Journal articles on the topic 'Infant care professionals'
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1
Page, Jools. "Reframing infant-toddler pedagogy through a lens of professional love: Exploring narratives of professional practice in early childhood settings in England." Contemporary Issues in Early Childhood 18, no. 4 (December 2017): 387–99. http://dx.doi.org/10.1177/1463949117742780.
Abstract:
There is an increased international interest in how close attachment interactions with infants and toddlers are realised and interpreted by early years professionals. It is troubling for those who work in early years settings with infants and toddlers to know how best to demonstrate healthy loving attachment behaviours as an expectation of their professional caregiving role when ‘standing in for parents’. This article reports the interview findings from a mixed-methods study which examined practitioners’ views on love, care and intimacy within the English early years policy context. It draws on attachment theory and relational ethics to analyse the narratives of practice drawn from eight in-depth interviews with infant-toddler professionals to reveal the extent of their challenge as well as their beliefs about attachment and professional love. The responses highlighted the level of concern about the place of love and intimacy in non-familial pedagogical relationships with young children, against the backdrop of child protection and safeguarding following the global concern about infant abuse. The study suggests that there is a need to embrace an infant-toddler pedagogy to include the lens and the language of attachment and professional love, and to provide early years professionals with training and guidance on how to safely interpret these theories in their everyday practice.
2
Leach, Penelope. "Infant care from infants' viewpoint: the views of some professionals." Early Development and Parenting 6, no. 2 (June 1997): 47–58. http://dx.doi.org/10.1002/(sici)1099-0917(199706)6:2<47::aid-edp128>3.0.co;2-8.
3
Yi, Geng. "Professional Quality and Skill Requirements of Maternal and Infant Care Teachers." Academic Journal of Science and Technology 9, no. 1 (January 20, 2024): 137–41. http://dx.doi.org/10.54097/dsmhd393.
Abstract:
Maternal and infant care teachers are professionals specializing in maternal and infant care, with certain professional quality and skill requirements. This paper aims to summarize the professional quality and skill requirements of maternal and infant care nurses. In terms of professional quality, maternal and child care teachers need to have good communication skills and interpersonal skills to cooperate effectively with family members and other health care staff. They should also have keen observation and patience, able to take meticulous care of the needs of the mother and baby. In addition, they need to have a sense of confidentiality and professional ethics, keep patient information confidential and respect patient privacy. In short, the professional quality of maternal and infant care teachers requires them to have good communication skills, interpersonal skills and observation skills, while maintaining a professional sense of confidentiality and professional ethics. In terms of skill requirements, they need to master basic medical knowledge and nursing skills, and be familiar with maternal rehabilitation and early childhood knowledge. These requirements enable maternal caregivers to provide high quality maternal and infant care services.
4
McDonald, Rebecca, and Willoughby Moloney. "Improving the Implementation of Family-Centered Care Within the Neonatal Care Unit." Journal of Perinatal & Neonatal Nursing 37, no. 3 (July 2023): 242–51. http://dx.doi.org/10.1097/jpn.0000000000000738.
Abstract:
Background: Internationally, approximately 15 million babies are born prematurely every year. In New Zealand, 1 neonatal ward may care for 1000 infants annually. Family-centered care (FCC) is a philosophy used in neonates to enhance positive outcomes for infants, parents, and staff by recognizing the strengths and needs of infants and their families. Objective: This research assessed how a neonatal environment could be improved to ensure parents feel welcomed and empowered to participate in their infant's care. Participants: Survey data from 67 health professionals and 51 parents of infants who received neonatal care for more than 7 days. Four in-depth interviews with parents and 5 with health professionals. Methods: A mixed-methods research design was used. Phase 1 collected quantitative data using the Family-Centered Care Questionnaire. Phase 2 composed of face-to-face interviews with health professionals and parents. Results: Implementing FCC practices to improve health outcomes for infants, parents, and staff is important. Recommendations for improvement were formulated from the themes. Conclusion: The perspectives of parents and health professionals have enabled the development of recommendations to improve the implementation of FCC practice in the neonatal environment. These may lead to better parental experience and improved infant health outcomes.
5
Davis, Belinda, and Rosemary Dunn. "Professional identity in the infant room." Australasian Journal of Early Childhood 44, no. 3 (June 18, 2019): 244–56. http://dx.doi.org/10.1177/1836939119855222.
Abstract:
The Organisation for Economic Cooperation and Development has shown that there is a steady growth in the numbers of infants attending early childhood services. Despite growing interest in infant learning, recognition of infant teachers as specialised professionals is limited. This research aims to explore the role of early childhood teachers working with infants in early childhood education and care settings through the following questions: (1) What are the teachers’ reported reflections about their role in working with infants? (2) How does this help shape their professional identity? Visual methodologies alongside narrative inquiry were used to capture the lived experiences of infants and their teachers in early childhood education settings. Thematic analysis was conducted within a constructivist paradigm utilising descriptive codes based on Molla and Nolan’s classes of professional functionings. Findings showed infant teachers’ pedagogical work with infants to be subtle, based on specialised understandings of individual children and this age group. The teachers were self-aware, making purposeful pedagogical decisions based on knowledge and experience. Nevertheless, communicating this work with parents, untrained staff and employers remains a challenge. Professional recognition and identity should be reconceptualised with wider recognition of the specialisation of infant teachers including changes in policy and remuneration.
6
DiMenna, Lisa. "Considerations for Implementation of a Neonatal Kangaroo Care Protocol." Neonatal Network 25, no. 6 (November 2006): 405–12. http://dx.doi.org/10.1891/0730-0832.25.6.405.
Abstract:
Kangaroo care (KC) is skin-to-skin contact between an infant and parent, where the infant is usually held chest- to-chest in an upright prone position. It is a very simple, beneficial developmental intervention for both baby and parent, as demonstrated in the literature, but many parents and health care professionals are not aware of KC, its benefits, or how to perform it. The purpose of this article is (1) to inform health care professionals about the research literature on KC and its benefits and (2) to develop a list of evidence-based KC guidelines for the use of all infants and their parents. Increased knowledge of and education on KC for healthcare providers should lead to increased, routine use of this beneficial intervention.
7
Cone, Thomas E. "Infant Feeding Redux." Pediatrics 86, no. 3 (September 1, 1990): 473–74. http://dx.doi.org/10.1542/peds.86.3.473.
Abstract:
Just when it appeared that conflicts about the proper way to feed infants had been resolved, the recent debate about the propriety of some commercial firms advertising on television as well as selling milk formulas directly to mothers in supermarkets has reenergized the issue of infant feeding.1 That infant formulas have reached a state where they may even be considered by some to be safe enough for feeding most infants without the advice of health care professionals demonstrates the huge leap forward in the evolution of infant formula feeding. A short historical review will help us to understand how we have reached our present knowledge of infant feeding practices.
8
Tregay, Jenifer, Jo Wray, Sonya Crowe, Rachel Knowles, Piers Daubeney, Rodney Franklin, David Barron, et al. "Going home after infant cardiac surgery: a UK qualitative study." Archives of Disease in Childhood 101, no. 4 (January 29, 2016): 320–25. http://dx.doi.org/10.1136/archdischild-2015-308827.
Abstract:
ObjectiveTo qualitatively assess the discharge processes and postdischarge care in the community for infants discharged after congenital heart interventions in the first year of life.DesignQualitative study using semistructured interviews and Framework Analysis.SettingUK specialist cardiac centres and the services their patients are discharged to.SubjectsTwenty-five cardiologists and nurses from tertiary centres, 11 primary and secondary health professionals and 20 parents of children who had either died after discharge or had needed emergency readmission.ResultsParticipants indicated that going home with an infant after cardiac intervention represents a major challenge for parents and professionals. Although there were reported examples of good care, difficulties are exacerbated by inconsistent pathways and potential loss of information between the multiple teams involved. Written documentation from tertiary centres frequently lacks crucial contact information and contains too many specialist terms. Non-tertiary professionals and parents may not hold the information required to respond appropriately when an infant deteriorates, this contributing to the stressful experience of managing these infants at home. Where they exist, the content of formal ‘home monitoring pathways’ varies nationally, and families can find this onerous.ConclusionsService improvements are needed for infants going home after cardiac intervention in the UK, focusing especially on enhancing mechanisms for effective transfer of information outside the tertiary centre and processes to assist with monitoring and triage of vulnerable infants in the community by primary and secondary care professionals. At present there is no routine audit for this stage of the patient journey.
