Acta Paediatrica, Journal Year: 2024, Volume and Issue: unknown
Published: Nov. 18, 2024
To evaluate the effect of couplet care on parent-infant closeness among preterm infants.
Language: Английский
Children, Journal Year: 2024, Volume and Issue: 11(11), P. 1407 - 1407
Published: Nov. 20, 2024
Affective touch is crucial in infant development, particularly regulating emotional, cognitive, and physiological processes. Preterm infants are often deprived of essential tactile stimulation owing to their early exposure the external environment, which may affect long-term developmental outcomes. This review aimed examine neurobiological mechanisms affective highlight effective interventions, such as skin-to-skin contact (SSC) kangaroo care (KC), promote development preterm infants.
Language: Английский
Citations
12
International Breastfeeding Journal, Journal Year: 2025, Volume and Issue: 20(1)
Published: Jan. 2, 2025
Abstract Background Emerging knowledge about supportive neurodevelopmental neonatal care shows the need for an individual approach to establish breastfeeding. However, evidence on how cue-based breastfeeding is supported in intensive units (NICUs) scarce. Therefore, aim was describe supporting practices Method Through Delphi rounds, a questionnaire developed comprising questions usage and occurrence of A multinational online survey distributed September October 2023 NICUs Europe using snowball sampling. Practices such as practice skin-to-skin contact (SSC), restrictions breastfeeding, providing information parents, observing responding infants’ cues were explored. Results The completed by 105 across 15 European countries. Less than half (46%) had no upon placing infant SSC with parents. Approximately (49%) stated that infants within first hour after birth. Many (68%) some restriction One week birth, 48% encouraged at 33 postmenstrual age whenever showed cues, regardless scheduled tube feeding time. This percentage increased 59% 33–35 gestational age. (47%) they necessary tools/instruments support transition from There variations milk intake assessed, weighing before or estimating time spent sucking. Infants 50% be fed exclusively orally discharge. (65%) provided specific enabled discharge fed. Conclusion employ practices, SSC, early initiation provide Staff plays significant role fostering preterm infant-mother dyads. still exist To understand impact different strategies there evaluations parents testing implementation care.
Language: Английский
Citations
1
Brain Research Bulletin, Journal Year: 2024, Volume and Issue: 217, P. 111058 - 111058
Published: Aug. 27, 2024
The establishment of positive early parent-infant relationships provide essential nourishment and social stimulation for newborns. During the stages postnatal brain development, events such as synaptogenesis, neuronal maturation glial differentiation occur in a highly coordinated manner. Maternal separation, an early-life stress introducer, can disrupt formation parent-child bonds exert long-term adverse effects throughout life. When offspring are exposed to maternal body regulates separation through multiple mechanisms, including neuroinflammatory responses, neuroendocrinology, electrical activity. In adulthood, has effects, induction neuropsychiatric disorders anxiety, depression, cognitive dysfunction. This review summarized application models mechanisms system response disorders, serving both reminder inspiration approaches improve neonatal care, "from bench bedside".
Language: Английский
Citations
6
Frontiers in Psychology, Journal Year: 2024, Volume and Issue: 15
Published: July 9, 2024
In 2023, the World Health Organization (WHO) published a Global Position Paper on Kangaroo Mother Care (KMC), which is applicable to all countries worldwide: from moment of birth, every "small and sick" newborn should remain with mother in immediate continuous skin-to-skin contact (SSC), receiving required clinical care that place. This was prompted by startling results randomized controlled trial 2021: 1,609 infants SSC were compared 1,602 controls separated their mothers but otherwise received identical conventional state-of-the-art care. The intervention showed 25% reduction mortality after 28 days.
Language: Английский
Citations
5
Advances in Neonatal Care, Journal Year: 2025, Volume and Issue: 25(2), P. 129 - 137
Published: March 14, 2025
Kangaroo care (KC) is essential for both the infant's health and mother's well-being. The purpose of this quality improvement (QI) project to implement a practice change that aligns neonatal intensive unit's (NICU) KC policy with most recent World Health Organization guidelines, potentially improving outcomes preterm very low birth-weight infants. aims were revise current policy, create pamphlet parent distribution regarding awareness, increase number sessions by 20% duration in minutes 50% eligible infant-mother dyads following implementation updated policy. A framework developed published Guenther et al guided intervention readiness delivery action sequence project. assessment was made through successful workgroup participation consisting 5 direct registered nurses leader. Pre-/post-practice interventions assessed comparing KC-eligible daily census, if performed, average individual minutes. After an newly created pamphlet, there 58.1% offered 140% duration. Expanding role NICU may decrease NICU-associated morbidities, thereby decreasing healthcare costs. This project's findings serve as model other units expand their practices.
