High Risk Infants Follow-Up: A Case Study in Iran

Background. A follow-up program for high risk infants was initiated in Alzahra Maternity Hospital in Tabriz city, Iran, in 2013. The aim of this paper is to give a brief report of the program.Material and Methods. Two groups of high risk neonates were studied. The first group comprising 509 infants received services in Alzahra Maternity Hospital implemented by the follow-up program. This included a full package for family to look after high risk infant and periodic clinical evaluation at two and four weeks after birth and then two, three, four, five, and six months later again. The second group including 131 infants in Taleqani Maternity Hospital received routine services after birth with no specific follow-up care.Results. Some anthropometric indices showed a significant improvement in the intervention hospital compared to control group. These included the following: head circumference at first and second months; weight in the first, fourth, fifth, and sixth months; and height in sixth month only. Clinical evaluation of infants showed an improvement for some of the medical conditions.Conclusion. Follow-up care program for a minimum of six months after discharge from maternity hospitals may help to avoid adverse and life threatening consequences in high risk infants.

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PNPs in Follow-Up Care Of High-Risk Infants

AJN American Journal of Nursing ◽

10.1097/00000446-198008000-00040 ◽

1980 ◽

Vol 80 (8) ◽

pp. 1485-1488

Author(s):

Willis A. Wingert ◽

Annabel Teberg ◽

Ronnie Bergman ◽

Joan Hodgman

Keyword(s):

High Risk ◽

Follow Up Care ◽

High Risk Infants

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PNPs in Follow-Up Care Of High-Risk Infants

AJN American Journal of Nursing ◽

10.1097/00000446-198080080-00040 ◽

1980 ◽

Vol 80 (8) ◽

pp. 1485-1488

Author(s):

Willis A. Wingert ◽

Annabel Teberg ◽

Ronnie Bergman ◽

Joan Hodgman

Keyword(s):

High Risk ◽

Follow Up Care ◽

High Risk Infants

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Comprehensive Follow-up Care and Life-Threatening Illnesses Among High-Risk Infants

JAMA ◽

10.1001/jama.284.16.2070 ◽

2000 ◽

Vol 284 (16) ◽

pp. 2070 ◽

Cited By ~ 46

Author(s):

R. Sue Broyles ◽

Jon E. Tyson ◽

Elizabeth T. Heyne ◽

Roy J. Heyne ◽

Jackie F. Hickman ◽

...

Keyword(s):

High Risk ◽

Follow Up Care ◽

Life Threatening ◽

High Risk Infants

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Cohort protocol: Guangzhou High-Risk Infant Cohort study

BMJ Open ◽

10.1136/bmjopen-2020-037829 ◽

2020 ◽

Vol 10 (10) ◽

pp. e037829

Author(s):

Pian Hu ◽

Azhu Han ◽

Yan Hu ◽

Yuqi Wen ◽

Jingjing Liang ◽

...

Keyword(s):

Risk Factors ◽

Cohort Study ◽

High Risk ◽

Medical Center ◽

High Risk Infant ◽

Factors Affecting ◽

Registration Number ◽

Complex Relationships ◽

High Risk Infants

IntroductionDespite the increase in the survival rate of high-risk infants (HRIs) worldwide, the prevalence of motor and neurodevelopmental sequelae in such newborns has not shown concomitant improvement. Meanwhile, there are few cohorts that explore factors related to the development of HRIs in China. Therefore, the Guangzhou High-Risk Infant Cohort (GHRIC) has been designed to examine the complex relationships among a myriad of factors influencing growth and development in such children.Methods and analysisThe GHRIC study is a prospective cohort study that by the year 2023 will enrol an estimated total of 3000 HRIs from Guangzhou Women and Children’s Medical Center (GWCMC) in Guangzhou, China. This study is designed to assess the growth and cognitive characteristics of HRIs and the risk factors affecting their development and prognoses. Data on risk factors, neurodevelopmental and cognitive-function evaluations, laboratory results, and specimens will be collected and analysed. Information on perinatal and clinical interventions for these infants will also be recorded during regular follow-up visits until age 6.Ethics and disseminationThe protocol for this study has been approved by the Research Ethics Committee of GWCMC, which accepted responsibility for supervising all of the aspects of the study (No. 2017102712). Study outcomes will be disseminated through conference presentations, peer-reviewed publications, the Internet and social media.Trial registration numberChiCTR-EOC-17013236

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Programmatic and Administrative Barriers to High-Risk Infant Follow-Up Care

American Journal of Perinatology ◽

10.1055/s-0038-1629899 ◽

2018 ◽

Vol 35 (10) ◽

pp. 940-945 ◽

Cited By ~ 4

Author(s):

Henry Lee ◽

Erika Gray ◽

Jeffrey Gould ◽

Susan Hintz ◽

Brian Tang

Keyword(s):

High Risk ◽

Study Design ◽

Population Based ◽

High Risk Infant ◽

Web Based ◽

Effective Strategies ◽

Phone Calls ◽

Follow Up Care ◽

Survey Responses

Objective This article characterizes programmatic features of a population-based network of high-risk infant follow-up programs and identifies potential challenges associated with attendance from the providers' perspective. Study Design A web-based survey of high-risk infant follow-up program directors, coordinators, and providers of a statewide high-risk infant follow-up system. Frequencies and percentages were used to describe the survey responses. Results Of the 68 high-risk infant follow-up programs in California, 56 (82%) responded to the survey. The first visit no-show rate between 10 and 30% was estimated by 44% of programs with higher no-show rates for subsequent visits. Common strategies to remind families of appointments were phone calls and mailings. Most programs (54%) did not have a strategy to help families who lived distant to the high-risk infant follow-up clinic. Conclusion High-risk infant follow-up programs may lack resources and effective strategies to enhance follow-up, particularly for those living at a distance.

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