9
Joseph, Rachel, Amelia Wellings, and Grace Votta. "Mindfulness-Based Strategies: A Cost-Effective Stress Reduction Method for Parents in the NICU." Neonatal Network 38, no. 3 (May 1, 2019): 135–43. http://dx.doi.org/10.1891/0730-0832.38.3.135.
Abstract:
Stress in parents who have an infant in the NICU is well documented in literature. Prematurity and related comorbid conditions, high-tech NICU environments, presence of multidisciplinary health care professionals, altered parenting roles, and concerns of health outcomes in the infant are common stress factors. Further, inadequate management of stress can result in poor parent–infant bonding, poor infant outcome, and postpartum depression in parents. Effective stress management strategies may help parents adapt to their parental role thereby improving infant outcomes. Research has shown mindfulness-based strategies help reduce stress in the general population. Can this strategy be applied in the context of parents of infants in the NICU? Literature is scant on the impact of mindfulness-based strategies on parents of infants in the NICU and on the infant's health outcomes. This article explores the application of mindfulness-based strategies to reduce stress in parents of infants in the NICU.
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Lakhanpaul, Monica, Lorna Benton, Oliver Lloyd-Houldey, Logan Manikam, Diana Margot Rosenthal, Shereen Allaham, and Michelle Heys. "Nurture Early for Optimal Nutrition (NEON) programme: qualitative study of drivers of infant feeding and care practices in a British-Bangladeshi population." BMJ Open 10, no. 6 (June 2020): e035347. http://dx.doi.org/10.1136/bmjopen-2019-035347.
Abstract:
ObjectivesTo explore optimal infant feeding and care practices and their drivers within the British-Bangladeshi population of East London, UK, as an exemplar to inform development of a tailored, coadapted participatory community intervention.DesignQualitative community-based participatory research.SettingCommunity and children’s centres and National Health Service settings within Tower Hamlets, London, UK.Participants141 participants completed the community study including: British-Bangladeshi mothers, fathers, grandmothers and grandfathers of infants and young children aged 6–23 months, key informants and lay community members from the British-Bangladeshi population of Tower Hamlets, and health professionals working in Tower Hamlets.Results141 participants from all settings and generations identified several infant feeding and care practices and wider socioecological factors that could be targeted to optimise nutritional outcomes. Our modifiable infant feeding and care practices were highlighted: untimely introduction of semi and solid foods, overfeeding, prolonged parent-led feeding and feeding to ‘fill the belly’. Wider socioecological determinants were highlighted, categorised here as: (1) society and culture (e.g. equating ‘chubby baby’ to healthy baby), (2) physical and local environment (e.g. fast food outlets, advertising) and (3) information and awareness (e.g. communication with healthcare professionals around cultural norms).ConclusionsParenting interventions should be codeveloped with communities and tailored to recognise and take account of social and cultural norms and influence from different generations that inform infant feeding and care practices and may be of particular importance for infants from ethnically diverse communities. In addition, UK infant feeding environment requires better regulation of marketing of foods for infants and young children if it is to optimise nutrition in the early years.
11
van Veenendaal, Nicole R., Jennifer N. Auxier, Sophie R. D. van der Schoor, Linda S. Franck, Mireille A. Stelwagen, Femke de Groof, Johannes B. van Goudoever, et al. "Development and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care." PLOS ONE 16, no. 6 (June 9, 2021): e0252074. http://dx.doi.org/10.1371/journal.pone.0252074.
Abstract:
Background Active parent participation in neonatal care and collaboration between parents and professionals during infant hospitalization in the neonatal intensive care unit (NICU) is beneficial for infants and their parents. A tool is needed to support parents and to study the effects and implementation of parent-partnered models of neonatal care. Methods We developed and psychometrically evaluated a tool measuring active parent participation and collaboration in neonatal care within six domains: Daily Care, Medical Care, Acquiring Information, Parent Advocacy, Time Spent with Infant and Closeness and Comforting the Infant. Items were generated in focus group discussions and in-depth interviews with professionals and parents. The tool was completed at NICU-discharge by 306 parents (174 mothers and 132 fathers) of preterm infants. Subsequently, we studied structural validity with confirmatory factor analysis (CFA), construct validity, using the Average Variance Extracted and Heterotrait-Monotrait ratio of correlations, and hypothesis testing with correlations and univariate linear regression. For internal consistency we calculated composite reliability (CR). We performed multiple imputations by chained equations for missing data. Results A 31 item tool for parent participation and collaboration in neonatal care was developed. CFA revealed high factor loadings of items within each domain. Internal consistency was 0.558 to 0.938. Convergent validity and discriminant validity were strong. Higher scores correlated with less parent depressive symptoms (r = -0.141, 95%CI -0.240; -0.029, p = 0.0141), less impaired parent-infant bonding (r = -0.196, 95%CI -0.302; -0.056, p<0.0001), higher parent self-efficacy (r = 0.228, 95%CI 0.117; 0.332, p<0.0001), and higher parent satisfaction (r = 0.197, 95%CI 0.090; 0.308, p = 0.001). Parents in a family integrated care model had higher scores than in standard care (beta 6.020, 95%CI 4.144; 7.895, p<0.0001) and mothers scored higher than fathers (beta 2.103,95%CI 0.084; 4.121, p = 0.041). Conclusion The CO-PARTNER tool explicitly measures parents’ participation and collaboration with professionals in neonatal care incorporating their unique roles in care provision, leadership, and connection to their infant. The tool consists of 31 items within six domains with good face, content, construct and structural validity.
12
Soares, Natalia Cristine, Maria Piassa Lourenço Bernardino, and Adriana Valongo Zani. "INSERTION OF THE FATHER IN THE CARE OF THE HOSPITALIZED PRETERM INFANT: PERCEPTION OF THE MULTIPROFESSIONAL TEAM." Revista Paulista de Pediatria 37, no. 3 (September 2019): 283–90. http://dx.doi.org/10.1590/1984-0462/;2019;37;3;00014.
Abstract:
ABSTRACT Objective: To understand the perception of the multiprofessional health care team regarding the inclusion of fathers in the care of preterm infants who are in Intensive Care Units (ICUs). Methods: This is a descriptive study with a qualitative approach, using a semi-structured interview with 12 health care professionals of a neonatal ICU, from February to July 2017. The data were analyzed according to the Discourse of the Collective Subject. Results: Seven main ideas (MI) emerged from the text analysis, which were grouped into two themes: 1) the role of the father according to the multiprofessional health care team views (MI1: parent provider, MI2: shared care, MI3: supportive father); 2) perception of the father caring for the hospitalized preterm infant (MI4: father does not change diapers; MI5: father conquering new spaces; MI6: strengthening the bonding; MI7: father providing maternal security. Conclusions: The results of this study point out to the importance of including the father figure in the humanized care of preterm infants. Professional health care team should be more aware of fathers’ importance in the care of hospitalized preterm infants.
13
Ramirez, Faustine D., Jori F. Bogetz, Megan Kufeld, and Lynn M. Yee. "Professional Bereavement Photography in the Setting of Perinatal Loss: A Qualitative Analysis." Global Pediatric Health 6 (January 2019): 2333794X1985494. http://dx.doi.org/10.1177/2333794x19854941.
