Journal articles on the topic 'Nursing infants'
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Carter, Brigit. "Nursing Care of the Premature Infant with Severe Combined Immunodeficiency Disease." Neonatal Network 25, no. 3 (May 2006): 167–74. http://dx.doi.org/10.1891/0730-0832.25.3.167.
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Diagnosis and treatment of severe combined immunodeficiency disease (SCID) is documented in fetuses, term infants, and older children; however, there is very little information on its diagnosis and treatment in premature infants. When Duke University Medical Center’s first preterm infant with a known SCID history was delivered, in June 1999, there was no defined protocol for the infant’s nursing care. Although many of the guidelines for nursing care of the premature infant population (≤36 weeks) apply, there are important considerations for preterm infants with an SCID diagnosis. This article provides background on SCID and identifies those special considerations—namely, multidisciplinary communication, infection prevention, thorough physical assessments, and parental support.
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Bădescu, Iulia, David P. Watts, Cassandra Curteanu, Kelly J. Desruelle, and Daniel W. Sellen. "Effects of infant age and sex, and maternal parity on the interaction of lactation with infant feeding development in chimpanzees." PLOS ONE 17, no. 8 (August 4, 2022): e0272139. http://dx.doi.org/10.1371/journal.pone.0272139.
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The interaction between infant feeding and maternal lactational physiology influences female inter-birth intervals and mediates maternal reproductive trade-offs. We investigated variation in feeding development in 72 immature wild chimpanzees (Pan troglodytes schweinfurthii) at Ngogo, Kibale National Park, Uganda, and made inferences about maternal lactation over the course of infancy. We compared the percentage (%) of time that mothers nursed infants as a function of infant age and assessed how hourly rates and bout durations of nursing and foraging varied in association with differences in offspring age, sex, and maternal parity. Nursing % times, rates and durations were highest for infants ≤ 6 months old but did not change significantly from 6 months to 5 years old. Nursing continued at a decreasing rate for some 5- to 7-year-olds. Infants ≤ 6 months old foraged little. Foraging rates did not change after 1 year old, but foraging durations and the % time devoted to foraging increased with age. Independent foraging probably became a dietary requirement for infants at 1 year old, when their energy needs may have surpassed the available milk energy. Infants spent as much time foraging by the time they were 4 to 5 years old as adults did. No sex effect on infant nursing or foraging was apparent, but infants of primiparous females had higher foraging rates and spent more time foraging than the infants of multiparous females did. Although no data on milk composition were collected, these findings are consistent with a working hypothesis that like other hominoids, chimpanzee mothers maintained a fixed level of lactation effort over several years as infants increasingly supplemented their growing energy, micronutrient and hydration needs via independent foraging. Plateauing lactation may be a more widespread adaptation that allows hominoid infants time to attain the physiology and skills necessary for independent feeding, while also providing them with a steady dietary base on which they could rely consistently through infancy, and enabling mothers to maintain a fixed, predictable level of lactation effort.
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Šikić Pogačar, Maja, Eva Turk, and Dušanka Mičetić Turk. "History of infant milk formula in Slovenia." Slovenian Medical Journal 87, no. 9-10 (October 28, 2018): 461–72. http://dx.doi.org/10.6016/zdravvestn.2668.
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Optimal nutrition is one of the most important aspects in the care of infants, especially for the preterm infants and neonates. Until the 1900s, an infant’s survival and health were closly related to the availability of breastmilk. Human milk was and still is the best food for nearly all infants. Besides physical growth, human milk offers a variety of other benefits, including modulation of postnatal intestinal function, maturation of immune system, and has positive effect on brain development. Even though breastfeeding is highly recommended, it may not always be possible, suitable or adequate. Through history, the evolution of infant feeding included wet nursing, bottle feeding, and formula use. Wet nursing was the safest and most common alternative to the breastmilk before bottles and infant milk formula were invented. However, society's negative view of wet nursing together with the invention and improvements of the feeding bottle, the availability of animal’s milk, and advances in milk formula development, gradually led to replacing wet nursing with bottle feeding. Such evolution of infant feeding methods was similar throughout the world and Slovenia followed the trend. In this article, we review the history of different methods of infant feeding, other than breastfeeding, all of which presented an alternative to breastfeeding.
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Burrell, Alice, Anne M. Kueter, Sujan Ariful, Habibur Rahaman, Alessandro Iellamo, and Golam Mothabbir. "Appropriate Infant and Young Child Feeding Practices in an Emergency for Non-Breastfed Infants Under Six Months: The Rohingya Experience." Journal of Human Lactation 36, no. 3 (March 13, 2020): 510–18. http://dx.doi.org/10.1177/0890334420906838.
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Background Since 25 August, 2017 over 693,000 Rohingya have been forced from Myanmar due to mass violence, seeking refuge in neighboring Bangladesh. Nutritional surveys during 2017 revealed worrying levels of malnutrition and poor infant feeding practices, including high numbers of infants not exclusively breastfeeding. Infants under 6 months who are not exclusively breastfed are particularly vulnerable to morbidity and mortality and require specialized feeding support, especially in emergency contexts. Research Aim To describe Save the Children International’s experiences supporting wet nursing, relactation, and artificial feeding for non-breastfed infants under 6 months in the Rohingya Response, Bangladesh. Methods A retrospective analysis was conducted of routine program data and documentation from Save the Children International’s infant and young child feeding in emergencies interventions for the Rohingya Response, Bangladesh, from November 2017 to April 2018. The study population were infants under 6 months identified as not breastfed during the initial assessment ( N = 15). Results Although wet nursing was attempted with all infants, it was successful with 6 (40%) of the infants. Additionally, 1 (6.7%) infant’s mother was able to successfully relactate. The remaining infants ended up requiring feeding with human milk substitutes. Conclusion Gaps exist in operational guidance to support non-breastfed infants with wet nursing and relactation in emergency settings, as well as on how to operationalize safe human milk substitute programming in line with national policies and regulations. There is an urgent need to address this gap to protect the lives of non-breastfed infants in emergencies worldwide.
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Davies, Clare, Donna Waters, and Andrea Marshall. "The nursing assessment of infants with bronchiolitis." Journal of Child Health Care 21, no. 2 (March 20, 2017): 181–90. http://dx.doi.org/10.1177/1367493517697480.
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Bronchiolitis is the leading cause of morbidity and hospitalization in infants under the age of one year. Supportive treatments and regular assessment remain the mainstay of care for infants admitted to hospital. Nurses play an important role in the assessment of infants with bronchiolitis; however, this is not well described in the literature and consequently little is known about what strategies nurses employ in assessing infants with bronchiolitis. The aim of this study was to explore bronchiolitis assessment in the context of nursing practice. A naturalistic inquiry study was undertaken using think aloud and retrospective probing data collection methods. The results revealed that the information gathered by nurses in their assessment of infants with bronchiolitis was varied and the process of acquiring and evaluating this information was multifaceted and holistic in nature. A close partnership between the nurse and mother was identified, and the mother’s expert knowledge and ability to identify subtle changes in the infant’s clinical condition over time was essential to the assessment process. The assessment partnership with families provides nurses with the most comprehensive and holistic view of the infant’s clinical condition and vital assessment information could be lost if this partnership does not occur.
