Parenting stress trajectories in mothers of very preterm infants to 2 years

ObjectiveTo examine levels of parenting stress in mothers of preterm and term infants when the children were 2 years old; to determine the trajectory of stress over three time periods and to examine the association of maternal and neonatal factors and developmental outcomes with parenting stress.DesignIt is a prospective longitudinal study to determine parenting stress in mothers of preterm and term infants with outcomes having been previously obtained at 4 and 12 months. At 2 years, 79 preterm mothers (96 babies) and 64 term mothers (77 babies) participated. The mothers completed the Parenting Stress Index-Short Form (PSI-SF), the Depression, Anxiety, Stress Scale (DASS) and the Child Behaviour Checklist (CBCL). The infants had a neurological examination and the Bayley-III scales were administered.ResultsThe mean total PSI-SF at 2 years was significantly higher for the preterm group compared with the term group of mothers (p=0.007). There was a significant increase in the mean total PSI over time for the preterm mothers (p<0.001). For mothers at 2 years, there was an association with high levels of parenting stress and abnormal scores on the DASS (p<0.001) and high total T-scores on the CBCL (internalising p<0.001; externalising p=0.006). There was no association between parenting stress and maternal demographics, neonatal factors or Bayley-III results.ConclusionsParenting stress in mothers of preterm infants continues to be high at 2 years having increased over time. Maternal mental health problems and infant behavioural issues contribute to the stress.

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Patterns of bruising in preschool children—a longitudinal study

Archives of Disease in Childhood ◽

10.1136/archdischild-2014-307120 ◽

2015 ◽

Vol 100 (5) ◽

pp. 426-431 ◽

Cited By ~ 22

Author(s):

Alison M Kemp ◽

Frank Dunstan ◽

Diane Nuttall ◽

M Hamilton ◽

Peter Collins ◽

...

Keyword(s):

Longitudinal Study ◽

Preschool Children ◽

Social Deprivation ◽

Multilevel Modelling ◽

Bleeding Disorders ◽

Prospective Longitudinal Study ◽

The Mean ◽

Data Collections ◽

Prospective Longitudinal ◽

Over Time

IntroductionThis study aims to identify the prevalence and pattern of bruises in preschool children over time, and explore influential variablesMethodsProspective longitudinal study of children (<6 years) where bruises were recorded on a body chart, weekly for up to 12 weeks. The number and location of bruises were analysed according to development. Longitudinal analysis was performed using multilevel modelling.Results3523 bruises recorded from 2570 data collections from 328 children (mean age 19 months); 6.7% of 1010 collections from premobile children had at least one bruise (2.2% of babies who could not roll over and 9.8% in those who could), compared with 45.6% of 478 early mobile and 78.8% of 1082 walking child collections. The most common site affected in all groups was below the knees, followed by ‘facial T’ and head in premobile and early mobile. The ears, neck, buttocks, genitalia and hands were rarely bruised (<1% of all collections). None of gender, season or the level of social deprivation significantly influenced bruising patterns, although having a sibling increased the mean number of bruises. There was considerable variation in the number of bruises recorded between different children which increased with developmental stage and was greater than the variation between numbers of bruises in collections from the same child over time.ConclusionsThese data should help clinicians understand the patterns of ‘everyday bruising’ and recognise children who have an unusual numbers or distribution of bruises who may need assessment for physical abuse or bleeding disorders.

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Duration of Breastfeeding in Late Preterm Infants: Maternal and Infant Factors

Journal of Human Lactation ◽

10.1177/0890334420978380 ◽

2020 ◽

pp. 089033442097838

Author(s):

Kartika Darma Handayani ◽

Irwanto ◽

Melinda Masturina ◽

Risa Etika ◽

Agus Harianto ◽

...

Keyword(s):