Abstract:
Perinatal loss, including fetal and infant death, is a devastating experience for parents, resulting in long-term adverse physical and psychosocial outcomes. However, little is known about what services might best support grieving parents. We aimed to understand the role of professional bereavement photography in assisting the grieving process of parents who have lost a fetus or infant, by examining the perspectives of bereaved parents, professional photographers, and health care professionals. Twenty semistructured interviews were conducted, and interview transcripts were analyzed using modified grounded theory. Twenty-three individuals participated, including 6 bereaved parents, 8 photographers, and 9 health care professionals. Analyses generated 5 major themes describing ways in which the photographs were valuable to parents: validation of the experience, permission to share, creation of a permanent and tangible legacy, creation of positive memories, and moving forward after the loss. Hospitals should consider incorporation of professional bereavement photography services into palliative care and bereavement programs.
14
Douglas, Pamela S., Renata E. Mares, and Peter S. Hill. "Interdisciplinary perspectives on the management of the unsettled baby: key strategies for improved outcomes." Australian Journal of Primary Health 18, no. 4 (2012): 332. http://dx.doi.org/10.1071/py11073.
Abstract:
The objectives of this study were to analyse the perspectives of key informants with clinical expertise in the care of unsettled babies in the first few months of life and their families, concerning changes required to improve outcomes. The research used a purposive selection strategy and thematic analysis of key informant interviews of 24 health professionals from 11 disciplines. Informants were selected for extensive experience in the management of unsettled babies and their families.Participants corroborated existing evidence that post-birth care in Australia is fragmented. All held the view that, first, early primary care intervention for unsettled infants and their families, and second, improved cross-professional communication, are vital if the burden of this problem to the infant, family and health system are to be minimised. There was consensus, third, that significant gaps exist in health professionals’ knowledge base and management behaviours.The development of education resources, best practice guidelines, shared assessment frameworks for primary care practitioners and strategies for improved cross-professional communication are necessary to improve the health outcomes and decrease the burden of this common yet complex post-birth problem.
15
Keene Woods, Nikki. "“Same Room, Safe Place”." Journal of Primary Care & Community Health 8, no. 2 (September 22, 2016): 94–96. http://dx.doi.org/10.1177/2150131916670067.
Abstract:
There are many different professional stances on safe sleep and then there is the reality of caring for a newborn. There is a debate among professionals regarding safe sleep recommendations. The continum of recommendations vary from the American Academy of Pediatrics (AAP) Safe Sleep Guidelines to the bed-sharing recommendations from the Mother-Baby Behavioral Sleep Laboratory. The lack of consistent and uniform safe sleep recommendations from health professionals has been confusing for families but has more recently raised a real professional ethical dilemma. Despite years of focused safe sleep community education and interventions, sleep-related infant deaths are on the rise in many communities. This commentary calls for a united safe sleep message from all health professionals to improve health for mothers and infants most at-risk, “Same Room, Safe Place.”
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Dudley, Michael, Louise Gyler, Susan Blinkhorn, and Bryanne Barnett. "Psychosocial Interventions for Very Low Birthweight Infants: Their Scope and Efficacy." Australian & New Zealand Journal of Psychiatry 27, no. 1 (March 1993): 74–85. http://dx.doi.org/10.3109/00048679309072126.
Abstract:
With the burgeoning of infant psychiatry, and the increasing survival and development of cohorts of very low birthweight (VLBW) infants, psychiatrists are becoming increasingly involved with other professionals in designing and implementing early intervention programs. Psychosocial interventions for VLBW infants generally report positive results regardless of the orientation of the practitioners, or the stated goal of the intervention: however, they have often taken place independently of longitudinal research, and sometimes without grounding in theories of infant and family development. This paper first reviews the current state of research and findings related to infant-focussed, parent-directed, and interactional programs. Second, it addresses a number of basic questions to be considered by psychiatrists involved in consulting to neonatal intensive care units, who have to appraise, design or implement intervention programs with this group. Throughout this discussion, it is proposed that the notion of infants at developmental risk needs to be supplemented by that of caregivers at risk, and that the professional boundaries which these distinctions represent need to be overcome.
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Fuller, Kristy, Tara DeWolfe, and Mary Coughlin. "The Developmental Participation Skills Assessment: Development and Content Validation." Neonatal Network 42, no. 2 (March 1, 2023): 72–80. http://dx.doi.org/10.1891/nn.2022-0029.
Abstract:
Purpose:The Developmental Participation Skills Assessment (DPS) is designed to assist clinicians who work with hospitalized infants in thoughtfully and accurately identifying infant readiness and the capacity for an infant’s participation during caregiving interactions as well as offering an opportunity for the caregiver(s) to reflect upon the experience. Non-contingent caregiving impairs an infant’s autonomic, motor and state stability which interferes with regulation and negatively impacts neurodevelopment. By providing an organized way to assess readiness for care and capacity to participate in care, the infant may experience less stress and trauma. The DPS is completed by the caregiver following any caregiving interaction.Methods:Following a literature review, the development of the DPS items were extrapolated from well-established tools to achieve the most evidence-based criteria. Following item inclusion generation, the DPS went thru five phases of content validation: (a) Initial tool development and use by five NICU professionals as part of their developmental assessment. Expansion of the use of the DPS to include three more hospital NICUs within the health system (b) Item adjustment and use as part of a bedside training program at a Level IV NICU (c) Focus group of professionals using the DPS provided feedback and scoring was added (d) Pilot of DPS by multidisciplinary focus group in a Level IV NICU (e) Feedback form sent to 20 NICU experts and content of DPS finalized with reflective portion added.Main Outcome Variable:The establishment of an observational instrument, the Developmental Participation Skills Assessment, provides a means for identifying infant readiness, assessing the quality of infant participation, and prompting clinician reflective processing.Results:A total of 50 professionals across the Midwest (4 OT, 2 PT, 3 SLP, 41 nurses) utilized the DPS as a part of standard practice throughout the phases of development. Assessments were completed on both full-term and preterm hospitalized infants. Professionals within these phases utilized the DPS with infants within a wide range of adjusted gestational ages from 23 weeks to 60 weeks (20 weeks post term). Infants ranged in severity from breathing room air to being intubated on a ventilator. After all phases of development and expert panel feedback, with an additional 20 neonatal experts, the final result was the formation of an easy-to-use observational tool for assessing infant readiness prior to caregiving, participation during caregiving, and stability following caregiving. In addition, there is the opportunity for the clinician to reflect following the caregiving interaction in a concise, consistent way.Conclusion:Identifying readiness, and assessing the quality of the infant’s experience while also prompting clinician reflection following the experience has the potential to reduce toxic stress for the baby and promote mindfulness and contingency in caregiving.
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Bolton, Jennifer, and Cristina Palacios. "A Pediatric Nutrition Web Application for Health Professionals to Prevent Early Childhood Obesity." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 944. http://dx.doi.org/10.1093/cdn/nzaa054_016.
Abstract:
Abstract Objectives To develop a web application for health professionals to easily evaluate infant diets using a validated food frequency questionnaire (FFQ) for infants with the goal of providing customized nutrition counseling during well-child visits to ultimately improve diet and weigh gain in infants. Methods The web application was developed using the model of Analysis, Design, Development, Implementation, and Evaluation (ADDIE). The Analysis stage includes a literature review and online search for available tools to identify the gaps in infant nutrition. The Design stage includes the development of four portals: Infant FFQ, Administrative, Clinician, and Parental. The Developmental stage includes the creation of portals to complete the Infant FFQ, send results to the Administrative, and translate the data into the Clinician and Parental Portals. The Implementation stage includes pilot testing of the web application for feasibility, acceptability, and usability among clinicians and parents. The evaluation includes testing the effects of using the web application on diet and weight gain in infants. Results There are no pediatric nutrition tools available to easily evaluate infant diets. So, in collaboration with the computer science program at Florida International University (FIU), a validated infant FFQ was converted to a web application for parents to complete using a tablet during well-child visits. The results are translated into energy/nutrients and food groups consumed using nutrient/food databases. Then energy/nutrients and food groups consumed below or above the recommended amounts are calculated. This information is shown to health professionals in the Clinician Portal for counseling parents on their infant's diet. The amounts of food and beverages recommended for the infant are shown in the Parental Portal to implement at home. Conclusions The infant FFQ was translated into a web application to be used in the health care system; results are automatically shown to health professionals for appropriate counseling to parents on their infant's diet. This web application could be used to improve infant diet and prevent early childhood obesity. Funding Sources Internal funding at Florida International University.