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Weber, Ashley M., Tondi M. Harrison, and Deborah K. Steward. "Schore’s Regulation Theory." Biological Research For Nursing 14, no. 4 (July 23, 2012): 375–86. http://dx.doi.org/10.1177/1099800412453760.
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Premature infants confront numerous physiologic and environmental stressors in the neonatal intensive care unit (NICU) that have the potential to permanently alter their neurodevelopment. Schore’s regulation theory postulates that positive maternal–infant interactions can shape the infant’s developmental outcomes through inducing mechanistic changes in brain structure and function. The purposes of this article are to explain the regulation of infant neurobiological processes during interactions between mothers and healthy infants in the context of Schore’s theory, to identify threats to these processes for premature infants, and to propose principles of clinical practice and areas of research necessary to establish a supportive environment and prevent or reduce maladaptive consequences for these vulnerable infants. A premature birth results in the disruption of neurodevelopment at a critical time. Chronic exposure to stressors related to the NICU environment overwhelms immature physiologic and stress systems, resulting in significant allostatic load, as measured by long-term neurodevelopmental impairments in the premature infant. Positive maternal–infant interactions during NICU hospitalization and beyond have the potential to reduce neurologic deficits and maximize positive neurodevelopmental outcomes in premature infants. The quality of the maternal–infant interaction is affected not only by the infant’s developing neurobiology but also by the mother’s responses to the stressors surrounding a premature birth and mothering an infant in the NICU environment. Nurses can empower mothers to overcome these stressors, promote sensitive interactions with their infants, and facilitate neurodevelopment. Research is critically needed to develop and test nursing interventions directed at assisting mothers in supporting optimal neurodevelopment for their infants.
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Kent, George. "WET-NURSING IN EMERGENCIES." World Nutrition 9, no. 3 (December 29, 2018): 314–23. http://dx.doi.org/10.26596/wn.201893314-323.
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It is often assumed that where infants cannot be breastfed by their own mothers, as is often the case in emergency situations, the second-best option is to use infant formula. However, wet nursing is usually a better option than infant formula. The wet nursing could be spontaneous or it could organized in advance. In many cases, the needs of infants who cannot be breastfed by their own mothers could be met with the help of lactating women in their area. In some cases banked human milk might meet the need, but in emergency situations it is not likely to be readily available when and where it is needed. Plans could be made by women’s groups to offer lactation services in their areas in emergency situations.
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Bingham, Raymond J. "Recent Findings from the National Institute of Nursing Research Related to Neonatal Care." Neonatal Network 24, no. 1 (January 2005): 65–70. http://dx.doi.org/10.1891/0730-0832.24.1.65.
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WORKING WITH PRETERM OR SICK INFANTS IN AN intensive care setting involves interdisciplinary teamwork and nursing professionalism. The growing importance of genetic testing in health care is generating concerns that can affect the lives of patients well beyond the period of infancy. New information on antenatal care can help those involved in the care of pregnant women to anticipate potential problems and improve pregnancy outcomes. Ongoing research is continuing to deepen our understanding of preterm infants, helping neonatal nurses to improve care procedures, work with parents and families, and address concerns of infant development.
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Jalali, Fatemeh, Zahra Kamiab, Morteza Khademalhosseini, Fatemeh Daeizadeh, and Gholamreza Bazmandegan. "Nursing strikes among infants and its affecting factors in Rafsanjan city." Journal of Medicine and Life 14, no. 1 (January 2021): 56–60. http://dx.doi.org/10.25122/jml-2020-0118.
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The infant’s refusal to breastfeed can be a stressful and concerning matter for a mother. This study aimed to investigate the frequency and factors leading to nursing strikes in Rafsanjan city. This descriptive study was performed on infants who had been referred to the pediatrician’s office with a complaint of a nursing strike. The research sample included 70 infants, and all the required data, including the causes of the nursing strike and the demographic information of the mother and the infant, were collected using a checklist. The Statistical Package for the Social Sciences (SPSS) software version 20 was used to analyze the data. The percentage was used to express qualitative indices, and the mean and standard deviation were used to express quantitative indices. The results showed that the most common factors contributing to the infants’ breast refusal were playfulness and distraction (50%) and recent vaccinations in the last 12 days (48.6%). Besides, the most common maternal factors affecting breast refusal were level of education (67.1%), recent acute stress (41.4%), and inadequate milk production (35.7%). The results of the present study showed that playfulness and distraction of the baby, recent vaccination, use of a pacifier, level of education and recent stress of the mother, breastfeeding program, and insufficient milk production are the most common reasons for nursing strikes.
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Hendrick, Victoria, Alan Fukuchi, Lori Altshuler, Mel Widawski, Amy Wertheimer, and Martina V. Brunhuber. "Use of sertraline, paroxetine and fluvoxamine by nursing women." British Journal of Psychiatry 179, no. 2 (August 2001): 163–66. http://dx.doi.org/10.1192/bjp.179.2.163.
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BackgroundThe pharmacological treatment of depression in nursing women requires information on the magnitude of medication exposure to the infant that may occur through breast milk.AimsTo examine serum concentrations of antidepressants in infants exposed to these medications through breast-feeding.MethodMaternal and infant serum concentrations of sertraline, paroxetine and fluvoxamine were determined with high-performance liquid chromatography (limit of detections=1 ng/ml).ResultsNo detectable medication was present in any infant exposed to paroxetine (n=16) or fluvoxamine (n=4). Among infants exposed to sertraline (n=30), detectable medication was present in 24% of serum samples. A significant negative correlation was found between infant age and infant serum concentration. Sertraline was significantly more likely to be detected in an infant if the mother's daily dose was 100 mg or higher. No adverse sequelae occurred in any infant.ConclusionsThis study shows that paroxetine, fluvoxamine and sertraline produce minimal exposure to infants when taken by nursing mothers.
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Wanda, Dessie, Yeni Rustina, Happy Hayati, and Fajar Tri Waluyanti. "The Development of Nursing Care Services Model for Low Birth Weight Infants." Jurnal NERS 9, no. 1 (January 27, 2017): 83. http://dx.doi.org/10.20473/jn.v9i1.3231.
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Introduction: Low birth weight (LBW) infants deal with various problems during transitional period from intra-uterine and extra-uterine because of immature organs’ functions. This leads to LBW as the second death cause in Indonesia, particularly in the fi rst seventh days of infants’ lifes. The problem continues to occur at home when the infants have discharged. This research was aimed to develop the nursing care services model for LBW infants and to test the model. Method: The research design was an action research using quantitative and qualitative approach. This design was chosen as it facilitated improvement in health care system, which was involving nurses and other health providers. Results: Nursing care services provided by the nursing team are hindered by several factors, such as various level of nurses’ knowledge, not optimal health education activities, incomplete standard operational procedure, ethical dilemma, paramedic functions, and documentation system. This model was developed based on conservation and becoming a mother/maternal role attainment theory, family-centered care principles, and input from the experts through focus group discussion. Discussion: The result of this research is going to increase the quality of nursing care for LBW infants by achieving nurses’ and parents’ satisfaction in giving care for their infants which can lead to lower infant death rate.Key words: Model, Low birth weight infant, Nursing services, Action research
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Levene, S., and S. A. Mckenzie. "NURSING PRETERM INFANTS." Lancet 331, no. 8594 (May 1988): 1104. http://dx.doi.org/10.1016/s0140-6736(88)91917-4.