Preterm Infants ◽

Self Efficacy ◽

Assessment Tool ◽

Short Form ◽

Late Preterm ◽

Maternal Factors ◽

Term Infants ◽

Late Preterm Infants ◽

The Mean ◽

Duration Of Breastfeeding

Background More than 550,000 late preterm infants are born each year in Indonesia. These infants, born between 340/7–366/7 weeks, have more complications than term infants. Breastfeeding is considered the most optimal nutrition for newborn infants. Two groups of factors are important for successful breastfeeding: infant and maternal factors. The infant factors can be evaluated using the Infant Breastfeeding Assessment Tool and the maternal aspects with the Breastfeeding Self-Efficacy Scale–Short Form. Aim To determine whether the Infant Breastfeeding Assessment Tool or the Breastfeeding Self-Efficacy Scale–Short Form was more predictive of successful breastfeeding among late preterm infants. Methods This study was conducted in the Academic Teaching Hospital in Surabaya, Indonesia in March–July 2017. Mothers who delivered their infant between a gestational age of 340/7 and 366/7 weeks were included. Results Fifty-four single born participant mother–infant pairs were included. The mean total Breastfeeding Self-Efficacy Scale–Short Form score was 57.8 ( SD = 8.9). The mean Infant Breastfeeding Assessment Tool score was 8.3 ( SD = 1.8). There was a significant correlation between the total Breastfeeding Self-Efficacy Scale–Short Form score and the Infant Breastfeeding Assessment Tool score ( p = .020, r = 0.316). The Breastfeeding Self-Efficacy Scale–Short Form was significantly higher in the participant (mothers) of the infants breastfed ≥ 4 months, compared to < 4 months, 61.59 ( SD = 5.78) versus 51.78 ( SD = 11.64; p = .001). No correlation was found between the duration of breastfeeding and Infant Breastfeeding Assessment Tool score ( p = .087) Conclusion Maternal factors were more important for successful breastfeeding in these late preterm infants than infant factors in our sample.

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“Right Ventricle Speckle Tracking in Bronchopulmonary Dysplasia: One Year Follow Up”

10.21203/rs.3.rs-1146523/v1 ◽

2021 ◽

Author(s):

Marcos Clavero-Adell ◽

Daniel Palanca-Arias ◽

Marta López-Ramón ◽

Lorenzo Jiménez-Montañés ◽

Itziar Serrano-Viñuales ◽

...

Keyword(s):

Right Ventricle ◽

Preterm Infants ◽

Bronchopulmonary Dysplasia ◽

Speckle Tracking ◽

Tertiary Care ◽

Term Infants ◽

Prospective Longitudinal Study ◽

Strain And Strain Rate ◽

Prospective Longitudinal

Abstract Purpose: Bronchopulmonary dysplasia is still a main problem in preterm infants. The screening of secondary right ventricle (RV) failure concern neonatologist and pediatric cardiologists. Measurements of right ventricle deformation through speckle tracking analysis in echocardiography could help to early diagnosis.Methods: A prospective longitudinal study was carried out over 28 months at a tertiary care pediatric cardiology reference center. Under 32 weeks’ pre-term infants were eligible for the study. Twenty-eight days after birth, all enrolled patients were included in one group: no bronchopulmonary dysplasia (NO-BPD) or bronchopulmonary dysplasia (BPD). At 36 PMA, BPD patients were included in one group according to severity categorization (mild, moderate, severe). At three time points echocardiogram measurements were performed. Right ventricle strain was studied using speckle tracking analysis and it was compared with classical function parameters between groups and along time. Results: Fifty patients were enrolled in the study, 22 on NO-BPD group and 28 on BPD group (16 mild, 8 moderate, 4 severe). RV strain showed no statistical differences between groups. However, BDP group showed worse RV function than NO-BPD group, both in speckle tracking analysis and in classical parameters. During de follow-up, an improvement trend is shown in RV strain. Conclusions: RV longitudinal strain and strain rate derived by speckle tracking is feasible in preterm infants. Although it seems to be a good correlation between RV strain and BPD severity, authors cannot conclude it. More studies should be carried out to investigate the optimum echocardiographic screening model of RV dysfunction in BPD patients.

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Current practice in the introduction of solid foods for preterm infants

Public Health Nutrition ◽

10.1017/s1368980019002337 ◽

2019 ◽

Vol 23 (1) ◽

pp. 94-101 ◽

Cited By ~ 1

Author(s):

Jane Cleary ◽

Sayne MC Dalton ◽

Alexandra Harman ◽

Ian M Wright

Keyword(s):

Preterm Infants ◽

Maternal Education ◽

Solid Food ◽

Structured Interviews ◽

Term Infants ◽

Prospective Longitudinal Study ◽

Solid Foods ◽

Eastern Australia ◽

Solid Food Introduction ◽

Prospective Longitudinal

AbstractObjective:The present study compared the age of first solid foods in a cohort of preterm infants with term infants and identified factors influencing timing of solid food introduction.Design:Structured interviews on infant feeding practices, growth and medical status at term equivalence and at 3, 6, 9 and 12 months corrected postnatal age. The age of solid food introduction was compared between term and preterm infants, and the influence of maternal, infant and milk feeding factors was assessed.Setting:This prospective longitudinal study recruited primary carers of preterm and term infants from a regional metropolitan referral hospital in eastern Australia.Participants:One hundred and fifty infants (preterm, n 85; term, n 65).Results:When corrected for prematurity, preterm infants received solid foods before the recommended age for the introduction of solid foods for term infants. Median introduction of solid foods for preterm infants was 14 weeks corrected age (range 12–17 weeks). This was significantly less than 19 weeks (range 17–21 weeks) for term infants (P < 0·001). Lower maternal education and male gender were associated with earlier introduction of solid foods among preterm infants.Conclusions:Preterm infants are introduced to solid foods earlier than recommended for term infants, taking account of their corrected age. Further research is needed to assess any risk or benefit associated with this pattern and thus to develop clear evidence-based feeding guidelines for preterm infants.