19
Gallagher, Katie, Chloe Shaw, Narendra Aladangady, and Neil Marlow. "Parental experience of interaction with healthcare professionals during their infant’s stay in the neonatal intensive care unit." Archives of Disease in Childhood - Fetal and Neonatal Edition 103, no. 4 (September 29, 2017): F343—F348. http://dx.doi.org/10.1136/archdischild-2016-312278.
Abstract:
ObjectiveTo explore the experiences of parents of infants admitted to the neonatal intensive care unit towards interaction with healthcare professionals during their infants critical care.DesignSemi-structured interviews were conducted with parents of critically ill infants admitted to neonatal intensive care and prospectively enrolled in a study of communication in critical care decision making. Interviews were transcribed verbatim and uploaded into NVivo V.10 to manage and facilitate data analysis. Thematic analysis identified themes representing the data.ResultsNineteen interviews conducted with 14 families identified 4 themes: (1) initial impact of admission affecting transition into the neonatal unit; (2) impact of consistency of care, care givers and information giving; (3) impact of communication in facilitating or hindering parental autonomy, trust, parental expectations and interactions; (4) parental perception of respect and humane touches on the neonatal unit.ConclusionFactors including the context of infant admission, interprofessional consistency, humane touches of staff and the transition into the culture of the neonatal unit are important issues for parents. These issues warrant further investigation to facilitate individualised family needs, attachment between parents and their baby and the professional team.
20
Browne, Joy. "Considerations for Touch and Massage in the Neonatal Intensive Care Unit." Neonatal Network 19, no. 1 (February 2000): 61–64. http://dx.doi.org/10.1891/0730-0832.19.1.61.
Abstract:
AN EXPANDING BODY OF research has documented the short-term advantages of gentle touch and massage for healthy term infants and some growing and medically stable preterm infants. These findings have provided the impetus for extension of massage techniques to very small, fragile newborns, promoting the utilization of new personnel in NICUs specifically to provide massage therapy for newborns. It is important, before engaging in these approaches, for professionals in the NICU to consider the potential impact of massage on the infant and the family. It is also imperative that professionals in the NICU take into account the current growing knowledge base regarding developmental care and the implications for decision making regarding provision of stimuli of any sort to fragile, sick newborns in the NICU.
21
Vongsa, Rebecca, Karien Rodriguez, David Koenig, and Corey Cunningham. "Benefits of Using an Appropriately Formulated Wipe to Clean Diapered Skin of Preterm Infants." Global Pediatric Health 6 (January 2019): 2333794X1982918. http://dx.doi.org/10.1177/2333794x19829186.
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The skin of premature infants is underdeveloped rendering it more prone to break down and irritation. Therefore, special care is needed to protect premature skin and ensure it is not adversely affected. Many health care professionals advise using just water and cloth to clean diapered skin after a bowel movement despite evidence that shows improved infant skin health with the use of modern appropriately formulated baby wipes. This article describes the unique physiology of premature infant skin, reviews clinical evidence comparing use of baby wipes to water and cloth, and describes attributes of appropriately formulated baby wipes.
22
Healy, Alfred. "Mental Retardation." Pediatrics In Review 9, no. 1 (July 1, 1987): 15–22. http://dx.doi.org/10.1542/pir.9.1.15.
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Rapid and significant changes in appropriate evaluation and care of infants and young children with mental retardation and other disabilities are substantively influencing the pediatrician's role. Pediatricians trained in models of development that emphasized biologic influences are now understanding the powerful influence of environmental forces on infant development and are beginning to recognize the landmarks of infant temperamental, emotional, and mental health development. Changes in the traditional American family and the resources available to the family are also exerting major influences on the developmental outcome of infants and children with and without disabilities. Pediatricians are becoming more aware of the value of joining in active interdisciplinary partnerships with parents and well-trained professionals as they evaluate, provide health care, and participate with others in coordinating services for infants with mental retardation.
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Shrestha, Tumla, Archana Pandey Bista, Sarala Shrestha, and Radhika Regmi. "Preterm Infant Care Practice among Nurses in Neonatal Care Units of Selected Hospitals of Nepal: A Cross-Sectional Study." Nursing Forum 2023 (December 28, 2023): 1–11. http://dx.doi.org/10.1155/2023/1993173.
Abstract:
Introduction. Preterm infants (PTIs) are vulnerable to morbidity, disability, and mortality. They require meticulous care for survival and development in neonatal care units (NCUs). PTI care in NCUs is a collaborative and team effort among different health professionals. However, nurses have a key role for quality care. This study aimed to assess nurses’ PTI care practices across different hospitals in Nepal. Methods. A descriptive cross-sectional study was conducted in NCUs of six randomly selected public hospitals in Nepal. After obtaining ethical approval, structured observation was completed among 40 NCU nurses using a practice checklist. After observation, a self-report questionnaire was administered among 102 nurses. Both descriptive and inferential statistics were used for data analysis. Results. The observation and self-reported mean infant care practices were 73.7% and 70.7%, respectively. The overall practice median score and the interquartile range (IQR) were 4.0 (3.5–4.3) with the highest score of (4.5 [4.1–4.7]) for daily supportive care and the lowest score of (2.8 [2.1–3.5]) for pain management. The care practice was strongly associated with the nurse-infant ratio (adjusted odd ratio (aOR) = 18.52, confidence interval (CI) = 5.83–58.77, and p=<0.001) and training status (aOR = 4.95, CI = 1.59–15.39, and p=0.006). Conclusion. Nurses have adequate practice of thermal care, safe oxygen administration, nutritional care, and infection prevention in NCUs, whereas lacking is found regarding developmental supportive care components (sleep promotion and a supportive sensory environment), parental support, and pain management practices. Consideration of the proper nurse-infant ratio and continued professional development opportunities are essential for practice enhancement in NCUs. These findings might be useful to identify the gaps in PTI care practice in NCUs.
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Coughlin, Mary, Marilyn Sanders, and Amy D'Agata. "Clinician Perceptions of the NICU Infant Experience: Is the NICU Hospitalization Traumatic?" American Journal of Perinatology 35, no. 12 (April 18, 2018): 1159–67. http://dx.doi.org/10.1055/s-0038-1641747.
Abstract:
Objective Infants cared for in a newborn intensive care unit (NICU) experience pain, parental separation, and stress that may approach toxic levels, thus are potentially traumatic. Lack of accepted clinical terminology to describe the infant experience may result in under appreciation of NICU hospitalization on infant and family outcomes. This study explored NICU clinician perceptions of the infant experience and how the terms trauma/traumatic would impact their clinical roles and practices. Study Design Semistructured focus group interviews and thematic analysis were used to describe professionals' perceptions of the infant's experience and terminology. Focus groups were organized by professional role, including NICU leadership, physicians, nurses, and ancillary providers. Result Six themes emerged from the qualitative analysis: at our mercy, trauma defined and redefined, and now you have broken them too, perceptions of NICU experience change over time, trauma in the NICU: whose trauma is it, and not knowing the infant and family experience. Conclusion While recognizing potentially toxic infant stress levels, clinicians are reluctant to describe the NICU infant experience as traumatic. Hesitations relate to clinicians' personal concerns that they may be seen as agents of trauma and the impact for families if the NICU experience was described as traumatic by clinicians.
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Moon, Rachel Y., Anita Mathews, Rosalind Oden, and Rebecca Carlin. "A Qualitative Analysis of How Mothers’ Social Networks Are Established and Used to Make Infant Care Decisions." Clinical Pediatrics 58, no. 9 (April 25, 2019): 985–92. http://dx.doi.org/10.1177/0009922819845332.