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HOLDITCH-DAVIS, DIANE, and BETH P. BLACK. "Care of Preterm Infants: Programs of Research and Their Relationship to Developmental Science." Annual Review of Nursing Research 21, no. 1 (January 2003): 23–60. http://dx.doi.org/10.1891/0739-6686.21.1.23.
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The purpose of this review was to examine the topics covered in current programs of nursing research on the care of the preterm infant and to determine the extent to which this research is informed by developmental science. A researcher was considered to have a current program of research if he or she had at least five publications published since 1990 and was the first author on at least three of them. The infants in a study could be any age from birth throughout childhood; studies focusing on parenting, nursing, or other populations of infants were not included.Seventeen nurse researchers had current programs of research in this area. These programs had four themes. Those of Becker, Evans, Pridham, Shiao, and Zahr focused on infant responses to the neonatal intensive care unit (NICU) environment and treatments. Franck, Johnston, and Stevens focused on pain management. Harrison, Ludington-Hoe, and White-Traut’s research focused on infant stimulation. Holditch-Davis, McCain, McGrath, Medoff-Cooper, Schraeder, and Youngblut studied infant behavior and development.These research programs had many strengths, including strong interdisciplinary focus and clinical relevance. However, additional emphasis is needed on the care of the critically ill infant. Also, despite the fact that the preterm infant’s neurological system develops rapidly over the first year, only three of these researchers used a developmental science perspective. Only research on infant behavior and development focused on the developmental changes that the infants were experiencing. Most of the studies were longitudinal, but many did not use statistics appropriate for identifying stability and change over time. The response of individual infants and the broader ecological context as evidenced by factors such as gender, ethnic group, culture, and intergenerational effects were rarely examined. Thus research on the care of preterm infants could be expanded if the developmental science perspective formed the basis of more studies.
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Rahmawati, Anita, Endah Marianingsih Theresia, and Yuliasti Eka Purnamaningrum. "Pengaruh Musik Keroncong selama Pelaksanaan Kangaroo Mother Care terhadap Respons Fisiologis dan Lama Rawat Bayi dengan Berat Badan Lahir Rendah." Kesmas: National Public Health Journal 10, no. 2 (November 8, 2015): 93. http://dx.doi.org/10.21109/kesmas.v10i2.886.
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AbstrakKangaroo mother care (KMC) merupakan metode merawat bayi beratbadan lahir rendah (BBLR). Beberapa intervensi perawatan di neonatal intensive care unit seperti pijat bayi, KMC, dan mendengarkan musik bermanfaat untuk pertumbuhan bayi berupa respons fisiologis BBLR dan mengurangi lama rawat. Penelitian ini bertujuan untuk mengetahui manfaat musik keroncong terhadap respons BBLR selama KMC dan lama rawat. Rancangan penelitian adalah quasi eksperimental dengan pretest dan posttest dengan desain grup kontrol. Pada Juli - September 2014 populasi penelitian adalah ibu dan bayi BBLR yang melaksanakan KMC. Pengambilan sampel dengan purposive sampling sebanyak 60 bayi. Kriteria inklusi bayi BBLR yang ditetapkan adalah berat badan bayi 1.500 – 2.499 gram, tanpa memandang usia kehamilan, bayi mampu menghisap walaupun masih lemah, tidak mengalami kesulitan pernapasan. Kriteriaeksklusi adalah bayi dengan kelainan kongenital, gejala sepsis, dan bayi yang dilakukan foto terapi. Uji statistik menggunakan uji-t berpasangan, ujit independen dengan nilai p < 0,05 dan CI 95%. Setelah perlakuan hari ketiga, terjadi penurunan nadi pada bayi dengan BBLR 8,13 kali/menit (nilai p = 0,000), respirasi penurunannya 2,36 kali/menit (nilai p = 0,000). Rerata lama rawat bayi pada kelompok perlakuan adalah 8,57 hari, sedangkan kelompok kontrol adalah 11,87 hari (nilai p = 0,038). Suhu hasilnya tidak bermakna (nilai p > 0,05). Dapat disimpulkan bahwa musik keroncong berpengaruh terhadap penurunan nadi, respirasi selama KMC, dan lama rawat bayi.AbstractKangaroo Mother Care (KMC) is nursing care method for low birthweight(LBW) infants. Some care interventions in neonatal intensive care unit, such as infant massage, KMC and listening to music have advantage for infant growth in form of physiological responses and reduce LBW infant-nursing length. This study aimed to determine advantage of keroncong music toward LBW infant’s response during KMC and nursing length. The study design was quasi experimental using pretest and posttest using control group design. Population was mothers and LBW infants implementing KMC. Samples were 60 infants taken by purposive sampling. Inclusion criteria determined for LBW infants were having weight 1,500 – 2,499 gram, without considering pregnancy age, having ability to suckle though still weak, not suffering breathing distress. Meanwhile, exclusion criteria were infants with congenital disorder, sepsis symptoms and infants during therapy photo. Statistical test used paired t-test, independent t-test with p value < 0.05 and confidence interval (CI) 95%. After third day of treatment, LBW pulse decreased 8.13 times/minute (p value = 0.000), respiration decreased 2.36 times/minute (p value = 0.000). Nursing length mean on the treatment group was 8.57 days, while the control group was 11.87 days (p value = 0.038). Temperature result was insignificant (p value > 0.05). In conclusion, keroncong music influences on decrease of pulse, respiration during KMC and length of infant nursing.
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Adams, DA, and EA McFadden. "Respiratory syncytial viral infection in infants: nursing implications." Critical Care Nurse 10, no. 2 (February 1, 1990): 74–79. http://dx.doi.org/10.4037/ccn1990.10.2.74.
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Respiratory syncytial viral infection is the leading cause of acute lower respiratory tract disease in infants and young children. Presenting symptoms include rhinorrhea, nasal congestion, a low grade fever, and a cough. Hypoxemia and respiratory acidosis are the most common presentation for infants requiring intensive care. Critical care nurses must skillfully assess the infant's clinical status and response to medical treatment, implement and enforce isolation procedures, and remain sensitive to the emotional and psychologic needs of RSV-infected infants and their families. They must be knowledgeable regarding the latest research and recommendations concerning isolation policies and safe administration of ribavirin therapy in order to maximize the care for infants experiencing acute respiratory distress caused by RSV infection.
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Jiang, Xiang. "Analysis on the Main Points of Nursing Premature Infants." Journal of Nursing 9, no. 4 (February 20, 2021): 71. http://dx.doi.org/10.18686/jn.v9i4.186.
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<p>Compared with normal newborns, premature babies are more fragile and more sensitive to the external environment. Therefore, there are more precautions in the care of premature babies, because the incidence of preterm birth is relatively high. In the face of more premature infants, we should have a deep understanding of the relevant content of premature infant care. This article will conduct a detailed analysis of the key points of premature infant care and clarify the precautions of premature infants in the nursing process.</p>
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Wood, Natsuko K., and Elizabeth A. Sanders. "Mothers With Perceived Insufficient Milk: Preliminary Evidence of Home Interventions to Boost Mother–Infant Interactions." Western Journal of Nursing Research 40, no. 8 (January 17, 2017): 1184–202. http://dx.doi.org/10.1177/0193945916687552.
