scholarly journals Long-term cognitive, executive, and behavioral outcomes of moderate and late preterm at school age

2020 ◽  
Vol 63 (6) ◽  
pp. 219-225 ◽  
Author(s):  
Ju Hyun Jin ◽  
Shin Won Yoon ◽  
Jungeun Song ◽  
Seong Woo Kim ◽  
Hee Jung Chung
Keyword(s):  
Executive Function ◽  
Preterm Infants ◽  
Behavioral Problems ◽  
Chromosomal Abnormalities ◽  
Attention Problems ◽  
Late Preterm ◽  
School Age ◽  
Late Preterm Infants ◽  
The Mean ◽  
Borderline Intelligence

Background: There is increasing concern that moderate preterm (32–33 weeks’ gestation) and late preterm (34–36 weeks’ gestation) birth may be associated with minor neurodevelopmental problems affecting poor school performance.Purpose: We explored the cognitive function, cognitive visual function, executive function, and behavioral problems at schoolage in moderate to late preterm infants.Methods: Children aged 7–10 years who were born at 32+0 to 36+6 weeks of gestation and admitted to the neonatal intensive care unit from August 2006 to July 2011 at the National Health Insurance Service Ilsan Hospital were included. We excluded children with severe neurologic impairments, congenital malformations, or chromosomal abnormalities. Neuropsychological assessments consisted of 5 neuropsychological tests and 3 questionnaires.Results: A total of 37 children (mean age, 9.1±1.2 years) participated. The mean gestational age at birth was 34.6±7.5 weeks, while the mean birth weight was 2,229.2±472.8 g. The mean full-scale intelligence quotient was 92.89±11.90; 24.3% scored between 70 and 85 (borderline intelligence functioning). An abnormal score was noted for at least one of the variables on the attention deficit hyperactivity disorder diagnostic system for 65% of the children. Scores below borderline function for executive quotient and memory quotient were 32.4% and 24.3%, respectively. Borderline or clinically relevant internalizing problems were noted in 13.5% on the Child Behavior Check List. There were no significant associations between perinatal factors or socioeconomic status and cognitive, visual perception, executive function, or behavior outcomes.Conclusion: Moderate to late preterm infants are at risk of developing borderline intelligence functioning and attention problems at early school age. Cognitive and executive functions that are important for academic performance must be carefully monitored and continuously followed up in moderate to late preterm infants.

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

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.

School-age outcomes of late preterm infants in New York City

2012 ◽  
Vol 206 (3) ◽  
pp. 222.e1-222.e6 ◽  
Author(s):  
Heather S. Lipkind ◽  
Meredith E. Slopen ◽  
Melissa R. Pfeiffer ◽  
Katharine H. McVeigh
Keyword(s):  
New York ◽  
New York City ◽  
Preterm Infants ◽  
York City ◽  
Late Preterm ◽  
School Age ◽  
Late Preterm Infants

scholarly journals Early skin-to-skin contact between healthy late preterm infants and their parents: an observational cohort study

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3949 ◽  
Author(s):  
Kerstin H. Nyqvist ◽  
Andreas Rosenblad ◽  
Helena Volgsten ◽  
Eva-Lotta Funkquist ◽  
Elisabet Mattsson
Keyword(s):  
Cohort Study ◽  
Preterm Infants ◽  
Linear Regression Analysis ◽  
Observational Cohort Study ◽  
Late Preterm ◽  
Late Preterm Infants ◽  
Skin Contact ◽  
Observational Cohort ◽  
The Mean ◽  
Skin To Skin

Background Skin-to-skin contact (SSC) is an important factor to consider in the care of late preterm infants (born between 34 0/7 and 36 6/7 completed weeks of gestation). The literature suggests that SSC between preterm infants and their mothers facilitates breastfeeding. However, more studies are needed to explore potential dose-response effects between SSC and breastfeeding as well as studies that explicitly investigate SSC by fathers among late preterm infants. The aim was to investigate the duration of healthy late preterm infants’ SSC with the mother and father, respectively, during the first 48 h after birth and the associations with breastfeeding (exclusive/partial at discharged), clinical and demographic variables. Methods This was an observational cohort study in which parents to healthy late preterm infants, born between 34 5/7 and 36 6/7 completed weeks of gestation, recorded duration of SSC provided by mother and father, respectively. Demographic and clinical variables were retrieved from the medical records and were used as predictors. Multiple linear regression analysis was used to assess the association between the predictors and the outcome, SSC (hours), separately for mothers and fathers. Results The mean (standard deviation [SD]) time per day spent with SSC with mothers (n = 64) and fathers (n = 64), was 14.7 (5.6) and 4.4 (3.3) hours during the first day (24 h) after birth and 9.2 (7.1) and 3.1 (3.3) hours during the second day (24 h), respectively. Regarding SSC with mothers, no variable was significantly associated with SSC during the first day, while the mean (95% confidence interval [CI]) time of SSC during the second day was 6.9 (1.4–12.4) hours shorter for each additional kg of birthweight (p = 0.014). Concerning SSC with fathers, the mean (95% CI) time of SSC during the first day was 2.1 (0.4–3.7) hours longer for infants born at night (p = 0.015), 1.7 (0.1–3.2) hours longer for boys (p = 0.033), 3.2 (1.2–5.2) hours longer for infants born by caesarean section (p = 0.003), and 1.6 (0.1–3.1) hours longer for infants exclusively breastfed at discharge (p = 0.040). During the second day, the mean (95% CI) time of SSC with fathers was 3.0 (0.6–5.4) hours shorter for each additional kg of birthweight (p = 0.014), 2.0 (0.5–3.6) hours longer for infants born during night-time (p = 0.011), 2.9 (1.4–4.4) hours longer if the mother was primipara (p < 0.001), and 1.9 (0.3–3.5) hours shorter if supplementary artificial milk feeds were given. None of the other predictors, i.e., mother’s age, gestational age, or induction of labor were significantly associated with infants’ SSC with mothers or fathers during any of the first two days after birth. Conclusion Future studies are warranted that investigate duration of SSC between late preterm infants and their parents separately and the associations with breastfeeding and other variables of clinical importance.