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Introduction and feeding practices of solid food in preterm infants born in Salzburg!

BMC Pediatrics ◽

10.1186/s12887-021-02505-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Edda Hofstätter ◽

Verena Köttstorfer ◽

Patricia Stroicz ◽

Sebastian Schütz ◽

Lorenz Auer-Hackenberg ◽

...

Keyword(s):

Celiac Disease ◽

Preterm Infants ◽

Complementary Feeding ◽

Study Group ◽

Early Weaning ◽

Structured Interviews ◽

Term Infants ◽

The Mean ◽

The Difference

Abstract Background It is shown that meeting the increased nutritional demand of preterm infants from birth is not only important for survival but essentially contributes to the infants` overall development and long-term health. While there are established guidelines for weaning term infants, evidence regarding preterm infants is scarce and less precise. The aim of this study was to identify the current practices on introducing solids to preterm infants amongst caregivers in Salzburg and determine potential reasons for early weaning. Methods Altogether 68 infants born between 24 0/7 and 36 6/7 weeks were recruited and detailed structured interviews with the caregivers were conducted at 17 weeks corrected age. Weight, height and head circumference were collected. Results 52% of the study group received solids before the recommended 17 weeks corrected age. For this group the mean age being 13.77 ± 1.11 weeks corrected age. Premature introduction of solids significantly correlates with exclusively and early formula-feeding. 34% were weaned due to recommendation by their paediatrician. 23% of the preterm infants even received solids before 12 weeks corrected age, putting them at risks for developing obesity, celiac disease and diabetes. Conclusions This study shows the necessity for clear guidelines regarding the introduction of complementary feeding in preterm infants as well as the importance of their implementation. Caregivers should receive information on this topic early enough and they should fully understand the difference between chronological and corrected age.

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The effect of sickle cell anemia on the linear growth of Nigerian children

Journal of Pediatric Endocrinology and Metabolism ◽

10.1515/jpem-2021-0232 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Ugo Nnenna Chikani ◽

Adaobi Bisi-Onyemaechi ◽

Ijeoma Ohuche ◽

Justus Onu ◽

Shalewa Ugege ◽

...

Keyword(s):

Sickle Cell ◽

Linear Growth ◽

Clinical Care ◽

Growth Failure ◽

Age At Diagnosis ◽

Height Velocity ◽

Prospective Longitudinal Study ◽

High Prevalence ◽

The Mean ◽

Prospective Longitudinal

Abstract Objectives Despite the high prevalence of children with sickle cell anaemia (SCA) in West Africa, there is paucity of data on the height velocity and prevalence of growth failure in SCA patients. With advances in clinical care of SCA patients, could there be a spatial and secular trend in the growth pattern of these children? Hence, the compelling needs to embark on this study. The objectives of the study were to determine the prevalence of growth failure among patients with SCA and its correlation with age, gender and age at diagnosis. Methods A Prospective longitudinal study of a cohort of sickle cell anaemic paediatric patients from Pediatrics SCA Clinic, University of Nigeria Teaching Hospital, Ituku Ozalla. Patients were enrolled over a period of two years using a non-parametric convenient sampling method. Their heights were measured at baseline, three months, six months and at 12 months intervals and subsequently plotted on a standard WHO growth chart. The height velocities at different monthly intervals were calculated and compared with the WHO standard normal linear growth rates) for children (used as control) to identify those with GF. (i.e. <10th percentile). The main outcome measures were the mean height velocities at different months' intervals calculated and compared using the repeated measurement analysis of variance (ANOVA) and the Wilcoxon signed test. Results A cohort of 316 children aged 1–18 years with SCA was evaluated with a male preponderance of 161 (57.4%). The mean age and age at diagnosis were 11.04 ± 5.56 and 4.2 ± 1.7 years, respectively. The prevalence of growth failure and short stature was 84.7%. The burden of GF was highest among post-pubertal participants (94.1%). The most important predictor of growth velocity deficit was age (R2=0.045, standard β coefficient = −0.22, t=−03.51, p=0.001). Conclusions The study demonstrated high prevalence of growth failure in children and adolescents with SCA which intensified with advancement in age and older age at diagnosis.

