Six weeks that changed the preterm infant brain: lessons learned from the Family Nurture Intervention randomized controlled trials

Frontiers in Psychology, Journal Year: 2025, Volume and Issue: 15

Published: Jan. 7, 2025

Aim We review extensive results from two randomized controlled trials conducted over 9 years, comparing standard care (SC) in level-4 neonatal intensive units (NICUs) with SC plus Family Nurture Intervention (FNI). Methods FNI included ~six weeks of facilitated mother-infant interactions aimed at achieving ‘autonomic emotional connection’, a novel construct that describes the mother-baby relationship level autonomic nervous system. Results and conclusion Thus far, 18 peer-reviewed publications documented significant positive short-and long-term effects on infant neurobehavioral functioning, developmental trajectories both mother child health through five years. The observed profound central system function following relatively short intervention support theory emotions . discuss theoretical clinical advances grew out speculate how changes ‘dysregulation’ to co-regulation. new constructs tools can be used view measure relationship. present simple blueprint improve preterm birth outcomes. Finally, we significance our findings possible impact future worldwide.

Language: Английский

---

Beyond the embrace: a phenomenological qualitative exploration of the impact of kangaroo mother care (KMC) on couple relationships in China

BMJ Open, Journal Year: 2025, Volume and Issue: 15(2), P. e088636 - e088636

Published: Feb. 1, 2025

Objectives To explore the impact of kangaroo mother care (KMC), involving both mothers and fathers, on dynamics couple relationships. Design Qualitative phenomenological study. Setting A regional comprehensive centre for child healthcare. Participants 11 couples engaged in KMC with their infants. We created a semistructured interview guide to conduct face-to-face interviews separately wives husbands. The were audio-recorded transcribed verbatim, analysed using Braun Clarke’s thematic analysis technique. Results Analysis participants’ narratives revealed three pivotal themes: ‘strengthening relationship’, ‘role adaptation redefinition’ ‘conflicts resolution’. These themes collectively illustrated complex interplay between enhanced emotional intimacy, renegotiated parental roles navigation conflicts within context neonatal caregiving. Conclusions may have effects relationships beyond its immediate benefits infant. It potentially influence relational partners. Couples' experiences practices are multifaceted complex. Through intimate act KMC, experience deepening bonds, redefinition identities, encounter challenges opportunities conflict resolution. Adopting more holistic approach including attention couple’s relationship engaging is suggested.

Language: Английский

---

Context is key: New insights on barriers and facilitators influencing the implementation of skin-to-skin care in the pediatric cardiac intensive care unit

Journal of Neonatal Nursing, Journal Year: 2025, Volume and Issue: 31(3), P. 101641 - 101641

Published: March 6, 2025

Language: Английский

---

Effects of kangaroo mother care restrictions during the COVID-19 pandemic on feeding and physiological parameters in preterm neonates: a cohort study

Revista da Associação Médica Brasileira, Journal Year: 2025, Volume and Issue: 71(1)

Published: Jan. 1, 2025

This research investigates the impact of kangaroo mother care restrictions on feeding and physiological parameters in preterm newborns during COVID-19 pandemic. A retrospective cohort design was used, including 169 neonates born at 30-34 weeks gestation, recruited from a Neonatal Intensive Care Unit Denizli, Turkiye. The study compared group (n=78) care-restricted (n=91). Data analysis conducted using chi-square test, Fisher's exact t-test. average duration until initiation full oral shorter (mean difference=4.58, 95%CI 0.61-8.43, p=0.020). Newborns had higher likelihood reverting to gavage (OR 6.59, 2.98-14.58, p=0.000), withdrawal rates 3.36, 1.59-7.09, p=0.001). experienced significantly lower apnea attacks 3.29, 1.52-7.09, p=0.002), tachycardia 4.43, 1.54-12.76, p=0.004), desaturation 3.43, 1.70-6.93, p=0.000). highlights positive effects newborns' parameters. It is recommended that be consistently provided all newborns, even exceptional circumstances such as pandemics.

