Parental perceptions of the impact of neonatal unit visitation policies during COVID-19 pandemic

BMJ Paediatrics Open, Год журнала: 2020, Номер 4(1), С. e000899 - e000899

Опубликована: Ноя. 1, 2020

To ascertain parental perceptions of the impact restricted visiting policies to neonatal intensive care units during current COVID-19 pandemic.Cross-sectional survey parents impacted by visitation policies.Six tertiary level units, four from UK and two USA, participated in study.Parents families infants hospitalised participating centres between 1 May 2020 21 August 2020.Online-based and/or paper-based survey, querying their on parents' ability visit, for bond with infants.A total 231 responses were received. Visitation limited a single visitor no restrictions duration was most frequently reported policy; 140/217 (63%). perceived as being restrictive 62% (138/219) respondents 37% (80/216) reporting able visit less often than desired, 41% (78/191) unable enough 27% (51/191) not participate baby's daily care. Mild severe breast feeding 36% (75/209) respondents. Stricter had higher significantly associated lack bonding time, inability an adverse feeding.Visitation pandemic varied over time stricter implemented earlier pandemic. Parents significant impacts severity worse restrictions.

Язык: Английский

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Social Support, Well-being, and Quality of Life Among Individuals on the Autism Spectrum

PEDIATRICS, Год журнала: 2018, Номер 141(Supplement_4), С. S362 - S368

Опубликована: Апрель 1, 2018

Social support plays a critical role in the quality of life (adaptive functioning and subjective well-being) individuals on autism spectrum across lifespan.

Язык: Английский

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Traumatic stress and the autonomic brain‐gut connection in development: Polyvagal Theory as an integrative framework for psychosocial and gastrointestinal pathology

Developmental Psychobiology, Год журнала: 2019, Номер 61(5), С. 796 - 809

Опубликована: Апрель 5, 2019

Abstract A range of psychiatric disorders such as anxiety, depression, and post‐traumatic stress disorder frequently co‐occur with functional gastrointestinal (GI) disorders. Risk these pathologies is particularly high in those a history trauma, abuse, chronic stress. These scientific findings rising awareness within the healthcare profession give rise to need for an integrative framework understand developmental mechanisms that observations. In this paper, we introduce plausible explanatory framework, based on Polyvagal Theory (Porges, Psychophysiology , 32 301–318, 1995; Porges, International Journal 42 123–146, 2001; Biological Psychology 74 116–143, 2007), which describes how evolution impacted structure function autonomic nervous system (ANS). The provides organizing principles understanding development adaptive diversity homeostatic, threat‐response, psychosocial functions contribute pathology. Using principles, outline possible promote maintain socioemotional GI dysfunction review their implications therapeutic targets.

Язык: Английский

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Prenatal Stress and the Developing Brain: Postnatal Environments Promoting Resilience

Biological Psychiatry, Год журнала: 2022, Номер 93(10), С. 942 - 952

Опубликована: Дек. 24, 2022

Язык: Английский

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Effect of Family-Centered Care Interventions on Motor and Neurobehavior Development of Very Preterm Infants: A Systematic Review and Meta-Analysis

Physical & Occupational Therapy In Pediatrics, Год журнала: 2025, Номер unknown, С. 1 - 30

Опубликована: Янв. 16, 2025

To assess the effectiveness of family-centered care (FCC) interventions on motor and neurobehavior development very preterm infants. Randomized quasi-randomized trials assessing effect FCC neurobehavioral outcomes in infants (28-32 wk gestation) were included. Five electronic databases grey literature searched from January 2010 to August 2022. Two reviewers independently screened titles/abstracts full texts, assessed risk bias, extracted data. The Cochrane Risk Bias 2.0 Tool GRADE used for evidence certainty assessments. Meta-analysis or narrative synthesis was performed based data availability heterogeneity. Seventeen with 21 publications showed low moderate evidence. At 24 months, improved (Mean Difference (MD):5.00, 95% CI: 2.58-7.42), cognitive (MD: 3.64, 1.15-6.12), behavior -2.40, -4.32, -0.48) compared control groups. Further, minimal inconclusive effects language, communication, personal social measured anytime between newborn months age. Early initiated can be a promising approach improve motor, cognition, behavioral

