76 parents/guardians discharged from a neonatal intensive care unit in Fortaleza-CE/Brazil. Two instruments were administered: HINT and a socioeconomic questionnaire, between July/2009 to August/2010. Data from 55 preterm and 23 term children were analyzed. Results: The final mean scores ranged from 14.6 to 25.2 and from 11.2 to 24.7, for preterm and term, respectively, showing that 91% of children demonstrated good neuromotor performance; seven premature infants showed alterations which led to the referral of three children to a specialized clinic for examination and diagnostics.Conclusion: The test allowed nurses to assess infant development, identify deviations early, and plan interventions.

scholarly journals Management of infants born to mothers with SARS-CoV2 infection: a prospective observational study

2020 ◽  
Vol 4 (1) ◽  
pp. e000824
Author(s):  
Chokkiyil Ponnambath Hafis Ibrahim ◽  
Fatma Oleks Lobko ◽  
Ghalia Abou Alchamat ◽  
Waleed Gamal Swilam ◽  
Saleema Rasool Wani ◽  
...  
Keyword(s):  
Observational Study ◽  
Breast Feeding ◽  
Neonatal Intensive Care ◽  
Prospective Observational Study ◽  
Perinatal Period ◽  
Health Issues ◽  
Post Discharge ◽  
Clinical Risk ◽  
Record Review ◽  
Breast Fed

ObjectivesTo assess the clinical risk of mother-to-infant transmission of SARS-CoV2 and transmission during rooming in and breast feeding in infants born to mothers with COVID-19.DesignProspective observational study.SettingA large tertiary maternal and neonatal care centre based in the UAE.ParticipantsInfants born to mothers diagnosed to have COVID-19 at the time of delivery, born between 1 April and 15 June 2020.Main outcome measuresRate of transmission of SARS-CoV2 from mother to infant (vertical or horizontal) while rooming in and breast feeding in hospital and post discharge and associated morbidity and mortality in the neonatal period.Results73 infants were born to mothers with COVID-19 at the time of delivery. Two infants tested positive for SARS-CoV2 after birth—one had respiratory symptoms related to other causes and the other infant remained well. 57 of mother–infant dyads who were well enough, roomed in while in hospital and all were breast fed. All surviving infants were followed up by telephone at 2 weeks and 4 weeks (or from the patient record review if still on the Neonatal Intensive Care Unit. Majority of the discharged infants were still rooming in with mothers (95% at 2 weeks, 99% at 4 weeks) and still breast fed (99% at 2 weeks, 99% at 4 weeks). None of the infants developed any significant health issues or developed symptoms attributable to SARS-CoV2.ConclusionsThe risk of mother-to-infant transmission of SARS-CoV2, vertically or horizontally, in the perinatal period is very low. Breast feeding and rooming in can be practised safely with adequate infection control precautions with negligible clinical risk to the infant.

scholarly journals НЕДОНОШЕННЫЕ ДЕТИ: ФАКТОРЫ РИСКА, ОТДАЛЕННЫЕ ПОСЛЕДСТВИЯ

2018 ◽  
pp. 15-19
Author(s):  
L. V. Krivitskaya
Keyword(s):  
Risk Factors ◽  
Premature Infants ◽  
Neurological Disorders ◽  
Perinatal Period ◽  
Physical Development ◽  
Psychomotor Development ◽  
First Year ◽  
Premature Births ◽  
First Year Of Life ◽  
Modern Technologies

In recent years there is an increasing topicality of the problem of prematurity because of the growing incidence of premature births in spite of the treatment of pregnant women and application of modern technologies of pregnancy prolongation. According to the WHO report (2015), 15 million children are born prematurely every year and this number is increasing. The article analyzes the risk factors for miscarriage depending on the degree of prematurity and also studies the pathology of the perinatal period, physical and psychomotor development in the first year of life of premature infants. Some distant outcomes of prematurity related to disturbances of physical development, motor and neurological disorders, and premature infant`s intellectual malfunction have been analyzed.

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