Language: Английский
Citations
0
JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(4), P. e255467 - e255467
Published: April 16, 2025
Importance Preterm neonates are at risk for neurodevelopmental impairments, and there is a need to identify protective factors that can modify the harmful effects of preterm birth on immature brain. Objective To evaluate whether immediate skin-to-skin contact (SSC) improves early childhood outcomes. Design, Setting, Participants This open-label randomized clinical trial was conducted in 3 Norwegian neonatal units between February 2014 October 2020. were born 28 weeks 0 days’ 31 6 gestation with weight greater than 1000 g no major congenital malformations or intubation oxygen supplementation more 40%. Intention-to-treat analysis from July 2023 2024. Intervention Neonates 1:1 SSC mother neonate delivery room 2 hours standard care direct transport unit an incubator. Main Outcomes Measures The primary outcome cognitive development years age, measured by Bayley Scales Infant Toddler Development, Third Edition (BSID-III). Secondary outcomes language motor neurodevelopment BSID-III, parental questionnaires 12 months years, breastfeeding practices up months. Results Of 108 included (68 [63%] male; mean [SD] gestational 30 days [1 week 1 day]), 51 received 57 care. Eighty-six (80%) had follow-up 81 (75%) completed BSID-III analyzed outcome. difference composite scores 0.21 (95% CI, −5.26 5.68; P = .94). There groups proportion developmental delay years: 21 41 (51%) 22 45 (49%) groups, respectively (odds ratio, 1.10 [95% 0.47-2.56]; .83). More group breastfed hospital discharge (42 50 [84%] vs 36 54 [67%]; .04). Conclusions Relevance In this trial, mother-neonate did not enhance age. However, demonstrated improved compared care, suggesting feasible low-cost intervention should be encouraged practice. Trial Registration ClinicalTrials.gov Identifier: NCT02024854
Language: Английский
Citations
0
Journal of Affective Disorders, Journal Year: 2025, Volume and Issue: 383, P. 323 - 332
Published: April 29, 2025
Mental health issues are common in parents to preterm infants. In the neonatal intensive care unit (NICU), skin-to-skin contact (SSC) as an avenue for parent-infant closeness may improve parental mental health. Few studies exist regarding its benefits when initiated immediately postbirth. The aim was determine effect of SSC very infants at birth on parents' health, by assessing symptoms depression and anxiety within first year. Immediate Parent-Infant Skin-to-Skin Study a randomized clinical trial conducted 2018-2021 three NICUs Sweden Norway. Very (28-33 weeks gestation) were allocated standard incubator or with either parent, continued throughout 6 h. Symptoms assessed Edinburgh Postnatal Depression Scale Spielberger State-Trait Anxiety Inventory. study included 91 (36 twins [40 %]) 73 mothers fathers. Infants had mean gestational age 31 + 1 birthweight 1534 g. found significantly reduce fathers one week after term-equivalent infant. Limitations include small sample size limited background data prenatal anxiety. following provide protective should be supported setting, alongside necessary nursing, medical care.
Language: Английский
Citations
0
Cahiers de la Puéricultrice, Journal Year: 2024, Volume and Issue: 61(378), P. 14 - 18
Published: June 1, 2024
Citations
1
Frontiers in Psychology, Journal Year: 2024, Volume and Issue: 15
Published: Nov. 11, 2024
Premature birth may impair a sensitive, responsive, enjoyable, and regulating parenting style, potentially leading to behavioral, cognitive, emotional deficits in children. Additionally, the bond between parent infant be disturbed due restrictions difficulties at neonatal intensive care unit (NICU), further negatively impacting child development. Skin-to-skin contact (SSC) directly after is strongly recommended also for preterm or low weight infants since there high-certainty evidence that SSC has positive effects on maternal health as well quality of parent-child relationship. The aim this study was examine effect skin-to-skin immediately childbirth development behavioral problems children born entering school.
Language: Английский
Citations
0
Acta Paediatrica, Journal Year: 2024, Volume and Issue: unknown
Published: Nov. 12, 2024
To evaluate the safety and tolerance of elective extubations in preterm newborns (PNB) during skin-to-skin care (SSC) compared to those performed an incubator.
Language: Английский
Citations
0