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Perceived insufficient milk (PIM) is the primary reason for breastfeeding discontinuation globally. This study evaluated the short-term impact of mother–infant interactions through home interventions designed to overcome PIM as a result of the infant’s behavior, delivered to 14 dyads of breastfeeding mothers and their full-term singleton infants. A single group, three-occasion prepost design was used. Mother–infant interactions were measured by the Nursing Child Assessment Feeding Scale (NCAFS) at 6, 13, and 27 days postpartum. There were significantly increased mother–infant interactions during intervention. Specifically, significant growth over the intervention occurred for mother’s sensitivity to cues, cognitive growth fostering, infant’s clarity of cues, and responsiveness to caregiver. The NCAFS total score was also significantly improved. Although modifications are required, the three home intervention sessions showed promise in improving mother–infant interactions during breastfeeding. Further investigation using a randomized experimental design is warranted.
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Xiang, Zuofu, Penglai Fan, Haochun Chen, Ruoshuang Liu, Bo Zhang, Wanji Yang, Hui Yao, Cyril C. Grueter, Paul A. Garber, and Ming Li. "Routine allomaternal nursing in a free-ranging Old World monkey." Science Advances 5, no. 2 (February 2019): eaav0499. http://dx.doi.org/10.1126/sciadv.aav0499.
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While regular allomaternal nursing (suckling) has been documented in a number of rodent and carnivore species, as well as in some prosimians, New World monkeys, and humans, it is not common in Old World monkeys and apes. Here, we present a detailed field study of allomaternal nursing in golden snub-nosed monkeys (Rhinopithecus roxellana, Colobinae). We found that more than 87% of infants were nursed by females other than their mothers. Allomaternal nursing was largely confined to the first 3 months of an infant’s life and occurred predominantly between related females who nursed each other’s offspring in a reciprocal manner. Allomaternal nursing enhanced infant survivorship and did not have a negative impact on the future reproductive success of allonursers. Our findings expand the taxonomic distribution of allomaternal nursing and provide fresh insight into the possible factors driving evolution of allomaternal nursing behavior in primates, including humans.
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Bahorski, Jessica S., Gwendolyn D. Childs, Lori A. Loan, Andres Azuero, Marti H. Rice, Paula C. Chandler-Laney, Eric A. Hodges, Heather M. Wasser, Amanda L. Thompson, and Margaret E. Bentley. "Parental Self-Efficacy in New Mothers Predicts Infant Growth Trajectories." Western Journal of Nursing Research 42, no. 4 (June 6, 2019): 254–61. http://dx.doi.org/10.1177/0193945919854464.
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The purpose of this study was to examine whether parental self-efficacy (PSE) is associated with change in infant weight-for-length z score (WLZ) from age 3 to 12 months. Data were drawn from the Infant Care, Feeding, and Risk of Obesity study, conducted with low-income, African American mother–infant dyads ( n = 127). PSE was measured at infant age of 3 months. Infant anthropometrics were measured at infant age of 3 and 12 months, WLZ change between these time points was calculated, and infants stratified into WLZ change categories (expected, excessive, or slow). To analyze the data, ANCOVA, multiple regression, and post hoc techniques were used. Controlling for infant birthweight, PSE at 3 months was associated with infant WLZ change (η2 = 0.05, p = .04). Mothers of infants who exhibited excessive growth had higher PSE than mothers of infants who exhibited slow growth (Tukey-adjusted p = .03). This finding suggests that infants of mothers with high PSE may have increased obesity risk, but more research is needed.
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Yang, Sun-Yi. "Simulation Training Needs of Nurses for Nursing High-Risk Premature Infants: A Cross-Sectional Study." Healthcare 10, no. 11 (November 2, 2022): 2197. http://dx.doi.org/10.3390/healthcare10112197.
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Opportunities fomr clinical training in the newborn nursery and neonatal intensive care units (NICU) are becoming insufficient and limited to observation-oriented training. Premature infants admitted to the NICU require specialized and highly sophisticated care. Therefore, this descriptive cross-sectional study aimed to understand nurses’ educational needs for establishing a high-risk premature infant nursing simulation training program. It used a descriptive cross-sectional design. We conducted a survey involving 99 newborn nursery and NICU nurses; data were analyzed using descriptive statistics, a paired t-test, an Importance-Performance Analysis (IPA), a Borich needs analysis, and the locus for focus to confirm educational priorities. The scores indicating the importance of nursing high-risk premature infants were higher than those of performance. Results indicated that the highest educational need was in the “treatment and procedure” domain. After deriving the priority of educational needs using the Borich needs analysis and the locus for focus, “maintenance of various tubes” showed the highest priority. By identifying the training priorities for high-risk premature infants nursing using various analytical frameworks, an extended reality simulation program met nurses’ high-risk premature infant nursing educational needs. Training for high-risk premature infants treatment and procedures—maintaining various tubes—is highly demanded by nurses and should be prioritized.
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Dion Nist, Marliese, Tondi M. Harrison, and Rita H. Pickler. "Touch Experiences of Preterm Infants During Essential Nursing Care." Neonatal Network 42, no. 1 (January 1, 2023): 13–22. http://dx.doi.org/10.1891/nn-2022-0010.
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Purpose:To characterize and quantify touch experienced by preterm infants in the NICU during essential nursing care, identify instances of skin-to-skin touch between infants and caregivers, and identify clinical/demographic variables associated with touch experiences.Design:Cross-sectional study.Sample:Preterm infants (N= 20) born 27–32 weeks post-menstrual age.Main Outcome Variable:Categories of touch during observations.Results:Touch experienced by infants during day and night shifts was primarily direct touch that was further categorized as general handling. During day shifts, 30 percent of direct touch was provided for comfort, but only 9.7 percent of touch was provided exclusively for comfort (i.e., without more intrusive touch). During night shifts, 10.6 percent of direct touch was provided for comfort, and 3 percent was categorized as exclusive comforting touch. Caregivers wore gloves for >89 percent of infant touch. Only the level of respiratory support was associated with touch categories during both shifts.
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Namchaitaharn, Suntaree, Naphatchamon Pimpiwan, and Suchaorn Saengnipanthkul. "Breastfeeding Promotion and Nursing Care for Infants with Cleft Palate and/or Cleft Lip in Northeastern Craniofacial Center, Thailand." Open Nursing Journal 15, no. 1 (October 5, 2021): 149–55. http://dx.doi.org/10.2174/1874434602115010149.