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A Five Year Longitudinal Study of the Educational Environment in a Newly Integrated Medical Curriculum

Sultan Qaboos University Medical Journal [SQUMJ] ◽

10.18295/squmj.2019.19.04.009 ◽

2019 ◽

Vol 19 (4) ◽

pp. 335

Author(s):

Syed I. Shehnaz

Keyword(s):

Longitudinal Study ◽

United Arab Emirates ◽

Medical Curriculum ◽

Educational Environment ◽

Traditional Curriculum ◽

Prospective Longitudinal Study ◽

Significant Difference ◽

The Mean ◽

Prospective Longitudinal ◽

Course Of Study

Objectives: The College of Medicine at Gulf Medical University (GMU), Ajman, United Arab Emirates, was subjected to a curricular reform, which shifted the institution from a traditional curriculum to a hybrid, studentcentred, integrated curriculum. There are no previous studies analysing the consequences of such a curricular modification on the educational environment (EE). Therefore, this study aimed to analyse the EE of a pioneer cohort of the innovative curriculum over their five-year course of study. Methods: This prospective longitudinal study was conducted between September 2009 and September 2013 at the College of Medicine. The Dundee Ready Education Environment Measure questionnaire was completed by a pioneer cohort of students at the start of each academic session for five consecutive years. The mean overall, subscale and individual statement scores were evaluated using the Kruskal-Wallis and Wilcoxon-rank sum tests. Results: A total of 178 responses were collected (response rate: 90.4%). The mean overall score throughout the five years of study was 130/200. A significant difference in the scores (P <0.05) was observed as the students proceeded through the course. The overall and subscale scores were significantly higher in the first and final years of study. Analysis of the statements recognised the medical knowledge of the teachers’ and students’ awareness of empathy and social interactions as persistent strengths of the college over the entire course of study. A curricular overload, a want for support systems for stressed students, students’ waning interest levels and assessment strategies emerged as areas that warranted further attention. Conclusion: The pioneer cohort of the new curriculum rated their EE as positive throughout their five years of study at GMU. An examination of individual statements revealed the programme’s strengths and areas for improvement for the institution.Keywords: Curriculum; Environment; Longitudinal Study; Medical Students; Perception; Undergraduate Medical Education; United Arab Emirates.

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Stem Cell Transplantation Patients and Situational Meaning: A Prospective and Longitudinal View

10.1101/19001529 ◽

2019 ◽

Author(s):

Jennifer Blosser ◽

Roy Sabo ◽

Kathryn Candler ◽

Karen Mullin ◽

Amir Toor ◽

...

Keyword(s):

Stem Cell ◽

Meaning Making ◽

Illness Perception ◽

Patient Characteristics ◽

Cell Transplant ◽

Prospective Longitudinal Study ◽

Illness Perception Questionnaire ◽

Virginia Commonwealth University ◽

Prospective Longitudinal ◽

Over Time

ABSTRACTBackgroundThough there is thorough examination of psychosocial issues in SCT, there are few longitudinal studies examining the meaning SCT patients attribute to their treatment.ObjectiveThe object of this study was to examine change in situational appraisal over time, and to explore potential modifiers of that change.MethodsA prospective, longitudinal study of 146 autologous and allogeneic stem cell transplant (SCT) patients at Virginia Commonwealth University (VCU) was conducted to measure situational appraisal over time as per the meaning making model of Park and Folkman (1997) utilizing the Illness Perception Questionnaire-Revised (IPQ-R; Moss-Morris et al., 2002). Participants were administered the instrument prior to transplant, at one, three and six months, and at one-year post-transplant.ResultsChange over time was seen in different diagnoses, donor types, reduced intensity and standard pre-transplant preparative regimens, and between the two major ethnic groups (Caucasian and African American) studied. Many of the patient subgroups had statistically significant findings in measures of illness attribution.ConclusionThe appraisals SCT patients made of their situation in treatment revealed a complex process of appraisal affected by illness, treatment and patient characteristics including disease type, donor type, race, and pre-transplant regimen.