Abstract:
Background. Mothers often look to family members and friends (ie, their social network) for advice and support regarding infant care decisions. However, little is known about the process by which mothers’ social networks are established and how mothers use these networks to make decisions regarding infant care. We thus conducted a qualitative analysis to explore how mothers choose individuals for their social networks, and how they use these for decision-making. Methods. Focus groups or individual interviews were conducted with 28 mothers. We asked probing questions about whom mothers turned to for advice and support, and how they made infant care decisions. Data were coded and analyzed iteratively for emerging themes. Results. Themes that emerged were changes in social networks once children are born, reasons for being in the mother’s social network, importance of the pediatrician as a trusted source, and process of making infant care decisions. After an infant is born, mothers gravitate toward friends with children; trustworthiness of those whom mothers turn to is based on their perceived experience and knowledge. Pediatricians are valued for their professional and personal experience with children. Mothers use consensus and/or instinct to make infant care decisions, but continually seek reassurance that these decisions are correct. Conclusion. Mothers’ social networks are important sources of infant care information. Because mothers rely on consensus and continued reassurance when making decisions, health care professionals have many opportunities to influence decision-making. Consistent health care messaging can enhance mothers’ perceptions that there is consensus of opinion from trusted sources.
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St James-Roberts, Ian, Marion Roberts, Kimberly Hovish, and Charlie Owen. "Descriptive figures for differences in parenting and infant night-time distress in the first three months of age." Primary Health Care Research & Development 17, no. 06 (September 9, 2016): 611–21. http://dx.doi.org/10.1017/s1463423616000293.
Abstract:
AimTo provide descriptive figures for infant distress and associated parenting at night in normal London home environments during the first three months of age.BackgroundMost western infants develop long night-time sleep periods by four months of age. However, 30% of infants in many countries sleep for short periods and cry out on waking in the night: the most common type of infant sleep behaviour problem. Preventive interventions may help families and improve services. There is evidence that ‘limit-setting’ parenting, which is common in western cultures, supports the development of settled infant night-time behaviour. However, a recent review has challenged this and argued that this form of parenting risks distressing infants. This study describes limit-setting parenting as practiced in London, compares it with ‘infant-cued’ parenting and measures the associated infant distress.MethodsLongitudinal infrared video, diary and questionnaire observations comparing a General-Community (n=101) group and subgroups with a Bed-Sharing (n=19) group on measures of infant and parenting behaviours at night.FindingsGeneral-Community parents took longer to detect and respond to infant waking and signalling, and to begin feeding, compared with the highly infant-cued care provided by Bed-Sharing parents. The average latency in General-Community parents’ responding to infant night-time waking was 3.5 min, during which infants fuss/cried for around 1 min. Compared with Bed-Sharing parenting, General-Community parenting was associated with increased infant distress of around 30 min/night at two weeks, reducing to 12 min/night by three months of age. However, differences in infant distress between General-Community subgroups adopting limit-setting versus infant-cued parenting were not large or statistically significant at any age. The figures provide descriptive evidence about limit-setting parenting which may counter some doubts about this form of parenting and help parents and professionals to make choices.
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Marcellus, Lenora. "Foster Families Who Care for Infants with Prenatal Drug Exposure: Support During the Transition from NICU to Home." Neonatal Network 23, no. 6 (November 2004): 33–41. http://dx.doi.org/10.1891/0730-0832.23.6.33.
Abstract:
Infants exposed prenatally to drugs and alcohol tend to enter the child welfare system at a younger age than many other foster children and often directly from the hospital following birth. This article examines three concepts from the postpartum family adaptation literature: transition to parenthood, maternal and paternal role identities, and attachment. It applies these concepts to the experiences of foster parents who care for infants with prenatal drug and alcohol exposure. Also reviewed are recommended strategies to promote development of the foster parent–infant relationship and to increase parental knowledge within the NICU setting and during the period of transition from hospital to home. Nurses within the NICU have a unique knowledge and experience of caring for infants in withdrawal. This knowledge needs to be shared beyond the hospital with community professionals, who may have limited training in infant health, mental health, or development.
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Mitchell, Eleanor J., Phoebe Pallotti, Zahida P. Qureshi, Jane P. Daniels, Mary Oliver, Fredrick Were, Alfred Osoti, et al. "Parents, healthcare professionals and other stakeholders’ experiences of caring for babies born too soon in a low-resource setting: a qualitative study of essential newborn care for preterm infants in Kenya." BMJ Open 11, no. 6 (June 2021): e043802. http://dx.doi.org/10.1136/bmjopen-2020-043802.
Abstract:
ObjectivesPrematurity is the leading cause of global neonatal and infant mortality. Many babies could survive by the provision of essential newborn care. This qualitative study was conducted in order to understand, from a family and professional perspective, the barriers and facilitators to essential newborn care. The study will inform the development of an early warning score for preterm and low birthweight infants in low and middle income countries (LMICs).SettingSingle-centre, tertiary referral hospital in Nairobi, Kenya.ParticipantsNineteen mothers and family members participated in focus group discussions and 20 key-informant interviews with professionals (healthcare professionals and policy-makers) were conducted. Focus group participants were identified via postnatal wards, the newborn unit and Kangaroo Mother Care (KMC) unit. Convenience and purposive sampling was used to identify professionals.Outcome measuresUnderstanding facilitators and barriers to provision of essential newborn care in preterm infants.ResultsFrom 27 themes, three global themes emerged from the data: mothers’ physical and psychological needs, system pillars and KMC.ConclusionMeeting mothers’ needs in the care of their babies is important to mothers, family members and professionals, and deserves greater attention. Functioning system pillars depended on a standardised approach to care and low cost, universally applicable interventions are needed to support the existing care structure. KMC was effective in both meeting mothers’ needs, supporting existing care structures and also provided a space for the resolution of the dialectical relationship between families and hospital procedures. Lessons learnt from the implementation of KMC could be applied to the development of an early warning score in LMICs.
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Bull, Marilyn J., and Karen Bruner Stroup. "Premature Infants in Car Seats." Pediatrics 75, no. 2 (February 1, 1985): 336–39. http://dx.doi.org/10.1542/peds.75.2.336.
Abstract:
Advancements in health care have made it possible for many premature infants weighing less than 2.2 kg (5 lb) to be discharged from the hospital. Medical professionals, however, have no information available from which to make recommendations on which child safety seats are most appropriate for safely transporting the low-birth-weight infant. Current federal safety standards do not specify the minimum weight of an infant for which a seat is appropriate. The suitability of various types of infant car safety seats for premature infants was documented by placing 2.0-kg (4 lb 8 oz) babies in a representative sample of seat models. Ease and ability of the seat to fit the size of the infant and allow for proper positioning of the baby was noted. Each seat was measured from the seat back to crotch strap and shoulder strap to seat bottom to provide a basis for comparison of various seat models. Convertible seats with seat back to crotch strap height of 14 cm (5½ in) or less provided relatively good support for the infant. Seats with longer seat back to crotch strap distances allowed the infant to slouch. Seats with lap pads or shields were uniformly unacceptable.
30
Bateman, D. N., and T. W. Hale. "Opioid Analgesia for Breastfeeding Mothers." Obstetric Anesthesia Digest 44, no. 1 (February 22, 2024): 53–54. http://dx.doi.org/10.1097/01.aoa.0001005488.71910.8d.
Abstract:
(BMJ. 2023;380:p514) Both pain management for mothers following delivery and breastfeeding are things that health care professionals often encourage. Historically, codeine was a common opioid prescribed for postpartum pain. This decreased significantly after an infant death was seemingly caused by maternal codeine-paracetamol use while breastfeeding. While that case was debunked, there is again rising concern about how the use of opioids by mothers following delivery affects breastfeeding infants.
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Kanits, Floortje, Monique P. L’Hoir, Magda M. Boere-Boonekamp, Adèle C. Engelberts, and Edith J. M. Feskens. "#sleepingbaby on Instagram: Nonadherence of images to safe sleeping advice and implications for prevention of Sudden Unexpected Death in Infancy." PLOS ONE 18, no. 9 (September 13, 2023): e0290580. http://dx.doi.org/10.1371/journal.pone.0290580.