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Background: The common feeding problems in infants with Cleft Palate (CP) and/or Cleft Lip and Palate (CLP) are the inability to suck and swallow breastmilk. Difficulties in feeding may compromise normal growth and disrupt the bonding process. Objective: To evaluate the treatment and breastfeeding rate in infants with CP and CLP. Methods: A retrospective study of infants with CP and CLP who were admitted to the postpartum ward between July 2017 and June 2019 was conducted. Demographic data, type of feeding, nursing activities, and duration of breastfeeding after discharge were collected. Results: A total of 35 infants were included in the study. Twenty-seven cases were non-syndromic complete CLP (77.2%). On admission only 15 infants (42.8%) received breastmilk and alternative feeding techniques were applied for 26 (74.3%) infants. Breastfeeding promotion and nursing care were provided to mothers and infants by an interdisciplinary team at the Craniofacial Center. The median Length of Stay (LOS) was 8 days (range 5-9 days) and infants born at the affiliated hospital (inborn) had a significantly shorter LOS compared to infants referred from other health centers (p=0.019). None of the inborn groups received infant formula. The breastfeeding rate in all groups was 100% at discharge. Exclusive breastfeeding rates at 2-, 4-, and 6-months follow-up were 82.8%, 42.8%, and 31.4%, respectively. Conclusion: Breastfeeding promotion, education, and nursing care from an interdisciplinary team resulted in an improved ability of mothers to breastfeed infants with CLP, particularly in non-syndromic CLP. The exclusive breastfeeding rate after 6-months in this study was higher than in previous studies.
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Holditch-Davis, Diane, Mary Foster Cox, Margaret Shandor Miles, and Michael Belyea. "Mother-infant interactions of medically fragile infants and non-chronically ill premature infants." Research in Nursing & Health 26, no. 4 (July 21, 2003): 300–311. http://dx.doi.org/10.1002/nur.10095.
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Cho, June, and Diane Holditch-Davis. "Effects of Perinatal Testosterone on Infant Health, Mother–Infant Interactions, and Infant Development." Biological Research For Nursing 16, no. 2 (May 2, 2013): 228–36. http://dx.doi.org/10.1177/1099800413486340.
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Objective: Many researchers and health care providers have noticed male vulnerability in infant health, mother–infant interactions, and some infant cognitive development, especially among very low birth weight (VLBW) preterm infants. However, factors beyond gender that could explain these observed differences have not been clear. The purpose of this article is to review the literature on the subject and to introduce a conceptual framework relating these factors. Discussion: According to gender-difference theories, prenatal exposure to high levels of testosterone may influence infant health and mother–infant interactions by negatively affecting infant cognitive/motor/language development. We constructed a conceptual framework based on the associations among biological (perinatal testosterone), stress-related (perinatal and maternal cortisol), and developmental (infant cognitive/motor/language skills) factors. If research establishes these biological, environmental, and developmental associations in mother–VLBW preterm pairs, the results will highlight the importance of addressing gender differences in nursing research and encourage the development of nursing interventions designed to reduce stress among mothers of VLBW preterm infants, particularly male infants. Conclusion: From a psychobiosocial perspective, combining biophysiological factors such as perinatal testosterone and cortisol with socioenvironmental factors such as the quality of mother–infant interactions and infant temperament may provide a broader view of gender differences in infant health and development.
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Robinson, John G., and Timothy G. O'Brien. "Allomaternal Care By Female Wedge-Capped Capuchin Monkeys: Effects of Age, Rank and Relatedness." Behaviour 119, no. 1-2 (1991): 30–50. http://dx.doi.org/10.1163/156853991x00355.
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AbstractWe examined patterns of infant care and the relative importance of female age, rank and relatedness to allomaternal care for a wild population of wedge-capped capuchin monkeys, Cebus olivaceus in Venezuela. Mothers interacted primarily with their own infants throughout the study. Infant age affected the timing and type of allomaternal interaction; investigation occurred primarily in the first 3 months of life, carrying was dominant during the second 3 months, and association occurred primarily in the third 3 months. The onset and level of allomaternal care assured a high level of infant care as maternal care was declining, suggesting that allomaternal care is an important component of infant survival. The relative importance of female age, rank and relatedness varied for different behaviour. Relatedness was the most consistently important effect. Sibling females participated in allomaternal care almost 4 times more often than other females and were especially active in carrying and associating with infants. Female rank was an important effect when the coefficient of relatedness was less than 0.5: high-ranking females participated in allomaternal care more than low-ranking females. Old juveniles and nulliparous adults interacted with infants more than young juveniles and parous adults, but the effect of female age was relatively unimportant. Allomaternal nursing may represent a form of reciprocal altruism. Allomaternal nursing supplemented maternal nursing and was unrelated to kinship or rank of female.
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Oktaviana, Wita, and Budi Anna Keliat. "Application of Therapeutic Therapy Therapies in Improving Baby Motor Development." Jurnal Keperawatan Jiwa 8, no. 3 (July 13, 2020): 265. http://dx.doi.org/10.26714/jkj.8.3.2020.265-272.
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Infancy is the starting point according to the capabilities and abilities that are formed. The age of the baby has a developmental task that must be questioned, namely trust and suspicion, which is not fulfilled so that it can cause fear there will be no comfort from the environment so that this baby develops suspicion for others and does not trust other people as well. Therapeutic group therapy (TKT) is one type of therapy that helps complete the development of infants, one of which is the development of motor skills. The purpose of reporting this case is to further resolve the application of TKT in improving infant motor development. The method used in this scientific work is a case report. The intervention was carried out on six family that has babies 0-6 months with a priority nursing diagnosis that is enforced is the readiness to increase the infant's age. Interventions were carried out in groups where each group consisted of 6-10 people. Improving the ability of infants through discussion and interviews after the intervention is carried out. The interventions given were generalist therapy and therapeutic group therapy (TKT). The author uses a workbook and a therapeutic evaluation book for Therapeutic Groups (TKT) to determine the understanding of baby's abilities. The results obtained are group therapy that can provide increased motor skills in infants.
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Onamade, A. A., O. O. Oyerinde, A. O. Oduwole, O. G. Lala, and O. B. Longe. "Development of a Low Cost Mobile Phone-Based Intervention to Support Infants’ Vaccination among Nursing Mothers." Advances in Multidisciplinary and scientific Research Journal Publication 7, no. 1 (June 30, 2021): 1–8. http://dx.doi.org/10.22624/aims/bhi/v7n2p1.
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In Nigeria, nursing mothers in rural communities lack public amenities such as safe water, adequate primary health care, good electricity supply, GSM network coverage and good road network. These often predispose them to be noncompliant to infants’ immunization uptakes and have high rates of morbidity in Vaccine Preventable Diseases (VPD) among infants. Mobile phones can be leveraged upon to provide a viable medium to support immunization uptakes and adherence using few mobile phone-based interventions which are available for low-income nursing mothers. Hence the study assessed development of a low cost mobile phone-based intervention to support infants’ vaccination among nursing mothers. The study developed a low cost mobile phone-based intervention to support infants’ vaccination among nursing mothers in an effort to alleviate the challenges of infant’s vaccination among nursing mothers, a low cost mobile phone-based application was designed and tested among nursing mothers. In the development of the app, incremental software development was adhered to using Java programming language in an Android Studio Integrated Development Environment (IDE). The software was pretested using pre and post experimental data collection. The app is a reminder system, preloaded with immunization awareness messages. It is simple to install and use and does not cost nursing mothers airtime or data. It only requires scheduling at-birth immunization’s date. The app can schedule and display all other immunization dates automatically; relate specific health benefits of each vaccine as a reminder messages both in English and Yoruba languages automatically as scheduled. The experiences of the nursing mothers with this software were gathered for six months through pre-test and post-test pre-experimental design. The app was found effective in reminding the nursing mothers about immunizations appointments, enlightening them about the immunization health benefits to their infants. The intervention has possibility of improving immunization compliances and attendants at clinic appointments. Since it is low cost software, it is therefore recommended for the nursing mothers. Keywords: Vaccine Preventable Diseases, immunization, Integrated Development Environment (IDE), intervention, mobile phone, nursing mother. Journal Reference Format: Onamade, A.A., Oyerinde, O.O., Oduwole, A.O. Lala, O.G. & Longe, O.B. (2021): Development of a Low Cost Mobile Phone-Based Intervention to Support Infants’ Vaccination among Nursing Mothers. Journal of Behavioural Informatics, Digital Humanities and Development Research. Vol. 7.No. 2, Pp 1-8 Available online at https://www.behaviouralinformaticsjournal.info dx.doi.org/ 10.22624/AIMS/BHI/V7N1P10
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Tryphonopoulos, Panagiota D., and Nicole Letourneau. "Promising Results From a Video-Feedback Interaction Guidance Intervention for Improving Maternal–Infant Interaction Quality of Depressed Mothers: A Feasibility Pilot Study." Canadian Journal of Nursing Research 52, no. 2 (January 7, 2020): 74–87. http://dx.doi.org/10.1177/0844562119892769.
