scholarly journals The Effects of Postpartum Depression on Maternal-Infant Bonding Among Mothers Experiencing A Preterm Birth with Neonatal Intensive Care Admission

2019 ◽  
Vol 22 ◽  
pp. 13-21
Author(s):  
Efret M. Ghirmazion
Keyword(s):  
Intensive Care ◽  
Preterm Birth ◽  
Postpartum Depression ◽  
Neonatal Intensive Care ◽  
Intensive Care Admission

scholarly journals Mothers and fathers in NICU: The impact of preterm birth on parental distress

2016 ◽  
Vol 12 (4) ◽  
pp. 604-621 ◽  
Author(s):  
Chiara Ionio ◽  
Caterina Colombo ◽  
Valeria Brazzoduro ◽  
Eleonora Mascheroni ◽  
Emanuela Confalonieri ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Preterm Birth ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Post Partum ◽  
Event Scale ◽  
Mothers And Fathers ◽  
Negative Feelings ◽  
The Impact

Preterm birth is a stressful event for families. In particular, the unexpectedly early delivery may cause negative feelings in mothers and fathers. The aim of this study was to examine the relationship between preterm birth, parental stress and negative feelings, and the environmental setting of NICU. 21 mothers (age = 36.00 ± 6.85) and 19 fathers (age = 34.92 ± 4.58) of preterm infants (GA = 30.96 ± 2.97) and 20 mothers (age = 40.08 ± 4.76) and 20 fathers (age = 40.32 ± 6.77) of full-term infants (GA = 39.19 ± 1.42) were involved. All parents filled out the Parental Stressor Scale: Neonatal Intensive Care Unit, the Impact of Event Scale Revised, Profile of Mood States, the Multidimensional Scale of Perceived Social Support and the Post-Partum Bonding Questionnaire. Our data showed differences in emotional reactions between preterm and full-term parents. Results also revealed significant differences between mothers and fathers’ responses to preterm birth in terms of stress, negative feelings, and perceptions of social support. A correlation between negative conditions at birth (e.g., birth weight and Neonatal Intensive Care Unit stay) and higher scores in some scales of Impact of Event Scale Revised, Profile of Mood States and Post-Partum Bonding Questionnaire were found. Neonatal Intensive Care Unit may be a stressful place both for mothers and fathers. It might be useful to plan, as soon as possible, interventions to help parents through the experience of the premature birth of their child and to begin an immediately adaptive mode of care.

Costs of Neonatal Intensive Care for Canadian Infants with Preterm Birth

2020 ◽  
Author(s):  
Juan D. Rios ◽  
Prakesh S. Shah ◽  
Marc Beltempo ◽  
Deepak Louis ◽  
Amit Mukerji ◽  
...  
Keyword(s):  
Intensive Care ◽  
Preterm Birth ◽  
Neonatal Intensive Care

scholarly journals Capacity and Utilization in Health Care: The Effect of Empty Beds on Neonatal Intensive Care Admission

2016 ◽  
Vol 8 (2) ◽  
pp. 154-185 ◽  
Author(s):  
Seth Freedman
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Supply And Demand ◽  
Care Utilization ◽  
Intensive Care Admission ◽  
Medical Care Utilization ◽  
Term Variation ◽  
Admission Decisions ◽  
Causal Impact

Because geographic variation in medical care utilization is jointly determined by both supply and demand, it is difficult to empirically estimate whether capacity itself has a causal impact on utilization in health care. In this paper, I exploit short-term variation in Neonatal Intensive Care Unit (NICU) capacity that is unlikely to be correlated with unobserved demand determinants. I find that available NICU beds have little to no effect on NICU utilization for the sickest infants, but do increase utilization for those in the range of birth weights where admission decisions are likely to be more discretionary. (JEL I11, I12, I18, J13)

scholarly journals Cost of preterm birth during initial hospitalization: A care provider’s perspective

2019 ◽  
Author(s):  
Hadzri Zainal ◽  
Maznah Dahlui ◽  
Shahrul Aiman Soelar ◽  
Tin Tin Su
Keyword(s):  
Intensive Care ◽  
Preterm Birth ◽  
Preterm Infants ◽  
Care Provider ◽  
Neonatal Intensive Care ◽  
Cost Driver ◽  
Fixed Costs ◽  
Activity Based Costing ◽  
Initial Hospitalization ◽  
Provider Cost

ABSTRACTPreterm birth incidence has risen globally and remains a major cause of neonatal mortality despite improved survival. The demand and cost of initial hospitalization has also increased. This study assessed care provider cost in neonatal intensive care units of two hospitals in the state of Kedah, Malaysia. It utilized universal sampling and prospectively followed up preterm infants till discharge. Care provider cost was assessed using mixed method of top down approach and activity based costing. A total of 112 preterm infants were recruited from intensive care (93 infants) and minimal care (19 infants). Majority were from the moderate (23%) and late (36%) preterm groups followed by very preterm (32%) and extreme preterm (9%). Mean total cost per infant increased with level of care and degree of prematurity from MYR 2,751 (MYR 374 - MYR 10,103) for preterm minimal care, MYR 8,478 (MYR 817 - MYR 47,354) for late preterm intensive care to MYR 41,598 (MYR 25,351- MYR 58,828) for extreme preterm intensive care. Mean cost per infant per day increased from MYR 401 (MYR 363- MYR 534), MYR 444 (MYR 354 – MYR 916) to MYR 532 (MYR 443-MYR 939) respectively. Cost was dominated by overhead (fixed) costs for general (hospital), intermediate (clinical support services) and final (NICU) cost centers where it constituted at least three quarters of mean admission cost per infant while the remainder was consumables (variable) costs. Breakdown of overhead cost showed NICU specific overhead contributing at least two thirds of mean admission cost per infant. Personnel salary made up three quarters of NICU specific overhead. Laboratory investigation was the cost driver for consumables ranging from 29% (intensive care) to 84% (minimal care) of mean total consumables cost per infant. Gender, birth weight and length of stay were significant factors and cost prediction was developed with these variables.

scholarly journals The Development and Implementation of a Prenatal Education Program for Expectant Parents of Multiples

2015 ◽  
Vol 24 (2) ◽  
pp. 110-118 ◽  
Author(s):  
Joan Esper Kuhnly ◽  
Marion Juliano ◽  
Patricia Swider McLarney
Keyword(s):  
Intensive Care ◽  
Postpartum Depression ◽  
Teaching Strategies ◽  
Education Program ◽  
Neonatal Intensive Care ◽  
Late Pregnancy ◽  
Personal Perspective ◽  
Prenatal Education ◽  
Sources Of Support ◽  
Active Learner

ABSTRACTPreparing expectant parents of multiples required a unique prenatal education program. A thorough explanation of the course layout, curriculum, and content the faculty developed for this unique 9-hour program is presented. The unique implications for parenting multiples was highlighted throughout the program, which included expectations for late pregnancy, preparation for labor and birth, assuring infant safety, learning how to provide infant care, identifying sources of support, breastfeeding information and support, potential for neonatal intensive care, postpartum depression, and providing a multiple parent’s personal perspective. All classes were interactive and used active learner-based teaching strategies.

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