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.

26: School-age outcomes of late preterm infants by delivery indication

2013 ◽  
Vol 208 (1) ◽  
pp. S17
Author(s):  
Heather Lipkind ◽  
Meredith Slopen ◽  
Katharine McVeigh
Keyword(s):  
Preterm Infants ◽  
Late Preterm ◽  
School Age ◽  
Late Preterm Infants

Early School-Age Outcomes of Late Preterm Infants

PEDIATRICS ◽  
2009 ◽  
Vol 123 (4) ◽  
pp. e622-e629 ◽  
Author(s):  
S. B. Morse ◽  
H. Zheng ◽  
Y. Tang ◽  
J. Roth
Keyword(s):  
Preterm Infants ◽  
Late Preterm ◽  
School Age ◽  
Late Preterm Infants ◽  
Early School ◽  
Early School Age

64: School-age outcomes of late preterm infants

2011 ◽  
Vol 204 (1) ◽  
pp. S37-S38 ◽  
Author(s):  
Heather S. Lipkind ◽  
Meredith E. Slopen ◽  
Melissa R. Pfeiffer ◽  
Katharine H. McVeigh
Keyword(s):  
Preterm Infants ◽  
Late Preterm ◽  
School Age ◽  
Late Preterm Infants

scholarly journals Correlation between Perfusion Index and Left Ventricular Output in Healthy Late Preterm Infants

2021 ◽  
Author(s):  
Nilay Hakan ◽  
Ayça Aytekin ◽  
Özkan İlhan ◽  
Mustafa Aydin ◽  
Haşim Olgun
Keyword(s):  
Preterm Infants ◽  
Left Ventricular ◽  
Perfusion Index ◽  
Late Preterm ◽  
Microvascular Blood Flow ◽  
Systemic Hemodynamic ◽  
Late Preterm Infants ◽  
Preterm Babies ◽  
Left Ventricular Output ◽  
The Mean

Abstract The perfusion index (PI) is a noninvasive marker derived from photoelectric plethysmographic signals in pulse oximetry in the evaluation of peripheral perfusion. This study was aimed to determine the correlation between PI and left ventricular output (LVO) in healthy late preterm infants at 48th hour of life. With new generation pulse oximeter [MASIMO Rad 7 Oximeter] pre- and post-ductal PI values were recorded from healthy late preterm babies at the 48th hour of life. PI was determined simultaneously with LVO as measured by transthoracic echocardiography. A total of 50 late preterm babies were included in the study. The mean gestational age of the cases was 35.4 ± 0.7 weeks and the birth weight was 2586 ± 362 g. Mean pre- and post-ductal PI values at the postnatal 48th hour of babies’ life were found to be 2.0 ± 0.9 and 1.7 ± 1.1. The mean LVO value was 438 ± 124, LVO/kg 175 ± 50. When the LVO value was normalized according to the babies’ body weight, there was no statistically significant correlation between the pre- and post-ductal PI and the LVO / kg value (r < 0.2, p > 0.05 in both comparisons). Conclusion: There was no correlation between pre- and post-ductal PI and LVO values in healthy late preterm infants. This may be due to the failure of the LVO, a systemic hemodynamic parameter, to accurately reflect microvascular blood flow due to incomplete maturation of the sympathetic nervous system involved in the regulation of peripheral tissue perfusion in preterm babies.

Breastfeeding Self-Efficacy and Its Relationship with Perceived Stress and Breastfeeding Performance in Iranian Mothers with Late Preterm Infants: A Prospective Study

2021 ◽  
Vol 17 ◽  
Author(s):  
Akram Kahforoushan ◽  
Shirin Hasanpour ◽  
Mojgan Mirghafourvand
Keyword(s):  
Regression Analysis ◽  
Standard Deviation ◽  
Preterm Infants ◽  
Perceived Stress ◽  
Self Efficacy ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Late Preterm ◽  
Late Preterm Infants ◽  
The Mean

Background: Late preterm infants suffer from several problems after birth, and the key factor in fighting these problems is effective breastfeeding. Objective: To determine breastfeeding self-efficacy and its relationship with perceived stress and assess breastfeeding performance in mothers with late preterm infants Methods: In this prospective study, 171 eligible nursing mothers with late preterm infants born in Alzahra Medical Center of Tabriz, Iran, were selected via convenience sampling. The Breastfeeding Self-Efficacy Scale-Short Form was employed to measure breastfeeding self-efficacy, and the 14-item Perceived Stress Scale was used to measure the perceived stress 24 hours after giving birth. When the child was 4 months old, 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 analysis. Results: The mean (standard deviation) of breastfeeding self-efficacy was 50.0 (7.8) with scores ranging from 13 to 65, and the mean (standard deviation) of perceived stress was 26.5 (8.8) with scores ranging from 0 to 56. The median (25-75 percentiles) of breastfeeding performance score equaled 2.0 (1.0 to 3.0) with scores ranging from 0 to 6. Based on multiple linear regression analysis and after adjusting the personal-social characteristics, by increasing the score of breastfeeding self-efficacy, perceived stress was significantly decreased (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). Conclusion: Due to the possibility of adjusting breastfeeding self-efficacy and its role in mothers’ perceived stress, developing proper strategies seems to be essential for enhancing breastfeeding self-efficacy.

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