Abstract:
Objectives Safe sleep of infants is important to reduce the risk of Sudden Unexpected Death in Infancy (SUDI). The depiction of infant care behavior which is inconsistent with the safe sleep recommendations on social media has an impact on parental infant care thoughts, norms and behaviors. This study aims to determine the adherence of Instagram images to the Dutch safe sleeping advice. Design A systematic social media analysis on Instagram was performed using 22 hashtags and 9 accounts of Dutch companies or platforms related to infants. Images of sleeping infants were analyzed on consistency with the criteria: supine sleeping position, own cot or crib, sleep sack, and an empty bed. Results Based on 514 collected images, 5.9% was consistent with sleep sack use, 16.8% with an empty bed, 30.7% with an own cot or crib, and 67.5% with the supine sleeping position. For 311 images (60.5%), all four criteria could be rated, as for the others, at least one criterion was not clearly depicted. Only 6 of these images (1.9%) were consistent with all four criteria. Conclusions Although Instagram images are probably not representative of regular infant care behavior, the exposure to these images that are mostly inconsistent with the safe sleep advice can contribute to the formation of norms, and therefore influence parental care behavior. Accurate communication of the safe sleep recommendations through social media is needed, and opportunities are described for preventive health professionals to engage more in this communication with their public.
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Spatz, Diane L., and Jodie Miller. "When Your Breasts Might Not Work: Anticipatory Guidance for Health-Care Professionals." Journal of Perinatal Education 30, no. 1 (January 1, 2021): 13–18. http://dx.doi.org/10.1891/j-pe-d-20-00014.
Abstract:
There are many factors that can negatively impact a mother developing a copious milk supply and being able to exclusively breastfeed her infant. In this article, we present two case exemplars (glandular hypoplasia and breast reduction surgery) to illustrate that not all mothers may be able to develop a full milk supply, and that families should receive appropriate prenatal anticipatory education and guidance from childbirth educators and all health-care providers. Important considerations include the value of every drop of milk that the mother is able to produce, treating the milk as an important medical intervention, and developing a plan with the family for supplementation so the infant can receive adequate intake for growth.
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McEwan, Tom, Nashwa Matta, and Una MacFadyen. "Learning needs of health visitors and family nurses in the care of preterm infants in Scotland." Journal of Health Visiting 9, no. 10 (October 2, 2021): 427–34. http://dx.doi.org/10.12968/johv.2021.9.10.427.
Abstract:
In Scotland and across the UK, health visitors and family nurses provide ongoing assessment and care for the preterm infant and their family following discharge from hospital. This study demonstrates that health professionals in Scotland feel underprepared for this responsibility and that the causes of are multifaceted. Practitioners highlight areas of concern that will guide educational providers to consider amendments to their curricula or provision of continuing professional development.
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Palmer, C. Eddie, and Dorinda N. Noble. "Premature Death: Dilemmas of Infant Mortality." Social Casework 67, no. 6 (June 1986): 332–39. http://dx.doi.org/10.1177/104438948606700602.
Abstract:
Infant death has extreme emotional and symbolic effects on parents and health care professionals who face the moral and ethical aspects of life and death decisions, complicated by government ideology. Social workers can help with understanding the resulting dilemmas and suggest possible interventions.
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Kim, M. Marie, Kathleen Steel O'Connor, Jennifer McLean, Ann Robson, and Graham Chance. "Do Parents and Professionals Agree on the Developmental Status of High-risk Infants?" Pediatrics 97, no. 5 (May 1, 1996): 676–81. http://dx.doi.org/10.1542/peds.97.5.676.
Abstract:
Objectives. To examine the degree of agreement between parental reporting of the development of high-risk infants and professional assessment by a multidisciplinary team. Methods. The developmental status of 196 infants discharged from neonatal intensive care units (NICUs) was assessed by their parents using the Infant Monitoring Questionnaire (IMQ) at 4, 8, or 12 months' corrected age. On the same day, a clinical assessment was done by a multidisciplinary team consisting of a developmental pediatrician, physical therapist, and psychologist. The κ statistic was used to measure agreement between the assessments. Logistic regression was used to investigate factors that might influence agreement. Results. Both the IMQ and the multidisciplinary team classified infants as developing normally ("normal"), being at risk for abnormal development ("suspect"), or developing abnormally ("abnormal"). Although the same proportion of children fell into the three categories by both assessments, parents and the multidisciplinary team showed poor agreement with respect to the classification of individual infants (k = 0.276). No infant or family characteristic was found to have an influence on agreement. Conclusions. For a group of high-risk infants discharged from NICUs, the agreement between parental assessment of developmental status using the IMQ and the professional assessment by a multidisciplinary team is poor in the first year of life. We do not recommend the use of this questionnaire as a substitute for clinical assessment of biologically at-risk infants discharged from NICUs. However, it may be useful for those groups of infants for whom no other information is available or as an adjunct to clinical assessment when infants are not behaving typically because of an unfamiliar setting or concurrent illness.
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Palmquist, Aunchalee E. L., Maryanne T. Perrin, Diana Cassar-Uhl, Karleen D. Gribble, Angela B. Bond, and Tanya Cassidy. "Current Trends in Research on Human Milk Exchange for Infant Feeding." Journal of Human Lactation 35, no. 3 (June 17, 2019): 453–77. http://dx.doi.org/10.1177/0890334419850820.
Abstract:
Breastfeeding is critical for the healthy growth and development of infants. A diverse range of infant-feeding methods are used around the world today. Many methods involve feeding infants with expressed human milk obtained through human milk exchange. Human milk exchange includes human milk banking, human milk sharing, and markets in which human milk may be purchased or sold by individuals or commercial entities. In this review, we examine peer-reviewed scholarly literature pertaining to human milk exchange in the social sciences and basic human milk sciences. We also examine current position and policy statements for human milk sharing. Our review highlights areas in need of future research. This review is a valuable resource for healthcare professionals and others who provide evidence-based care to families about infant feeding.
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Kaya, Ayla. "The Significance and Effectiveness of Kangaroo Care for Premature Infants." New Trends and Issues Proceedings on Advances in Pure and Applied Sciences, no. 8 (December 22, 2017): 92–97. http://dx.doi.org/10.18844/gjapas.v0i8.2821.
Abstract:
Kangaroo care maintains thermoregulation between infants and their mothers. This technique can also be called the human incubator method, reducing newborn morbidity and mortality at considerably lower costs of infrastructure or safe and reliable practicality for both health professionals and mothers. It has recently been revealed that kangaroo care helps to reduce mortality rates in preterm infants, stabilises heart rate, maintains body temperature, reduces the need for oxygen, positively affects weight gain and sleep duration, and assures early discharge. Kangaroo care also guarantees mother–infant commitment in the postnatal period. Despite the evidence for its reliability and efficiency, its practice still remains limited due to lack of qualified medical personnel and an inadequate care environment. Consequently, it can be suggested that primary care providers in newborn intensive care units promote kangaroo care practices by establishing an efficient care environment in order to improve medical results and enhance the care quality. Keywords: Kangaroo care, premature newborn, neonatal intensive care unit, primary care, providers.
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Nagendran, Jayavel. "Pacifiers: A review." Journal of the Indian Dental Association Tamil Nadu 14, no. 1 (2023): 29. http://dx.doi.org/10.26634/jidat.14.1.20247.
Abstract:
Pacifiers play a crucial role in infant care and soothing behaviors, and their use has been a subject of extensive research. This literature review aims to synthesize the existing body of knowledge on pacifiers and their impact on various aspects of infant development and well-being. Through an analysis of relevant studies, the review examines the effects of pacifier use on breastfeeding practices, oral health, sleep patterns, and emotional regulation in infants. Additionally, the review explores the potential benefits and risks associated with pacifier usage, considering factors such as age, duration of use, and weaning strategies. By consolidating and evaluating the findings from diverse studies, this review provides a comprehensive understanding of the implications of pacifiers on infants, aiding caregivers, healthcare professionals, and parents in making informed decisions regarding their use.