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Background Mothers and infants affected by postpartum depression are known to have (1) reduced quality interactions and (2) elevated cortisol levels, both of which are linked to negative developmental outcomes in children. Parent training promoting sensitive and responsive maternal–infant interactions may help optimize development in children of mothers with postpartum depression. Objectives This pilot study tested a video-feedback interaction guidance intervention designed to improve maternal–infant interaction, depressive symptoms, and cortisol patterns of depressed mothers and their infants. Method An experimental, pre-test, post-test design was employed to randomly assign mothers with postpartum depression to intervention ( n = 6) and control ( n = 6) conditions. Intervention mothers received three video-feedback sessions during home visits, provided at three-week intervals. Control participants received three home visits on the same schedule. Results Significant differences favoring the intervention group were observed in maternal–infant interaction quality, especially maternal sensitivity and cognitive growth fostering activities, and in reduced infant diurnal cortisol. Conclusion Professionally guided video-feedback intervention appears to support improvements in interactions between depressed mothers and their infants and optimizes infants’ diurnal cortisol patterns. The findings from this feasibility pilot study have been used to support a large-scale follow-up exploration.
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Shikh, Evgenia V., Anna A. Makhova, and Ekaterina I. Alekseeva. "Vitamins А, С and D — Essential Trio for Infants." Current Pediatrics 18, no. 3 (September 18, 2019): 152–59. http://dx.doi.org/10.15690/vsp.v18i3.2031.
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Administration of essential vitamins A, C and D in vitamin-mineral complex in common dosage is efficient for immunity formation, harmonious physical and neuropsychic development, rickets prevention. Dosage of components at the physiological daily maintenance in basic vitamin complexes for infants is integral for nursing mother supplementation and fortification of the food used for infant weaning. If necessary, and specifically in immature infants, the basic vitamin complex (vitamins A, C and D) can be extended with other required micronutrients (vitamin D, for example, can be extended up to 1000 ME). It depends on feeding type, intake of vitamin-mineral complexes for nursing mothers, seasonal prevalence, region and many other factors.
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Pivovarnik, Emily S. "Development of Sensory Processing in Premature Infants and Implications for Evidence-Based Music Therapy in the NICU." Neonatal Network 41, no. 4 (July 1, 2022): 189–99. http://dx.doi.org/10.1891/nn-2021-0018.
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The purpose of this article is to provide an overview of the development of sensory processing in premature infants with implications for music therapists providing evidence-based care in a NICU. An overview of sensory processing and sensory processing disorders in premature infants is included, with specific emphasis on development of sensory systems of premature infants. Implications for developmentally appropriate music as therapy for premature infants are identified. Evidence-based NICU-MT can be combined with nursing care to reduce the risks of sensory processing disorder for the developing premature infant.
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Fuller, Barbara F., and Madalynn Neu. "Generalizability and Clinical Utility of a Practice-Based Infant Pain Assessment Instrument." Clinical Nursing Research 10, no. 2 (May 1, 2001): 122–39. http://dx.doi.org/10.1177/c10n2r4.
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The purpose of this study was to determine the clinical usefulness and generalizability of an infant pain assessment instrument. Earlier work showed that this instrument-an algorithm derived from a model of infant pain assessment-possessed excellent content validity, criterion-like validity, and 3-month stability (test-retest reliability). In this study, generalizability was determined by comparing the percentage agreement between inexperienced pediatric nurses and one author, both using the tool to assess pain of infants in various clinical settings, and by comparing the percentage agreement between one author who used the tool to assess pain and the infant's pediatric nurse caretaker who used his or her clinical expertise, not the tool, to assess pain across various clinical settings. The results show excellent generalizability.
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Pastor-Villaescusa, B., J. A. Hurtado, M. Gil-Campos, J. Uberos, J. A. Maldonado-Lobón, M. P. Díaz-Ropero, O. Bañuelos, J. Fonollá, and M. Olivares. "Effects of Lactobacillus fermentum CECT5716 Lc40 on infant growth and health: a randomised clinical trial in nursing women." Beneficial Microbes 11, no. 3 (May 11, 2020): 235–44. http://dx.doi.org/10.3920/bm2019.0180.
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The breast milk microbiota has been described as a source of bacteria for infant gut colonisation. We studied the effect of Lactobacillus fermentum CECT5716 (Lc40) on growth and infection incidence of the infants, when the probiotic is administrated to the mothers. Moreover, whether such effects might depend on the interaction between the mother or infant microbiota and the probiotic administration. A total of 291 mother-infant pairs were studied for 16 weeks in a randomised double-blinded placebo-controlled multicentre trial. The Lc40 group (n=139) received 1 capsule/day containing 3×109 cfu Lc40; the control group (n=152) received 1 placebo (maltodextrin) capsule/day. A positive and significant correlation of the Staphylococcus load between breast milk and infant faeces was only observed in control group. Additionally, the weight z-score of the infants whose mothers had higher values of Lactobacillus in their breast milk were significantly higher for the Lc40 group. We observed a significant lower incidence of conjunctivitis in the infants whose mothers received Lc40. A higher load of Staphylococcus in infant faeces significantly increased the risk of respiratory infections. Such incidence, under an absent or low Staphylococcus load in the faeces, was significantly 36 times higher in the infants in the control group than in the infants in the Lc40 group. However, the protective effect of Lc40 was gradually reduced as the Staphylococcus load of the milk increased. The administration of Lc40 to nursing women might influence infant growth and health but it seems to depend on its interactions with mother or infant microbiota. Registered in the US Library of Medicine ( www.clinicaltrials.gov ): NCT02203877.
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Khasanah, Nopi Nur, and Yeni Rustina. "Menurunkan Skala Nyeri Bayi Prematur melalui Facilitated Tucking disertai ‘Hadir-Berbicara’ sebagai Upaya Penerapan Teori Comfort Kolcaba." Jurnal Ners dan Kebidanan Indonesia 5, no. 2 (November 7, 2017): 83. http://dx.doi.org/10.21927/jnki.2017.5(2).83-90.
