Using the Preterm Infant Breastfeeding Behavior Scale With Late Preterm Infants

2020 ◽  
Vol 11 (3) ◽  
pp. 121-129
Author(s):  
Angela Lober ◽  
Joan E. Dodgson ◽  
Lesly Kelly
Keyword(s):  
Experimental Design ◽  
Preterm Infant ◽  
Preterm Infants ◽  
Assessment Tool ◽  
Late Preterm ◽  
Rater Reliability ◽  
Late Preterm Infants ◽  
Scale Scores ◽  
Behavior Scale ◽  
Over Time

BackgroundFeeding effectiveness of late preterm infants may vary between feedings and over time, creating confusion and frustration for parents and clinicians. An assessment tool for late preterm infants may assist mothers to recognize breastfeeding behavior more clearly. Although tools are available, none have been tested specifically with late preterm infants. We sought to determine the inter-rater reliability of the Preterm Infant Breastfeeding Behavior Scale scores for late preterm infants between mothers and a health professional.MethodsA one-group observational non-experimental design assessed inter-rater reliability (24 hours [n =23] and 48 hours [n =11] after birth).ResultsThe scale's six components were scored independently; agreement ranged from 81.8% to 100% for all components.ConclusionsThe tool was reliable and could be used to help clinicians and parents accurately understand feeding patterns and behaviors assisting with feeding decisions.

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

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.

scholarly journals Trends in the incidence and management of hypoxic-ischaemic encephalopathy in the therapeutic hypothermia era: a national population study

2021 ◽  
pp. fetalneonatal-2020-320902
Author(s):  
Lara Shipley ◽  
Chris Gale ◽  
Don Sharkey
Keyword(s):  
Therapeutic Hypothermia ◽  
Preterm Infants ◽  
Retrospective Cohort ◽  
Evidence Base ◽  
Late Preterm ◽  
Research Database ◽  
National Guidelines ◽  
Late Preterm Infants ◽  
Recorded Diagnosis ◽  
Over Time

ObjectiveHypoxic-ischaemic encephalopathy (HIE) remains a leading cause of neonatal mortality and neurodisability. We aimed to determine the incidence of HIE and management patterns against national guidelines.DesignRetrospective cohort study using the National Neonatal Research Database.SettingNeonatal units in England and Wales.PatientsInfants 34–42 weeks gestational age (GA) with a recorded diagnosis of HIE.Main outcomesIncidence of HIE, mortality and treatment with therapeutic hypothermia (TH) were the main outcomes. Temporal changes were compared across two epochs (2011–2013 and 2014–2016).ResultsAmong 407 462 infants admitted for neonatal care, 12 195 were diagnosed with HIE. 8166 infants ≥36 weeks GA had moderate/severe HIE, 62.1% (n=5069) underwent TH and mortality was 9.3% (n=762). Of infants with mild HIE (n=3394), 30.3% (n=1027) underwent TH and 6 died. In late preterm infants (34–35 weeks GA) with HIE (n=635, 5.2%), 33.1% (n=210) received TH and 13.1% (n=83) died. Between epochs (2011–2013 vs 2014–2016), mortality decreased for infants ≥36 weeks GA with moderate/severe HIE (17.5% vs 12.3%; OR 0.69, 95% CI 0.59 to 0.81, p<0.001). Treatment with TH increased significantly between epochs in infants with mild HIE (24.9% vs 35.8%, p<0.001) and those born late preterm (34.3% vs 46.6%, p=0.002).ConclusionsMortality of infants ≥36 weeks GA with moderate/severe HIE has reduced over time, although many infants diagnosed with moderate/severe HIE do not undergo TH. Increasingly, mild HIE and late preterm infants with HIE are undergoing TH, where the evidence base is lacking, highlighting the need for prospective studies to evaluate safety and efficacy in these populations.

Breastfeeding Management for the Late Preterm Infant: Practical Interventions for “Little Imposters”

2010 ◽  
Vol 1 (1) ◽  
pp. 22-26 ◽  
Author(s):  
Marsha Walker
Keyword(s):  
Health Outcomes ◽  
Preterm Infant ◽  
Preterm Infants ◽  
Late Preterm ◽  
Late Preterm Infant ◽  
Late Preterm Infants ◽  
Negative Health Outcomes

Infants who are late preterm (34–36 weeks) may appear mature, but they are physiologically, metabolically and neurologically immature. Late preterm infants are at higher risk for a number of problems including poor feeding, jaundice, hospital re–admittance and potential breastfeeding failure. This article provides specific strategies for working with late preterm infants and avoiding these negative health outcomes.