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Liamputtong Rice, Pranee. "Infant Weaning Practices among Hmong Women in Melbourne." Australian Journal of Primary Health 5, no. 2 (1999): 27. http://dx.doi.org/10.1071/py99017.
Abstract:
This paper examines infant weaning practices and describes the role of cultural beliefs and practices on infant feeding patterns among Hmong immigrants in Melbourne. The paper is based on in-depth interviews and participant observation conducted with 27 Hmong mothers and some traditional healers during 1993 and 1998. Traditionally, Hmong women breastfeed their newborn infants. Exclusive breastfeeding continues until the infant is at least five months old when supplementary food is commenced. Hmong women practise prolonged breastfeeding, usually until a subsequent birth. However, solid foods are gradually given to the child and common household foods are offered when the child is ready for them. Weaning, therefore, does not usually present an abrupt interruption in the infant's habits and hence does not cause much upset. Cultural beliefs and practices relating to infant feeding and weaning among the Hmong constitute a favourable trend, as currently recommended by the World Health Organization. It is proposed that knowledge about cultural beliefs and practices among the Hmong will help to promote better understanding among health care professionals who work with immigrants, so that culturally appropriate care can be provided.
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Racine, Nicole, Whitney Ereyi-Osas, Teresa Killam, Sheila McDonald, and Sheri Madigan. "Maternal-Child Health Outcomes from Pre- to Post-Implementation of a Trauma-Informed Care Initiative in the Prenatal Care Setting: A Retrospective Study." Children 8, no. 11 (November 18, 2021): 1061. http://dx.doi.org/10.3390/children8111061.
Abstract:
Background: There has been an increase in use of trauma-informed care (TIC) approaches, which can include screening for maternal Adverse Childhood Experiences (ACEs) during prenatal care. However, there is a paucity of research showing that TIC approaches are associated with improvements in maternal or offspring health outcomes. Using retrospective file review, the current study evaluated whether differences in pregnancy health and infant birth outcomes were observed from before to after the implementation of a TIC approach in a low-risk maternity clinic, serving women of low medical risk. Methods: Demographic and health data were extracted from the medical records of 601 women (n = 338 TIC care, n = 263 pre-TIC initiative) who received prenatal care at a low-risk maternity clinic. Cumulative risk scores for maternal pregnancy health and infant birth outcomes were completed by health professionals. Results: Using independent chi-squared tests, the proportion of women without pregnancy health risks did not differ for women from before to after the implementation of TIC, χ2 (2, 601) = 3.75, p = 0.15. Infants of mothers who received TIC were less likely to have a health risk at birth, χ2 (2, 519) = 6.17, p = 0.046. Conclusion: A TIC approach conveyed modest benefits for infant outcomes, but not maternal health in pregnancy. Future research examining other potential benefits of TIC approaches are needed including among women of high socio-demographic and medical risk.
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Whelan, Barbara, and John M. Kearney. "Breast-feeding support in Ireland: a qualitative study of health-care professionals’ and women’s views." Public Health Nutrition 18, no. 12 (December 1, 2014): 2274–82. http://dx.doi.org/10.1017/s1368980014002626.
Abstract:
AbstractObjectiveTo examine women’s experience of professional support for breast-feeding and health-care professionals’ experience of providing support.DesignWe conducted semi-structured qualitative interviews among women with experience of breast-feeding and health-care professionals with infant feeding roles. Interviews with women were designed to explore their experience of support for breast-feeding antenatally, in hospital and postnatally. Interviews with health-care professionals were designed to explore their views on their role and experience in providing breast-feeding support. Interview transcripts were analysed using content analysis and aspects of Grounded Theory. Overarching themes and categories within the two sets were identified.SettingUrban and suburban areas of North Dublin, Ireland.SubjectsTwenty-two women all of whom had experience of breast-feeding and fifty-eight health-care professionals.ResultsTwo overarching themes emerged and in each of these a number of categories were developed: theme 1, facilitators to breast-feeding support, within which being facilitated to breast-feed, having the right person at the right time, being discerning and breast-feeding support groups were discussed; and theme 2, barriers to breast-feeding support, within which time, conflicting information, medicalisation of breast-feeding and the role of health-care professionals in providing support for breast-feeding were discussed.ConclusionsBreast-feeding is being placed within a medical model of care in Ireland which is dependent on health-care professionals. There is a need for training around breast-feeding for all health-care professionals; however, they are limited in their support due to external barriers such as lack of time. Alternative support such as peer support workers should be provided.
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Winikoff, Beverly, Virginia Hight Laukaran, Deborah Myers, and Richard Stone. "Dynamics of Infant Feeding: Mothers, Professionals, and the Institutional Context in a Large Urban Hospital." Pediatrics 77, no. 3 (March 1, 1986): 357–65. http://dx.doi.org/10.1542/peds.77.3.357.
Abstract:
A multidimensional approach was taken to understand the constraints to breast-feeding in a large municipal hospital. Data were collected through direct observation, chart review, and questionnaires to patients and staff. Breast-feeding had not yet begun within 24 hours postpartum in 37% of women who wanted to breast-feed. Chart review revealed that at hospital discharge no woman was breast-feeding exclusively: only 16% of infants had ever been breast-fed and all of these also had been formula fed. The most common reason for the use of supplementary formula and early weaning was the mother's perception or anticipation of insufficient milk. The existing procedures communicated the message to patients that the health care providers expected women to bottle-feed. Some practices that prevented successful breast-feeding were prolonged and/or unnecessary separation of mother and infant, routine provision of infant formula, confusion about drug contraindications for breast-feeding, and inconsistent identification of breast-feeding infants. Staff knowledge about breast-feeding management was inadequate, and staff underestimated mothers' interest in breast-feeding. Recommendations to facilitate breast-feeding include a revision of routines and procedures as well as provision of staff education and expansion of patient education.
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Webbe, James, Ginny Brunton, Shohaib Ali, Nicholas Longford, Neena Modi, and Chris Gale. "Parent, patient and clinician perceptions of outcomes during and following neonatal care: a systematic review of qualitative research." BMJ Paediatrics Open 2, no. 1 (October 2018): e000343. http://dx.doi.org/10.1136/bmjpo-2018-000343.
Abstract:
ObjectiveMultiple outcomes can be measured in infants that receive neonatal care. It is unknown whether outcomes of importance to parents and patients differ from those of health professionals. Our objective was to systematically map neonatal care outcomes discussed in qualitative research by patients, parents and healthcare professionals and test whether the frequency with which outcomes are discussed differs between groups.DesignSystematic review of qualitative literature. The following databases were searched: Medline, CINAHL, EMBASE, PsycINFO and ASSIA from 1997 to 2017. Publications describing qualitative data relating to neonatal care outcomes, reported by former patients, parents or healthcare professionals, were included. Narrative text was analysed and outcomes grouped thematically by organ system. Permutation testing was applied to assess an association between the outcomes identified and stakeholder group.ResultsSixty-two papers containing the views of over 4100 stakeholders were identified; 146 discrete outcomes were discussed; 58 outcomes related to organ systems and 88 to other more global domains. Permutation testing provides evidence that parents, former patients and health professionals reported outcomes with different frequencies (p=0.037).ConclusionsParents, patients and health professionals focus on different outcomes when discussing their experience of neonatal care. A wide range of neonatal care outcomes are reported in qualitative research; many are global outcomes relating to the overall status of the infant. The views of former patients and parents should be taken into consideration when designing research; the development of a core outcomes set for neonatal research will facilitate this.
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Subramaniam, Priya, K. Girish Babu, P. Suresh Babu, and Premila Naidu. "Oral Health Care of Children: Gynecologists and Pediatricians'Perspective." Journal of Clinical Pediatric Dentistry 32, no. 3 (April 1, 2008): 253–58. http://dx.doi.org/10.17796/jcpd.32.3.8543017407g46h53.
