scholarly journals An Early Collaborative Intervention Focusing on Parent-Infant Interaction in the Neonatal Period. A Descriptive Study of the Developmental Framework

Author(s):  
Charlotte Sahlén Helmer ◽  
Ulrika Birberg Thornberg ◽  
Evalotte Mörelius

Moderate to late preterm infants are at risk of developing problems later in life. To support attachment and infants’ development, high quality parent-infant interaction is important. Parent-infant interaction is known to improve through intervention programs but since no such intervention program is addressed directly to moderate to late preterm infants, a tailor-made intervention was developed. The aim was to describe the rationale, development, framework and practical provision of a new early collaborative intervention program. This study has a descriptive design and the intervention is described using the Template for Intervention Description and Replication. During an intervention-session, the preterm infant’s cues are made visible to the parents as they perform an everyday care-taking procedure. Instant feedback is delivered to give the parents the opportunity to notice, interpret and respond to cues immediately. The infant’s response to the parent’s action is discussed in a dialogue to instantly guide parents´ awareness of the preterm infant’s subtle cues. This study describes a new early collaborative intervention, developed to support interaction between parents and their moderate to late preterm infants starting in the neonatal intensive care unit. Clinical studies evaluating parental experiences as well as the effects of the early intervention are ongoing, ClinicalTrials.gov NCT02034617.

Author(s):  
Jonathan Reiss ◽  
Pavan S. Upadhyayula ◽  
Hyeri You ◽  
Ronghui Xu ◽  
Lisa M. Stellwagen

Abstract Objective The study compares the short-term outcomes of late preterm infants (LPI) at an academic center in San Diego, California after a change in protocol that eliminated a previously mandatory 12-hour neonatal intensive care unit (NICU) observation period after birth. Study Design This is a retrospective observational study examining all LPI born with gestational age 35 to 366/7 weeks between October 1, 2016 and October 31, 2017. A total of 189 infants were included in the review. Short-term outcomes were analyzed before and after the protocol change. Results Transfers to the NICU from family-centered care (FCC) were considerably higher (23.2%) following the protocol change, compared to before (8.2%). More infants were transferred to the NICU for failed car seat tests postprotocol compared to preprotocol. Length of stay before the protocol change was 5.13 days compared to 4.80 days after. Conclusion LPI are vulnerable to morbidities after delivery and through discharge. We found an increase in failed car seat tests in LPI cared for in FCC after elimination of a mandatory NICU observation after birth. The transitions of care from delivery to discharge are key checkpoints in minimizing complications.


Author(s):  
Jackie Boylan ◽  
Fiona A Alderdice ◽  
Jennifer E McGowan ◽  
Stanley Craig ◽  
Oliver Perra ◽  
...  

PEDIATRICS ◽  
2012 ◽  
Vol 130 (5) ◽  
pp. e1105-e1112 ◽  
Author(s):  
J. E. McGowan ◽  
F. A. Alderdice ◽  
J. Doran ◽  
V. A. Holmes ◽  
J. Jenkins ◽  
...  

2012 ◽  
Vol 97 (Suppl 2) ◽  
pp. A366-A366
Author(s):  
I. Celik ◽  
G. Demirel ◽  
F. Canpolat ◽  
U. Dilmen

2015 ◽  
Vol 22 (4) ◽  
pp. 1-8
Author(s):  
Heidi K. Al-Wassia

The objective of this study is to ascertain risk factors and outcomes associated with late preterm birth. A 1:1 matched case-control study of mothers who delivered at 34+0 to 36+6 weeks gestation (cases) and at term (controls) at King Abdulaziz University Hospital, Jeddah, Saudi Arabia between June 1st, 2014 and March 30th, 2015. We enrolled 53 cases and 53 controls. Mothers of late preterm infants were older (p = 0.03), with higher parity (p = 0.04), body mass index (p = 0.01) and multiple pregnancies (p = < 0.001) compared to mothers of infants born at term. A higher proportion of hypertension and (p = 0.01) and premature rupture of membrane (p = < 0.001) preceded late preterm deliveries. Cesarean section frequency was greater in late preterm infants (p = 0.002). Late preterm infants were admitted to the neonatal intensive care unit more frequently than their term counterparts (p = < 0.001), had more respiratory adverse outcomes (p = 0.006) and longer hospital stay (p = 0.001). Late preterm birth is a substantial perinatal health problem warranting a closer look at eff orts to improve prenatal care strategies to reduce risk factors associated with it and prevent non-medically indicated premature birth.


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