Neonatal Care Unit Interventions on Preterm Development DOI Creative Commons

Alexia Séassau,

Pascale Munos,

Catherine Gire

et al.

Children, Journal Year: 2023, Volume and Issue: 10(6), P. 999 - 999

Published: June 2, 2023

Prematurity is becoming a real public health issue as more and children are being born prematurely, alongside higher prevalence of neurodevelopmental disorders. Early intervention programs in Neonatal Intensive Care Units (NICUs) correspond to these uni- or multi-sensorial solicitations aiming prevent detect complications order support the development preterm infants. This article aims distinguish sensory according gradient type solicitations, multi-modal, function person who performs interventions. Uni-sensorial interventions essentially based on proprioceptive, gustatory, odorant solicitations. They allow, particular, reduction apneas that vegetative states infant. On other hand, benefits multi-sensory seem have longer-term impact. Most them allow transition from passive active feeding, an increase weight, improvement sleep-wake cycles. These often practiced by caregivers, but parents appears optimal since they main co-regulators their child's needs. Thus, it necessary co-construct train this neonatal care.

Language: Английский

Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019 DOI Creative Commons
Ashley Darcy Mahoney, Robert D. White, Annalyn Velasquez

et al.

Journal of Perinatology, Journal Year: 2020, Volume and Issue: 40(S1), P. 36 - 46

Published: Aug. 28, 2020

To determine the relationship between emergence of COVID-19 and neonatal intensive care unit (NICU) family presence as well how NICU design affects these changes.

Language: Английский

Citations

141
The human gut microbiome and health inequities DOI Creative Commons
Katherine R. Amato, Marie‐Claire Arrieta, Meghan B. Azad

et al.

Proceedings of the National Academy of Sciences, Journal Year: 2021, Volume and Issue: 118(25)

Published: June 14, 2021

Individuals who are minoritized as a result of race, sexual identity, gender, or socioeconomic status experience higher prevalence many diseases. Understanding the biological processes that cause and maintain these socially driven health inequities is essential for addressing them. The gut microbiome strongly shaped by host environments affects metabolic, immune, neuroendocrine functions, making it an important pathway which differences in experiences caused social, political, economic forces could contribute to inequities. Nevertheless, few studies have directly integrated into investigations Here, we argue accounting host-gut microbe interactions will improve understanding management inequities, policy must begin consider linking population health.

Language: Английский

Citations

130
Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants DOI

Jane Orton,

Lex W. Doyle, Tanya Tripathi

et al.

Cochrane library, Journal Year: 2024, Volume and Issue: 2024(2)

Published: Feb. 13, 2024

Language: Английский

Citations

35
Trauma-informed care in the newborn intensive care unit: promoting safety, security and connectedness DOI Creative Commons
Marilyn R. Sanders, Sue Hall

Journal of Perinatology, Journal Year: 2017, Volume and Issue: 38(1), P. 3 - 10

Published: Aug. 17, 2017

Both babies and their parents may experience a stay in the newborn intensive care unit (NICU) as traumatic or ‘toxic stress,’ which can lead to dysregulation of hypothalamic–pituitary–adrenal axis ultimately poorly controlled cortisol secretion. Toxic stresses childhood adverse experiences (ACEs) are strongly linked poor health outcomes across lifespan trauma-informed is an approach caregiving based on recognition this relationship. Practitioners seek understand clients’ patients’ behaviors light previous traumas they have experienced, including ACEs. also provide supportive that enhances client’s patient’s feelings safety security, prevent re-traumatization current situation potentially overwhelm coping skills. This review will apply principles care, within framework Polyvagal Theory described by Porges, for NICU baby, baby’s family professional caregivers, emphasizing importance social connectedness among all. The explains how one’s unconscious awareness safety, danger life threat (neuroception) through autonomic nervous system behavioral responses. A phylogenetic hierarchy evolved over time, leveraging mammalian ventral ‘smart’ vagal nucleus into repertoire responses promoting mother–baby co-regulation sense security supports well-being both members dyad. Fostering mutual reciprocal parents, baby staff creates critical buffer mitigate stress improve parents. Using techniques explained Theory, with setting help cement secure relationship between parent–infant dyad, redirecting developmental trajectory toward long-term all members.

Language: Английский

Citations

151
Parenting and Child Development: A Relational Health Perspective DOI Open Access
Cynthia A. Frosch, Sarah J. Schoppe‐Sullivan, David O’Banion

et al.

American Journal of Lifestyle Medicine, Journal Year: 2019, Volume and Issue: 15(1), P. 45 - 59

Published: May 26, 2019

A child’s development is embedded within a complex system of relationships. Among the many relationships that influence children’s growth and development, perhaps most influential one exists between parent child. Recognition critical importance early parent-child relationship quality for socioemotional, cognitive, neurobiological, health outcomes has contributed to shift in efforts identify relational determinants child outcomes. Recent extend models field highlight role parent, child, contextual factors play supporting maintenance healthy This review presents perspective on with an emphasis socioemotional childhood, along brief attention obesity eating behavior as relationally informed outcome. Also emphasized here parent–health care provider context families well screening intervention support optimal families, goal improving mental physical our communities.