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<em>Premature infants had been experience of pain in neonatal ward that occur each day during treatment. Nurse need to do an intervention for reduce the scale of pain on premature infants. Pain management have to do at birth because of the repeated painful procedures in early life can affect the development of central nerve system permanently. The objective of this study was to describe the application of Kolcaba Comfort’s theory through facilitated tucking accompanied with ‘being with-talking to’ techniques in premature’s infant at high risk infant care. The method that used was case study by applying the four contexts of comfort’s experience associated with the three types of comfort based on Kolcaba Comfort’s theory in providing nursing care on five premature infants who have some painful procedures. The nursing intervention through facilitated tucking accompanied by ‘being with-talking to’ based on the principles of Kolcaba Comfort’s theory gave a positive result against premature infants’s comfort level. Four from five premature infants are in the level of transcendence which is a type of supreme comfort after the ease and relief. Kolcaba Comfort’s theory can be applied within the scope of neonatal care due in accordance with the developmental care of the infants and could reduce the scale of pain.</em>
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Dórea, José G. "Zinc Deficiency in Nursing Infants." Journal of the American College of Nutrition 21, no. 2 (April 2002): 84–87. http://dx.doi.org/10.1080/07315724.2002.10719198.
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Burd, Angela, and Randall Burd. "Inguinal Hernia in the Premature Infant: Management of a Common Problem." Neonatal Network 21, no. 7 (January 2002): 39–44. http://dx.doi.org/10.1891/0730-0832.21.7.39.
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Inguinal hernia repair is one of the most common surgical procedures performed on premature infants. Improved survival rates in the NICU have led to an increase in the incidence of premature infants with inguinal hernias. The NICU nurse, often the first to notice an inguinal hernia in a premature infant, should understand the etiology, basic pathophysiology, and nursing care for this condition.
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Eliades, Carly. "Mitigating Infant Medical Trauma in the NICU: Skin-to-Skin Contact as a Trauma-Informed, Age-Appropriate Best Practice." Neonatal Network 37, no. 6 (November 2018): 343–50. http://dx.doi.org/10.1891/0730-0832.37.6.343.
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Infant medical trauma in the NICU is associated with serious and lasting consequences. Skin-to-skin contact (SSC) of infants with their parents is a nursing intervention that provides significant benefits and can mitigate the negative consequences of the infant’s traumatic experiences in the NICU. The purpose of this article is to explain how SSC aligns with the concept of trauma-informed age-appropriate care (TIAAC) in the NICU. The evidence supporting SSC will be reviewed and discussed using TIAAC as a framework. SSC is an effective and evidence-based care strategy that reduces the infant’s traumatic NICU experiences by improving parental proximity, attachment, and lactation; decreasing stress and pain; improving physiologic stability; supporting sleep; and enhancing neurologic outcomes.
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Karki, Bipin, Varsha Verma, Ritesh Shrestha, and Suchita Shrestha Joshi. "Allergic proctocolitis causing hematochezia in preterm twins." Nepal Mediciti Medical Journal 1, no. 1 (December 1, 2020): 23–26. http://dx.doi.org/10.3126/nmmj.v1i1.34477.
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Allergic colitis due to cow’s milk or soy protein in commercially prepared infant formula or due to ingestion of breast-milk of mothers who are ingesting cow’s milk is a known cause of colitis occurring in infants. Allergic colitis can occur within days, weeks or months of birth and should be considered as a differential diagnosis in any infant presenting with hematochezia. Typically, there is a significant delay in the onset of milk allergy in premature infants compared to full term infants. We report a case of premature twin neonates who presented with profuse rectal bleeding during second week of life. The infants had been feeding expressed breast milk since birth and the nursing mother had been drinking cow’s milk. The infants had pneumatosis coli suggestive of inflammation of the colon while biochemical and hematological markers of inflammation were normal. Expressed breast milk was re-introduced after eliminating dairy from mother’s diet for 5 days. The infants were fed on mother’s milk and top up of hydrolyzed infant formula as required. Both the twins remained well.
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Unal, Sevim, Leyla Karadeniz Bilgin, Deniz Gonulal, and Fatih Alper Akcan. "Optimal Time of Tracheotomy in Infants." Global Pediatric Health 2 (January 1, 2015): 2333794X1556930. http://dx.doi.org/10.1177/2333794x15569300.
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Objective. Infants with respiratory failure may require prolonged intubation. There is no consensus on the time of tracheotomy in neonates. Methods. We evaluated infants applied tracheotomy, time of procedure, and early complications in our neonatal intensive care unit (NICU) retrospectively from January 2012 to December 2013. Results. We identified 9 infants applied tracheotomy with gestational ages 34 to 41 weeks. Their diagnoses were hypotonic infant, subglottic stenosis, laryngeal cleft, neck mass, and chronic lung disease. Age on tracheotomy ranged from 4 to 10 weeks. Early complication ratio was 33.3% with minimal bleeding (1), air leak (1), and canal revision requirement (1). We discharged 7 infants, and 2 infants died in the NICU. Conclusion. Tracheotomy makes infant nursing easy for staff and families even at home. If carried out by a trained team, the procedure is safe and has low complication. When to apply tracheotomy should be individualized, and airway damage due to prolonged intubation versus risks of tracheotomy should be taken into consideration.
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Yue, Suxiang. "Analysis on the Clinical Effectiveness of Perioperative Period Nursing Care of Infants." Journal of Nursing 4, no. 1 (March 28, 2015): 16. http://dx.doi.org/10.18686/jn.v4i1.5.
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<p><strong>Objective:</strong> To explore the physiological and psychological nursing and nursing methods for infants during operation. <strong>Methods:</strong> The nursing measures are taken before, during and after operation for 138 infants that have received surgical treatment in our hospital from February 2013 to January 2015 after close observation. <strong>Results:</strong> The operations for all 138 infants have been completed successfully without any surgical complications. <strong>Conclusion: </strong>The sufficient pre-operative nursing for infants, the comfortable body position, suitable heat preservation and close observation during operation and the recovery from general anesthesia after operation are crucial to peri-operative nursing for infants.</p>
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Esser, Media S., and Teresa S. Johnson. "An Adaptation of the Skin Safety Model to Guide Diaper Dermatitis Research in the NICU." Neonatal Network 41, no. 1 (January 1, 2022): 38–44. http://dx.doi.org/10.1891/11-t-747.
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Diaper dermatitis is an ever-present condition among infants. Little is known about the prevalence among infants in the NICU. This article presents an adaptation of the skin safety model (SSM) for the infant in the NICU. The concepts of the model were extracted, defined, and integrated into an adapted SSM model to provide a focus on the infant with diaper dermatitis in the intensive care setting. It is essential to include all factors of the infant's clinical characteristics and hospital experience in the modeling to accurately predict risk of skin vulnerability in this infant population.
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Prentice, Michele, and Colleen Stainton. "Outcomes of Developmental Care in an Australian Neonatal Intensive Care Nursery." Neonatal Network 22, no. 6 (January 2003): 17–23. http://dx.doi.org/10.1891/0730-0832.22.6.17.
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Objective: To evaluate the outcomes of implementation of a developmental care model in an Australian tertiary NICU.Study Design: A retrospective chart audit was used to determine the differences between predevelopmental and developmental care outcomes for infants, parents, the unit, and nursing.Sample: Two subsets of infants were selected for comparison: one of infants receiving predevelopmental care (n = 42) and another of infants receiving developmental care (n = 42).Results: Infants receiving developmental care required less time on total parenteral nutrition, required less exogenous surfactant, and had less documented feeding intolerance. Changes were observed in ambience and in the use of space for providing parent-infant care. Also observed was the individualized expertise of nursing staff and of parents.