Feeding Challenges in the Late Preterm Infant

2010 ◽  
Vol 29 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Karen Cleaveland
Keyword(s):  
Preterm Infant ◽  
Preterm Infants ◽  
Preterm Births ◽  
Late Preterm ◽  
Late Preterm Infant ◽  
Temperature Instability ◽  
Feeding Difficulties ◽  
Late Preterm Infants ◽  
Hospital Stays ◽  
Prolonged Hospital

A late preterm infant is defined as one born between 34 and 36 6/7 weeks of completed gestation. The rate of late preterm births has risen 18 percent since the late 1990s. Data are beginning to emerge concerning morbidity rates and the risks these newborns face with regard to feeding difficulties, temperature instability, hypoglycemia, and hyperbilirubinemia. Feeding challenges place these vulnerable infants at risk for prolonged hospital stays and readmission after discharge. To better address the unique needs of late preterm infants, providers should establish individual feeding orders. This article offers research-based suggestions for caring for these infants in the newborn nursery and the postpartum unit as well as parent teaching guidelines.

Respiratory distress management in moderate and late preterm infants: The NEOBS Study

2021 ◽  
Author(s):  
T. Debillon ◽  
P. Tourneux ◽  
I. Guellec ◽  
P.-H. Jarreau ◽  
C. Flamant
Keyword(s):  
Respiratory Distress ◽  
Preterm Infants ◽  
Late Preterm ◽  
Late Preterm Infants

scholarly journals Neurodevelopmental Outcomes at 18 Months of Corrected Age for Late Preterm Infants Born at 34 and 35 Gestational Weeks

2021 ◽  
Vol 18 (2) ◽  
pp. 640 ◽  
Author(s):  
Ruka Nakasone ◽  
Kazumichi Fujioka ◽  
Yuki Kyono ◽  
Asumi Yoshida ◽  
Takumi Kido ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Late Preterm ◽  
Psychomotor Development ◽  
Youden Index ◽  
Chromosomal Anomalies ◽  
Clinical Factors ◽  
Neurodevelopmental Outcomes ◽  
Late Preterm Infants ◽  
Significant Difference ◽  
Severe Hyperbilirubinemia

To date, the difference in neurodevelopmental outcomes between late preterm infants (LPI) born at 34 and 35 gestational weeks (LPI-34 and LPI-35, respectively) has not been elucidated. This retrospective study aimed to evaluate neurodevelopmental outcomes at 18 months of corrected age for LPI-34 and LPI-35, and to elucidate factors predicting neurodevelopmental impairment (NDI). Records of all LPI-34 (n = 93) and LPI-35 (n = 121) admitted to our facility from 2013 to 2017 were reviewed. Patients with congenital or chromosomal anomalies, severe neonatal asphyxia, and without developmental quotient (DQ) data were excluded. Psychomotor development was assessed as a DQ using the Kyoto Scale of Psychological Development at 18 months of corrected age. NDI was defined as DQ < 80 or when severe neurodevelopmental problems made neurodevelopmental assessment impossible. We compared the clinical characteristics and DQ values between LPI-34 (n = 62) and LPI-35 (n = 73). To elucidate the factors predicting NDI at 18 months of corrected age, we compared clinical factors between the NDI (n = 17) and non-NDI (n = 118) groups. No significant difference was observed in DQ values at 18 months of corrected age between the groups in each area and overall. Among clinical factors, male sex, intraventricular hemorrhage (IVH), hyperbilirubinemia, and severe hyperbilirubinemia had a higher prevalence in the NDI group than in the non-NDI group, and IVH and/or severe hyperbilirubinemia showed the highest Youden Index values for predicting NDI. Based on the results of this study, we can conclude that no significant difference in neurodevelopmental outcomes at 18 months of corrected age was observed between LPI-34 and LPI-35. Patients with severe hyperbilirubinemia and/or IVH should be considered to be at high risk for developing NDI.

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