Challenges Mothers Identify in Bottle Feeding Their Preterm Infants

2001 ◽  
Vol 20 (1) ◽  
pp. 45-54 ◽  
Author(s):  
Suzanne Thoyre
Keyword(s):  
Preterm Infants ◽  
Bottle Feeding ◽  
Outcome Variable ◽  
Adequate Intake ◽  
Mothers Of Preterm Infants ◽  
Main Outcome Variable

Purpose: To describe the challenges mothers identify in bottle feeding their preterm infants prior to discharge from the NICU.Design: Mothers bottle fed their infants in the NICU while being videotaped. Following the feeding, a semifocused interview was conducted with the mother using playback of the videotaped feeding to enhance exploration of the experience of feeding.Sample: The participants were 22 mothers of preterm infants (≤1,500 grams).Main Outcome Variable: Mothers’ challenges in feeding preterm infants.Results: Mothers identified three major categories of challenge: ensuring safety during the feeding, ensuring adequate intake of calories, and advancing the feeding plan once home. Mothers described strategies they used to meet these challenges and discussed the implications some of these strategies held for them.

Elevated Sound Levels within a Busy NICU

2005 ◽  
Vol 24 (6) ◽  
pp. 33-37 ◽  
Author(s):  
Charlene Krueger ◽  
Susan Wall ◽  
Leslie Parker ◽  
Rose Nealis
Keyword(s):  
Preterm Infants ◽  
Noise Level ◽  
Sound Level ◽  
Behavioral Effects ◽  
Outcome Variable ◽  
Sound Levels ◽  
Main Outcome Variable

Purpose: Elevated sound levels in the NICU may contribute to undesirable physiologic and behavioral effects in preterm infants. This study describes sound levels in a busy NICU in the southeastern U.S. and compares the findings with recommended NICU noise level standards.Design: NICU sound levels were recorded continuously at nine different locations within the NICU. Hourly measurements of loudness equivalent (Leq) sound level, sound level exceeded 10 percent of the time (L10), and maximum sound level (Lmax) were determined.Sample: Sound levels were sampled from nine different locations within the NICU.Main Outcome Variable: Sound levels are described using the hourly, A-weighted Leq, L10, and Lmax.Results: The overall average hourly Leq (M = 60.44 dB, range = 55–68 dB), L10 (M = 59.26 dB, range = 55–66 dB), and Lmax (M = 78.39, range = 69–93 dB) were often above the recommended sound levels (hourly Leq <50 dB, L10 <55 dB, and 1-second Lmax <70 dB). In addition, certain times of day, such as 6–7 AM and 10 AM–12 noon, were noisier than other times of day.

scholarly journals Mothers’ Breastfeeding Experiences in the NICU

2011 ◽  
Vol 30 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Camille A. Boucher ◽  
Paola M. Brazal ◽  
Cynthia Graham-Certosini ◽  
Kathryn Carnaghan-Sherrard ◽  
Nancy Feeley
Keyword(s):  
Preterm Infants ◽  
Premature Infants ◽  
Outcome Variable ◽  
Breastfeeding Initiation ◽  
Extensive Literature ◽  
Convenience Sample ◽  
Maternal Experience ◽  
Personal Motivation ◽  
Qualitative Descriptive ◽  
Main Outcome Variable

AbstractPurpose: There is extensive literature on the physical and physiologic benefits of breastfeeding premature infants. Less is known about mothers’ perceptions of their own breastfeeding experience. This study explored the maternal experience of breastfeeding initiation and progression in the NICU.Design: A qualitative, descriptive design.Sample: A convenience sample of ten mothers was recruited from a Level III NICU. The sample included mothers of infants between 33 and 36 weeks gestational time at the time of the interview who had been in the NICU for at least five days.Main Outcome Variable: Mothers’ breastfeeding experiences with preterm infants in an NICU.Results: Mothers described their breastfeeding experiences in terms of maintaining milk production, the regimen of the NICU, mother as learner, personal motivation, and forming attachments.

Neonatal Thermoregulation: Bed Surface Transfers

1999 ◽  
Vol 18 (4) ◽  
pp. 35-38 ◽  
Author(s):  
Leslie Altimier ◽  
Barbara Warner ◽  
Stephanie Amlung ◽  
Carole Kenner
Keyword(s):  
Birth Weight ◽  
Preterm Infants ◽  
Temperature Stability ◽  
Outcome Variable ◽  
Convenience Sample ◽  
Temperature Changes ◽  
Baseline Temperature ◽  
Main Outcome Variable ◽  
Radiant Warmer

Purpose: To describe temperature changes that occur in preterm infants following bed surface transfers.Design: The design was descriptive.Sample: The convenience sample was comprised of 20 preterm infants (<1,500 gm birth weight).Main outcome variable: Temperature stability after a bed transfer (i.e., radiant warmer to incubator) was the main outcome variable.Results: There were no significant differences in temperatures after bed surface transfer. However, the temperatures one hour after bed surface transfer were lower than baseline temperature before bed surface transfer.