Abstract:
Gynecologists, pediatricians and other medical professionals are more likely to see expecting mothers and infants much earlier than dentists. Thus, it is essential for these specialists to be aware of the infectious nature of dental caries and its associated risk factors and make appropriate decisions regarding timely and effective intervention. Objective: To know the perception of gynecologists and pediatricians towards oral health care of children. Methods: A cross sectional questionnaire survey was conducted. Results: The present study shows that the pediatrician is more actively involved in the oral health care of children as compared to gynecologists in Bangalore city, India. Conclusion: Pediatricians and gynecologists need to update themselves on recent recommendations, regarding infant oral health so as to ensure that all their patients receive timely preventive and restorative dental care.
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Macias, Gabriel, and Cheryl Riley. "Trisomy 13: Changing Perspectives." Neonatal Network 35, no. 1 (2016): 31–36. http://dx.doi.org/10.1891/0730-0832.35.1.31.
Abstract:
ABSTRACTThe diagnosis of trisomy 13 has been considered incompatible with life. Trisomy 13 is associated with a pattern of congenital anomalies and mental disabilities that make caring for these infants a challenge for both the family and health care professionals. The clinical management of trisomy 13 varies based on the organ systems involved. The current standard of care has been withholding intensive support and providing comfort care. Recent literature suggests there are improved outcomes in infants who receive intensive care at birth. In addition, case reports evaluating older children with trisomy 13 report that, although there are significant intellectual and psychomotor disabilities, these children do meet developmental milestones such as smiling in response to parents, sitting unassisted, and walking with a walker. This case review will include a discussion of the clinical course of an infant born with mosaic trisomy 13 where the parents requested intensive care.
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Bertoncelli, Natascia, Licia Lugli, Luca Bedetti, Laura Lucaccioni, Arianna Bianchini, Alessandra Boncompagni, Federica Cipolli, et al. "Parents’ Experience in an Italian NICU Implementing NIDCAP-Based Care: A Qualitative Study." Children 9, no. 12 (December 7, 2022): 1917. http://dx.doi.org/10.3390/children9121917.
Abstract:
Background: The birth of a preterm infant and his/her immediate admittance to the Neonatal Intensive Care Unit (NICU) are sudden, unexpected, stressful and painful events for parents. In the last decade, in response to the increased awareness of the stressful experiences of parents, much attention has been paid to Family-Centered Care (FCC) and the implementation of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP). According to the NIDCAP model, the infant–parents’ dyad is the core of the care provided by the NICU professionals to reduce the stress experienced by parents. So far, the literature does not show a clear correlation between parental experiences and the NICU practices according NIDCAP principles. Aims: To explore how parents of preterm infants experienced the NIDCAP-based care from admission to discharge, in particular, their relationships with NICU professionals and with other parents, and the organization of the couple’s daily activities during this process. Design: Qualitative exploratory study. Methods: Twelve parents of preterm infants born between January 2018 and December 2020 at the NICU of Modena, with a gestational age at birth of less than 30 weeks and/or a birth weight of less than 1250 g, were recruited. Three couples had twins, and the total number of infants was 15. All infants were followed for up to 24 months post-term age (PTA) for neurological outcomes. Each couple was given a semi-structured online interview about their experience during their infant’s hospitalization in the NICU up to discharge. The interview was developed around three time points: birth, hospitalization and discharge. The data analysis was conducted according to the template analysis method. Results: The admission to the NICU was unexpected and extraordinary, and its impact was contained by the skilled staff who were capable of welcoming the parents and making them feel they were involved and active collaborators in the care of their infant. The emotional experience was compared to being in a blender; they were overwhelmed by changing emotions, ranging from terrible fear to extreme joy. The couple’s activities of daily life were reorganized after the infant’s birth and admission to the NICU. Fathers felt unbalanced and alone in taking care of their partners and their children. Conclusions: This is the first study in Italy to explore parental experience in an NICU implementing NIDCAP-based care. The NIDCAP approach in the NICU of Modena helps parents to be involved early, to develop parental skills, and to be prepared for the transition home; and it also facilitates and enhances the relationship between parents and NICU staff.
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Fujinaga, Cristina Ide, Sabrina Maltauro, Suzelaine Taize Stadler, Eleidiele Rosa Cheffer, Sidelisa Aguiar, Nelma Ellen Zamberlan Amorin, and Cleomara Mocelin Salla. "Behavioral state and the premature’s readiness performance to begin oral feeding." Revista CEFAC 20, no. 1 (February 2018): 95–100. http://dx.doi.org/10.1590/1982-021620182015317.
Abstract:
ABSTRACT Objective: to evaluate the influence of behavioral states on the readiness of the premature infant to initiate breastfeeding. Methods: the study was transversal, observational and descriptive with 51 premature infants, attended at the Neonatal Intensive Care Unit (NICU), from a Baby-Friendly Hospital. The infants were evaluated using the "Preterm Oral Feeding Readiness Assessment Scale". The evaluation occurred close to the feeding time and was performed in preterm infants in two behavioral states, in deep sleep and alertness. Thus, preterm infants were self-controlled. For the data analysis, the T-Test and the McNemar Test were applied, with a significance level of 0.05. Results: there was a statistically significant difference in the behavior of premature infants in alert behavior and deep sleep. In the alert state, preterm infants showed greater readiness for oral feeding in the breast. The results highlight the importance of the behavioral state of prematurity for professionals working in NICUs. Conclusion: the behavioral state influences the beginning of premature infant feeding. The alertness behavioral status of premature infants is essential during neonatal speech therapy assistence.
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Malkawi, Sonia Adnan, Ahmed Yousef Atwa Khater, and Shady A. Moussa. "Knowledge and Awareness of Healthcare Professionals about Infant Oral Health." Scholars Journal of Dental Sciences 10, no. 03 (March 24, 2023): 44–49. http://dx.doi.org/10.36347/sjds.2023.v10i03.003.
Abstract:
Introduction: The strategy of utilizing primary medical care to promote oral health is particularly necessary and especially through infant oral health measures (IOH). Pediatricians and family physicians were knowledgeable about some aspects of ECC and infant oral health but were uncertainly identifying dental caries and the early signs of ECC. The majority of physicians reported that they play an important role and are involved in promoting the oral health of children in their practices. Aim: This cross-sectional study was designed to assess baseline knowledge of infant oral health IOH among healthcare professionals. Design: An online self-reported cross-sectional survey was designed to assess awareness about IOH. A total number of 449 healthcare professionals (dentists, physicians, nurses and dental assistances), working in facilities dealing with infant health responded to the survey in various countries. The survey was consisting of 12 questions regarding IOH. A score of 70% or more was considered as a “pass” score based. Results: Descriptive and analytic statistics were performed for all groups and subgroups based on their responses which reflect their awareness of IOH. Around 53% of health professionals (n= 242) were able to achieve pass scores, while 47% of health professionals (n=207) did not achieve it. Regarding demographic and occupational characteristics there was a significant difference in pass rate about age (p< 0.001) being lower in the age group below 30 years. We also found a significant difference in pass rate in relation to gender and type of job (p< 0.05). However, there was no significant difference in relation to the duration of the experience (p> 0.05). Conclusion: There is a need for continuous education and training programs on updated oral health measures for all healthcare providers. This study calls for further research to evaluate the role of various factors involved in IOH care and to effectively educate all healthcare providers.
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Henry, Laura. "Investigating IBCLCs: Providing Inclusive Lactation Care." Student Midwife 5, no. 2 (April 1, 2022): 19. http://dx.doi.org/10.55975/emnd6000.
Abstract:
An international board-certified lactation consultant (IBCLC) has a role in culturally appropriate care provision to meet infant feeding goals, including supporting LGBTQIA+ families.1 Individual healthcare professionals (HCP) hold the responsibility to learn about the holistic needs of families in the queer community. The third instalment of this series gives advice increasing inclusivity and why it matters, as well as outlining some alternatives to breast/chestfeeding that still provide human milk.
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Pitre, Denise G., and Amy Acker. "Accuracy of parents and health care professionals at estimating infant emesis volume." Paediatrics & Child Health 18, no. 1 (January 2013): 21–24. http://dx.doi.org/10.1093/pch/18.1.21.