Language: Английский

Citations

107
Revisiting the roots of attachment: A review of the biological and psychological effects of maternal skin-to-skin contact and carrying of full-term infants DOI
Henrik Norholt

Infant Behavior and Development, Journal Year: 2020, Volume and Issue: 60, P. 101441 - 101441

Published: June 27, 2020

Language: Английский

Citations

99
NICU Hospitalization: Long-Term Implications on Parenting and Child Behaviors DOI
Rachel E. Lean, Cynthia Rogers, Rachel Paul

et al.

Current Treatment Options in Pediatrics, Journal Year: 2018, Volume and Issue: 4(1), P. 49 - 69

Published: Jan. 23, 2018

Language: Английский

Citations

97
Autonomic regulation of preterm infants is enhanced by Family Nurture Intervention DOI
Stephen W. Porges, Maria I. Davila, Gregory F. Lewis

et al.

Developmental Psychobiology, Journal Year: 2019, Volume and Issue: 61(6), P. 942 - 952

Published: March 13, 2019

Abstract Preterm infants have maturational delays in several neurobehavioral systems. This study assesses the impact of Family Nurture Intervention (FNI) neonatal intensive care unit (NICU) on maturation autonomic regulation preterm infants. born at 26–34 weeks postmenstrual age (PMA) were assigned to groups receiving either standard (SC) or SC plus FNI, using a randomized controlled trial design. At two collection time points, approximately 35 and 41 PMA, electrocardiograms (ECG) monitored for 1 hour during sleep. Heart rate respiratory sinus arrhythmia (RSA) quantified from ECG. Across FNI group exhibited greater increases RSA (Cohen's d = 0.35) slope between heart rate, as measure vagal efficiency 0.62). These results document that resulted enhanced consistent with cardiac function. previous findings strongly suggest facilitating early nurturing interactions emotional connection their mothers is practicable effective means optimizing postnatal development Interpretation these function also enriches our understanding potential long‐term beneficial outcomes by drawing upon polyvagal theory, which explains how state provides neurophysiological platform optimal co‐regulation infant caregiver, calming cycle model repeated mother/infant positively condition reinforce approach, prosocial behaviors.

Language: Английский

Citations

90
Premature Birth and Developmental Programming: Mechanisms of Resilience and Vulnerability DOI Creative Commons
Femke Lammertink, Christiaan H. Vinkers,

Maria L. Tataranno

et al.

Frontiers in Psychiatry, Journal Year: 2021, Volume and Issue: 11

Published: Jan. 8, 2021

The third trimester of pregnancy represents a sensitive phase for infant brain plasticity when series fast-developing cellular events (synaptogenesis, neuronal migration, and myelination) regulates the development neural circuits. Throughout this dynamic period growth development, human is susceptible to stress. Preterm infants are born with an immature are, while admitted neonatal intensive care unit, precociously exposed stressful procedures. Postnatal stress may contribute altered programming brain, including key systems such as hypothalamic–pituitary–adrenal axis autonomic nervous system. These neurobiological promising markers etiology several affective social psychopathologies. As preterm birth interferes early stress-regulatory systems, interventions might strengthen resilience factors help reduce detrimental effects chronic exposure. Here we will review impact following premature on discuss possible stress-related circuits pathways involved in vulnerability. Finally, opportunities intervention future studies.

Language: Английский

Citations

88
Facilitators and barriers of breastfeeding late preterm infants according to mothers’ experiences DOI Creative Commons
Maria Lorella Giannì,

Elena Bezze,

Patrizio Sannino

et al.

BMC Pediatrics, Journal Year: 2016, Volume and Issue: 16(1)

Published: Nov. 8, 2016

Late preterm infants account for the majority of births. They are at an increased risk neonatal mortality and morbidity less likely to initiate breastfeeding be exclusively breastfed discharge compared born term. The aim this study was identify facilitators barriers during hospital stays according experiences mothers late infants. We conducted a cross-sectional questionnaire survey. Mothers who intended breastfeed had given birth newborn admitted level I II care, with gestational age 34 0/7 36 6/7 weeks, were enrolled. Sociodemographic data, variables, mode feeding status also collected. A total 92 121 At discharge, any human milk fed 94 % infants, being in 43 cases; formula 6 In multivariate analysis, having expressed breast independently associated either or only (OR = 2.73, 95 CI 1.05–7.1, p 0.039), whereas encouraged practice kangaroo mother care tended have protective effect 0.46, 0.2–1.06, 0.07). Based on present findings, health professionals should strive fully implement support intend breastfeed, particular optimizing expression promoting care. Further studies needed gain further insight into complex interplay factors that modulate outcome

Language: Английский

Citations

87