State Change in Preterm Infants in Response to Nursing Caregiving: Possible Gender Effects

2008 ◽  
Vol 27 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Karen Thomas ◽  
Shao-Yu Tsai ◽  
Sara Brown
Keyword(s):  
Preterm Infants ◽  
State Regulation ◽  
Gender Effects ◽  
Outcome Variable ◽  
State Change ◽  
Video Recordings ◽  
Postmenstrual Age ◽  
Main Outcome Variable ◽  
State Changes ◽  
Wake State

Purpose:To describe the effect of nursing caregiving on infant sleep-wake states by gender in preterm infantsDesign:Descriptive measures at 34 weeks postmenstrual age and at dischargeSample:Twenty-two hospitalized preterm infantsMain Outcome Variable:Infant state and caregiving episodes were coded in 15-second intervals from video recordings of approximately three hours duration. Time plots of state and caregiving were analyzed visually to summarize spontaneous state changes and state change associated with caregiving.Results:Sleep and wake state distribution did not differ statistically by gender; however, the rate of state change in male infants was twice that of females (p=.012) at discharge. At discharge, male infants received approximately twice as many care episodes as females. At discharge, the rate of state change in response to caregiving in male infants was four times that of female infants (p=.026). Males exhibited a greater percentage of caregiving episodes related to state change than did females at discharge (p=.018). Findings suggest further exploration of possible gender differences in state regulation and state change in response to caregiving.

Multimodal Neurologic Enhancement Improves Preterm Infants' Developmental Outcomes: A Longitudinal Pilot Study

2020 ◽  
Vol 39 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Michael R. Detmer ◽  
Kayla Evans ◽  
Erin Shina ◽  
Kimberly Walker ◽  
Darcy DeLoach ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Early Learning ◽  
Outcome Variable ◽  
Controlled Study ◽  
Control Group ◽  
Post Discharge ◽  
Main Outcome Variable ◽  
Composite Scores ◽  
Visual Reception ◽  
Experimental Group

PurposeThe purpose of this study was to identify the long-term developmental effects of a NICU music therapy intervention, Multimodal Neurologic Enhancement, provided to preterm infants in the NICU.DesignProspective randomized controlled study with one control group and one experimental group.SampleParticipants were medically stable preterm infants with a birth age of 31 and 6/7 weeks or less, admitted to a level-III NICU. A total of 84 participants were enrolled, and 48 completed the study.Main Outcome VariablePost-discharge developmental scores on the Mullen Scales of Early Learning: AGS Edition.ResultsThe experimental group performed significantly better than the control group on the Visual Reception and Early Learning Composite scores.

scholarly journals Neonatal Nurses’ and Therapists’ Perceptions of Positioning for Preterm Infants in the Neonatal Intensive Care Unit

2013 ◽  
Vol 32 (2) ◽  
pp. 110-116 ◽  
Author(s):  
Cori Zarem ◽  
Tara Crapnell ◽  
Lisa Tiltges ◽  
Laura Madlinger ◽  
Lauren Reynolds ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Well Being ◽  
Outcome Variable ◽  
Neonatal Nurses ◽  
Positioning Method ◽  
Main Outcome Variable

Purpose: Determine perceptions about positioning for preterm infants in the neonatal intensive care unit (NICU).Design: Twenty-item survey.Sample: Neonatal nurses (n = 68) and speech, physical, and occupational therapists (n = 8).Main outcome variable: Perceptions about positioning were obtained, and differences in perceptions between nurses and therapists were explored.Results: Ninety-nine percent of respondents agreed that positioning is important for the well-being of the infant. Sixty-two percent of nurses and 86 percent of therapists identified the Dandle ROO as the ideal method of neonatal positioning. Forty-four percent of nurses and 57 percent of therapists reported that the Dandle ROO is the easiest positioning method to use in the NICU. Some perceptions differed: Therapists were more likely to report that the SleepSack does not hold the infant in good alignment. Nurses were more likely to report that the infant does not sleep well in traditional positioning.

Human-Milk Feeding after NICU Discharge

2009 ◽  
Vol 28 (6) ◽  
pp. 381-389 ◽  
Author(s):  
Barbara Wheeler
Keyword(s):  
Human Milk ◽  
Preterm Infants ◽  
Infant Health ◽  
Outcome Variable ◽  
Canadian City ◽  
Mother's Milk ◽  
Main Outcome Variable ◽  
Mother’S Milk ◽  
To Receive ◽  
Milk Feeding

Purpose:Difficulty with breastfeeding is common, and challenges are particularly pronounced for mothers of ill or preterm infants. This study explores the breastfeeding experiences of mothers of these at-risk infants to determine their breastfeeding patterns and to better understand reasons they prematurely stop breastfeeding and/or human-milk feeding (HMF).Design:A qualitative, longitudinal, descriptive design was used.Sample:The sample consisted of 144 mothers whose preterm or ill infants were cared for in either an NICU or an intermediate care nursery in a large central Canadian city; 112 mothers completed data collection to six weeks after their infants were discharged from the hospital.Main Outcome Variable:The main outcome variable was continued breastfeeding or HMF of formerly ill or preterm infants at one and six weeks after their discharge from the hospital.Results:Of infants who were being fed mother’s milk when discharged from the hospital, 71 percent continued to receive at least some mother’s milk at six weeks after discharge. Mothers reported that their own physical and emotional problems, infant health concerns, and lack of time and support were reasons for discontinuing provision of human milk.