Язык: Английский

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Family nurture intervention in preterm infants increases early development of cortical activity and independence of regional power trajectories

Acta Paediatrica, Год журнала: 2017, Номер 106(12), С. 1952 - 1960

Опубликована: Авг. 29, 2017

Premature delivery and maternal separation during hospitalisation increase infant neurodevelopmental risk. Previously, a randomised controlled trial of Family Nurture Intervention (FNI) in the neonatal intensive care unit demonstrated improvement across multiple mother domains including increased electroencephalographic (EEG) power frontal polar region at term age. New aims were to quantify developmental changes EEG all brain regions frequencies correlate among regions.EEG (128 electrodes) was obtained 34-44 weeks postmenstrual age from preterm infants born 26-34 weeks. Forty-four treated with Standard Care 53 FNI. computed 10 frequency bands (1-48 Hz) active quiet sleep.Percent change/week FNI 132/200 tests (p < 0.05), 117 passed 5% False Discovery Rate threshold. In addition, greater regional independence those rates change.This study strengthens conclusion that promotes cerebral cortical development infants. The findings indicate may provide biomarkers for risk as well proximal markers effects

Язык: Английский

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Nurturing the preterm infant brain: leveraging neuroplasticity to improve neurobehavioral outcomes

Pediatric Research, Год журнала: 2018, Номер 85(2), С. 166 - 175

Опубликована: Окт. 16, 2018

Язык: Английский

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Do NICU developmental care improve cognitive and motor outcomes for preterm infants? A systematic review and meta-analysis

BMC Pediatrics, Год журнала: 2020, Номер 20(1)

Опубликована: Фев. 13, 2020

Abstract Background The aim of this study was to review the effects developmental care in neonatal intensive unit (NICU) setting on mental and motor development preterm infants. Method We searched PubMed, EMBASE, CINAHL, Scopus, Web Science Cochrane library until October 8th 2017, included randomized controlled trials that assessed NICU infants at 12 24 months age, using Bayley scale infant systematic review. In addition, data were pooled by random model Standardized Mean Difference (SMD) with 95% confidence intervals (CI), calculated for meta-analysis. Results Twenty one studies eligible be review; however, only thirteen had suitable According statistical analysis, improved index (MDI) (standardized mean difference [SMD] 0.55, interval [CI] 0.23–0.87; p < 0.05), psychomotor (PDI) (SMD 0.33, CI 0.08–0.57; 0.05) BSID age PDI 0.15, -0.02–0.32; 0.1) However, benefit not detected MDI -0.05–0.35; = 0.15). Conclusion Current evidence suggests could have significant effect infants, especially age. because clinical heterogeneity, more are needed evaluate

Язык: Английский

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Parental engagement and early interactions with preterm infants during the stay in the neonatal intensive care unit: protocol of a mixed-method and longitudinal study

BMJ Open, Год журнала: 2017, Номер 7(2), С. e013824 - e013824

Опубликована: Фев. 1, 2017

Introduction The preterm infants' developmental outcomes depend on biological and environmental risk factors. factors include prolonged parental separation, less exposure to early mother/father–infant interactions the parents' ability respond trauma of premature birth. In case birth, father's take an active part in care infant from start is essential. emotional closeness hospitalised neonatal intensive unit (NICU) may be crucial well-being newborn, development mutual regulation, establishment a functioning parent–infant affective relationship confidence their provide for baby. Methods analysis This mixed-method, observational longitudinal study. methodological strategy will include: (1) ethnographic observation level III NICU located Italy duration 18 months; (2) 3-minute video recordings mother–infant father–infant interaction NICU; (3) semistructured interview with fathers during hospital stay; (4) face-to-face laboratory at 4 months corrected age; (5) self-report questionnaires parents depression quality couple approximate times recording sessions. Ethics dissemination study protocol was approved by Ethical Committee Clinical Trials Verona Rovigo Provinces. Results aim published international peer-reviewed journals, presented relevant national conferences. research project develop modalities maternal paternal communication influence maternal/paternal social stimulation behavioural states; support partner possible influences relationship.

Язык: Английский

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Parent and nurse perceptions on the quality of family-centred care in 11 European NICUs

Australian Critical Care, Год журнала: 2016, Номер 29(4), С. 201 - 209

Опубликована: Окт. 7, 2016

Язык: Английский

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