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Breastfeeding Self-Efficacy and Its Relationship with the Perceived Stress and the Breastfeeding Performance in Iranian Mothers with Late Preterm Infants, 2019

10.21203/rs.3.rs-87806/v1 ◽

2020 ◽

Author(s):

Akram Kahforoushan ◽

Shirin Hasanpour ◽

Mojgan Mirghafourvand

Keyword(s):

Standard Deviation ◽

Linear Regression ◽

Multiple Linear Regression ◽

Preterm Infants ◽

Perceived Stress ◽

Self Efficacy ◽

Short Form ◽

Late Preterm ◽

Late Preterm Infants ◽

The Mean

Abstract BackgroundLate preterm infants suffer from many short-term and long-term problems after birth. The key factor in fighting these problems is effective breastfeeding. The present study aimedto determine the breastfeeding self-efficacy and its relationship with the perceived stress and breastfeeding performance in mothers with late preterm infants. MethodsIn this prospective study, 171 nursing mothers with late preterm infants born in Alzahra Medical Center of Tabriz, Iran, who met the conditions of this study were selected through convenience sampling. The Breastfeeding Self-Efficacy Scale-Short Form (BSES- SF) was employed to measure breastfeeding self-efficacy and 14-item Perceived Stress Scale (PSS14) was used to measure the perceived stress during 24 hours after giving birth and when the child was 4 months old the breastfeeding performance was measured by the standard breastfeeding performance questionnaire. The data were analyzed by Pearson and Spearman’s correlation tests, independent t-test, one-way ANOVA, and Multiple Linear Regression.ResultsThe mean (standard deviation) of breastfeeding self-efficacy equaled 50.0 (7.8) from the scores ranging between13-65 and the mean (standard deviation) of the perceived stress equaled to 26.5 (8.8) from the scores ranging between 0-56. The median (25-75 percentiles) of breastfeeding performance score in the mothers equaled 2.0 (1.0 to 3.0) from the scores ranging between 0-6. On the basis of multiple linear regression and through adjusting the personal-social characteristic, by increasing the score of the breastfeeding self-efficacy, the perceived stress was decreased to a statistically significant amount (B=-0.1, 95%CI=-0.3 to 0.0), however, there was no statistically significant relationship between breastfeeding self-efficacy and breastfeeding performance (p=0.418). ConclusionDue to the modifiable variability of breastfeeding self-efficacy and its role in perceived maternal stress, the development of appropriate strategies to further increase breastfeeding self-efficacy and provide more support to these mothers and infants is of particular importance.

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Changes in self-rated health and quality of life among Syrian refugees migrating to Norway: a prospective longitudinal study

International Journal for Equity in Health ◽

10.1186/s12939-020-01300-6 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Jasmin Haj-Younes ◽

Elisabeth Marie Strømme ◽

Jannicke Igland ◽

Bernadette Kumar ◽

Eirik Abildsnes ◽

...

Keyword(s):

Quality Of Life ◽

Longitudinal Study ◽

Syrian Refugees ◽

Prospective Longitudinal Study ◽

Mean Values ◽

Self Rated Health ◽

Prospective Longitudinal ◽

Over Time

Abstract Background Forced migrants can be exposed to various stressors that can impact their health and wellbeing. How the different stages in the migration process impacts health is however poorly explored. The aim of this study was to examine changes in self-rated health (SRH) and quality of life (QoL) among a cohort of adult Syrian refugees before and after resettlement in Norway. Method We used a prospective longitudinal study design with two assessment points to examine changes in health among adult Syrian resettlement refugees in Lebanon accepted for resettlement in Norway. We gathered baseline data in 2017/2018 in Lebanon and subsequently at follow-up one year after arrival. The main outcomes were good SRH measured by a single validated item and QoL measured by WHOQOL-BREF. We used generalized estimating equations to investigate changes in outcomes over time and incorporated interaction terms in the models to evaluate effect modifications. Results In total, 353 subjects participated in the study. The percentage of participants reporting good SRH showed a non-significant increase from 58 to 63% RR, 95%CI: 1.1 (1.0, 1.2) from baseline to follow-up while mean values of all four QoL domains increased significantly from baseline to follow-up; the physical domain from 13.7 to 15.7 B, 95%CI: 1.9 (1.6, 2.3), the psychological domain from 12.8 to 14.5 B, 95%CI: 1.7 (1.3, 2.0), social relationships from 13.7 to 15.3 B, 95%CI: 1.6 (1.2, 2.0) and the environmental domain from 9.0 to 14.0 5.1 B, 95%CI: (4.7, 5.4). Positive effect modifiers for improvement in SRH and QoL over time include male gender, younger age, low level of social support and illegal status in transit country. Conclusion Our results show that good SRH remain stable while all four QoL domains improve, most pronounced in the environment domain. Understanding the dynamics of migration and health is a fundamental step in reaching health equity.

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