Language: Английский

---

Effects of home-based integrated sensory stimulation program to preterm infants on parents’ depression and anxiety: a randomized controlled trial

Global Health Action, Journal Year: 2025, Volume and Issue: 18(1)

Published: May 2, 2025

Preterm parents face higher risks of postpartum depression and anxiety, affecting bonding infant development. Sensory stimulation shows promise, but its long-term impact on parental mental health needs further study. This study aimed to evaluate whether a home-based integrated sensory program, administered preterm infants by their parents, could alleviate issues enhance maternal parenting competence. The including tactile, auditory, visual, gustatory, olfactory stimuli, was assessed in block-randomized controlled trial from November 2018 January 2020. A total 200 were recruited, the intervention continued at home until reached six months corrected age. Parents' anxiety using validated scales baseline, first, third, sixth month follow-ups. group included 98 control comprised 102 parents. At six-month follow-up, demonstrated significant improvements depression, state trait compared group. In mixed linear model, associated with reductions (d =-2.18; 95% CI: -4.30, -0.06), paternal =-3.37; -5.62, -1.11) =-4.63; -7.00, -2.26). when provided infants, effective improving parents' can serve as an alternative treatment for home.

Language: Английский

---

The effect of early skin-to-skin contact on pain and anxiety during episiotomy repair: A systematic review and meta-analysis of randomized controlled trials

Midwifery, Journal Year: 2025, Volume and Issue: unknown, P. 104460 - 104460

Published: May 1, 2025

Language: Английский

---

Practice of Kangaroo Mother Care: Unveiling Implementation Among Healthcare Providers in Sokoto, North-Western Nigeria

Deleted Journal, Journal Year: 2024, Volume and Issue: 10(1), P. 37 - 47

Published: June 30, 2024

Purpose – To assess the proportion of Health Care Providers (HCPs) in Sokoto practicing Kangaroo Mother (KMC) their various health facilities and identify barriers to KMC practice among HCPs Sokoto. The purpose this research is evaluate extent adoption uncover obstacles that hinder its effective implementation. Design/methods/approach A cross-sectional descriptive study was conducted 80 who attended World Prematurity Day celebration 2022. program held at Medical Workers Union office, Tamaje, Sokoto, on December 2, structured questionnaire comprising both open close-ended questions used. Data obtained were analyzed using SPSS version 25. Findings mean age 32.9±7.6 years, with majority, 30 (37.5%), having less than five years working experience. Of respondents, 41 (51.3%) nurses, 9 (11.2%) doctors, 16 (20.0%) midwives. Forty-three (53.7%) practiced KMC. most common implementing lack privacy for mothers (23, 28.8%), space (21, 26.3%), cultural reasons (19, 23.8%), skills (16, 20.0%). factors associated previous training tertiary hospitals (p<0.05). Research implications/limitations This implies mitigate hospitals, need be trained acquire KMC, rooms ensure should available facilities. Practical implications –By identifying addressing such as privacy, space, skills, can improve effectiveness practices. Originality/value reduces morbidity mortality Low Birth Weight (LBW) infants, making it crucial countries scarce resources adopt practice. Healthcare providers play a vital role educating, supporting, assisting hospital continue home after discharge. Paper type paper

Language: Английский

---

Validation of a revised instrument to assess implementation readiness of skin-to-skin care in acute or intensive care for neonates born with complex congenital heart disease

Journal of Neonatal Nursing, Journal Year: 2024, Volume and Issue: unknown

Published: July 1, 2024

Language: Английский

---

Pain and Age

Springer eBooks, Journal Year: 2024, Volume and Issue: unknown, P. 237 - 267

Published: Jan. 1, 2024

Language: Английский

---

Cognitive and motor improvement by tummy time practice in preemies from low-income settings: a randomized clinical trial

Frontiers in Psychology, Journal Year: 2024, Volume and Issue: 15

Published: Sept. 18, 2024

Introduction Early intervention and parental education for preemies are limited in some low-income countries. Thus, this study aimed to assess whether daily tummy time (TT) associated with usual care (UC) enhances motor cognitive development from The main secondary aim was prone head elevation (PHE) functions, respectively. Methods Thirty-one a mean gestational age at birth of 33.3 ± 1.6 weeks weighing &lt;2,500 g were included 18 completed all assessments. Parents the TT group asked perform their least 20 min during activities playtime. Motor functions assessed by blinded examiner using composite scores Bayley-III after two four months corrected age. PHE given angle tragus ear supporting surface infant; measurements obtained Kinovea® software baseline, two, three, Results score higher than UC increased over but did not differ between groups. Discussion Nevertheless, expanded perspective explore bodies environment, favoring stimuli patterns. loss participants (31%) one limitations study, illustrating challenge providing continued early interventions In sense, practice is home that may improve function immediately hospital discharge.

Language: Английский

---