Development of Father-Infant Attachment in Fathers of Preterm Infants

1999 ◽  
Vol 18 (7) ◽  
pp. 33-39 ◽  
Author(s):  
Jennifer Sullivan
Keyword(s):  
Preterm Infants ◽  
Outcome Variable ◽  
Related Factors ◽  
Infant Attachment ◽  
Convenience Sample ◽  
Main Outcome Variable

Purpose: To investigate the development of feelings of attachment between fathers and their preterm infants and to identify factors that help or hinder this process.Design: A longitudinal descriptive design was used to obtain fathers!’ perceptions of their infants, feelings for their infants, and other related factors.Sample: A convenience sample of 27 fathers of preterm infants was recruited.Main Outcome Variable: The main outcome variable was the time at which fathers first held their infants.Results: The earlier fathers held their babies, the sooner they reported feelings of warmth and love for them.

Characteristics of Maternal–Infant Interaction During Treatment for Opioid Withdrawal

2016 ◽  
Vol 35 (5) ◽  
pp. 297-304 ◽  
Author(s):  
Denise J. Maguire ◽  
Susan Taylor ◽  
Kathleen Armstrong ◽  
Emily Shaffer-Hudkins ◽  
Rita DeBate ◽  
...  
Keyword(s):  
Methadone Treatment ◽  
Bottle Feeding ◽  
Neonatal Abstinence Syndrome ◽  
Outcome Variable ◽  
Child Assessment ◽  
Abstinence Syndrome ◽  
Cognitive Growth ◽  
Scale Scores ◽  
Main Outcome Variable ◽  
Infant Cues

AbstractPurpose: The purpose of this study was to describe the interactions between mothers in a methadone treatment program and their infants during a bottle feeding and compare the findings with normed data.Design: A comparative-descriptive design was used.Sample: Data from 12 opiate-exposed mother–infant dyads were compared with normed data.Main outcome variable: Nursing Child Assessment Satellite-Training Scale scores.Results: The opiate-exposed dyads scored significantly lower than the normed dyads in the infant subscales of clarity of cues (p < .001, 95% confidence interval [CI], 1.56–4.08) and responsiveness to caregiver (p < .01, 95% CI, 0.27–2.5), as well as the total score (p < .001, 95% CI, 2.42–6.15). Parent sensitivity to infant cues subscale (p < .01, 95% CI, 0.42–2.37) and parent contingency score (p < .01, 95% CI, 0.55–3.81) were also significantly lower. The cognitive growth fostering subscale scores were significantly higher in the neonatal abstinence syndrome (NAS) group (p < .01, 95% CI, −2.94 to −0.7).

Correlates of Depressive Symptoms in Mothers of Preterm Infants

2003 ◽  
Vol 22 (5) ◽  
pp. 51-60 ◽  
Author(s):  
Andea Morawski Mew ◽  
Diane Holditch-Davis ◽  
Michael Belyea ◽  
Margaret Shandor Miles ◽  
Anne Fishel
Keyword(s):  
Depressive Symptoms ◽  
High Risk ◽  
Preterm Infants ◽  
Infant Development ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Low Risk ◽  
Outcome Variable ◽  
Mothers Of Preterm Infants ◽  
Risk For Depression

Purpose: To identify factors related to depressive symptoms in mothers of preterm infants and to changes in depressive symptoms between hospitalization and when the infant was six months corrected age and to determine whether these factors differentiate mothers at high risk for depression from mothers at low risk for depression.Design: Correlational.Sample: During hospitalization, 39 mothers of preterm infants and, at six months corrected infant age, 34 mothers of preterm infants.Main Outcome Variable: Depressive symptoms as measured on the Center for Epidemiological Studies Depression scale.Results: At enrollment, 19 mothers (48.7 percent) had elevated depressive symptom scores. When the infants were six months corrected age, mean scores had decreased by 36 percent, and only 20 percent of the mothers had elevated scores. During hospitalization, the correlates of depressive symptoms were similar to the factors that differentiated between mothers at high risk and those at low risk for depression. However, the correlates of depressive symptoms during hospitalization were different from correlates of changes in depressive symptoms between hospitalization and six months corrected infant age. Identifying correlates of maternal depressive symptoms may lead to earlier identification and treatment of women at risk for depression, thereby decreasing the negative effects on infant development.

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