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Kamada, Alan. "PHARMACOKINETICS OF PREDNISOLONE TRANSFER TO BREAST MILK." Pediatrics 94, no. 2 (August 1, 1994): 270. http://dx.doi.org/10.1542/peds.94.2.270.
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Because of the low amounts of pred- nisolone recovered from breast milk, it is concluded that administration of prednisolone to nursing mothers does not appear to poise a clinically significant risk to breast-fed infants. It is also suggested that infant exposure to prednisolone through breast milk can be minimized by dosing prednisolone at infrequent intervals and avoiding nursing for at least 4 hours following a dose.
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Lubis, Iskandar Z. "Risk Factors of Infantile Diarrhea (A Case-Control Study)." Paediatrica Indonesiana 32, no. 5-6 (January 29, 2019): 125–34. http://dx.doi.org/10.14238/pi32.5-6.1992.125-34.
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From March thru April 1990 an unmatched case-control study had been conducted at the pediatric out-patient Clinic of Dr. Pirngadi Hospital Medan to assess risk factors of infantile diarrhea. The study population were infants, aged younger than 21 months. The mothers of the infants were interviewed, using structured questionnaires.
Sample size, calculated by means of formula, with 95 % level of confidence, 90 % power of study, 50% estimated proportion of exposure in the control-group and 2.0 estimated odds ratio, was 121.
All infants with diarrhea were included in the case-group until a total number of 124 infants were reached. One control, an infant without diarrhea, was taken for each case from the nearest sequence of attendance after the case. A total of 20 risk factors were tested. Exposure was indicated from the last day before illness.
Computerized statistical analysis was performed to calculate odds ratio, 95 % confidence interval and two tailed significance testing for qualitative dichotomic data by means of Chi square test.
A total of nine factors were confirmed as risk factors of infantile diarrhea i.e mothers age than 20 years, working mother, not cleaning nipple before suckling the baby bottle feeding, having only one nursing botlle/teat, not ready for use nursing bottle/teat, giving left over supplementary food without reheating, no band-washing before giving supplementary food and malnutrition.
The result of this study can be emphasized in health education, especially in diarrheal disease control of infancy; Further well-designed studies are needed.
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Albitsky, V. Y., S. Y. Volgina, and E. M. Shakirova. "Ethicolegal aspects of nursing premature infants." Kazan medical journal 80, no. 3 (April 2, 1999): 230–33. http://dx.doi.org/10.17816/kazmj66806.
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The problems involving prematurity are considered. The high death rate among such infants especially in perinatal period is noted. The problems of an ethic nature involving the viewpoint of physicians and parents on the problem of nursing premature infants in our country are studied by anonymous questionnaire.
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Liu, Lisa Xiaoyang, Maryam Mozafarinia, Anna Axelin, and Nancy Feeley. "Parents' Experiences of Support in NICU Single-Family Rooms." Neonatal Network 38, no. 2 (March 1, 2019): 88–97. http://dx.doi.org/10.1891/0730-0832.38.2.88.
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PurposeThis study aimed to explore support for mothers and fathers in single-family rooms (SFRs) of a NICU.DesignA qualitative descriptive design was employed.SampleA convenience sample of 15 parents (nine mothers, six fathers) were recruited from a Level III NICU.MethodDuring their infants' hospitalization, each parent recorded their thoughts and feelings regarding support whenever appropriate over a period of 48 hours using Handy Application to Promote Preterm infant happY-life (HAPPY), an android recording application.ResultsParents felt supported when staff facilitated their learning in a collaborative manner, fostered their optimism, and provided situational assistance. Continuity and consistency of care and presence were important characteristics of supportive nursing care. Though SFRs offered privacy for parents to learn and to be with their infants, the design limited parental access to nursing and medical staff, which sometimes prevented parents from receiving adequate support and partaking in decision making concerning their infants' care.
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Lu, Yongzhi, Guangrong Bo, and Yuanyuan Hu. "Research on the Application Value of Intelligent Heating Box in Newborn Nursing." Contrast Media & Molecular Imaging 2021 (December 6, 2021): 1–7. http://dx.doi.org/10.1155/2021/7081995.
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The aim of this study was to explore the application effect of intelligent incubator in neonatal care. We selected the period from January 1, 2018, to December 31, 2020, where there were 100 full-term and premature babies born in a hospital and transferred to the neonatal intensive care unit (NICU) within 1 hour after birth. Before the improved heat preservation, 100 full-term infants in the control group and 100 full-term infants in the intervention group of the intelligent warming box were formed into a full-term infant group for a comparative study. Statistics and comparison of the two groups of term infants and premature infants admitted to the hospital were carried out to assess body temperature and the changes in the incidence of each system. The research found that on comparison of admission body temperature between the control group and the intervention group, with the intervention group in the intelligent heating box, the incidence of hypothermia was significantly lower than that of the control group (95% vs. 37% of full-term infants; 98% vs. 49% of premature babies; there is a statistical significance ( P < 0.05 )). The intelligent heating box can reduce the fluctuation of the newborn’s body temperature, keep the internal environment of newborns stable, and provide suitable conditions for the rapid growth of newborns, suitable for clinical promotion and application.
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Thomas, Karen, Shao-Yu Tsai, and Sara Brown. "State Change in Preterm Infants in Response to Nursing Caregiving: Possible Gender Effects." Neonatal Network 27, no. 1 (January 2008): 15–22. http://dx.doi.org/10.1891/0730-0832.27.1.15.
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Purpose:To describe the effect of nursing caregiving on infant sleep-wake states by gender in preterm infantsDesign:Descriptive measures at 34 weeks postmenstrual age and at dischargeSample:Twenty-two hospitalized preterm infantsMain Outcome Variable:Infant state and caregiving episodes were coded in 15-second intervals from video recordings of approximately three hours duration. Time plots of state and caregiving were analyzed visually to summarize spontaneous state changes and state change associated with caregiving.Results:Sleep and wake state distribution did not differ statistically by gender; however, the rate of state change in male infants was twice that of females (p=.012) at discharge. At discharge, male infants received approximately twice as many care episodes as females. At discharge, the rate of state change in response to caregiving in male infants was four times that of female infants (p=.026). Males exhibited a greater percentage of caregiving episodes related to state change than did females at discharge (p=.018). Findings suggest further exploration of possible gender differences in state regulation and state change in response to caregiving.
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Refrande, Sueli Maria, Rose Mary Costa Rosa Andrade Silva, Eliane Ramos Pereira, Marcos Andrade Silva, Enéas Rangel Teixeira, and Patrícia Da Silva Trasmontano. "Intersubjetividade no cuidado com a criança hospitalizada pelo discente de enfermagem: método fenomenológico." Online Brazilian Journal of Nursing 15, no. 4 (December 30, 2016): 605. http://dx.doi.org/10.17665/1676-4285.20165342.
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Aim: to understand what the nursing student participants experienced when taking part in a theoretical-practical course focused on the subject of infant health. Method: this was a phenomenological study, based on the theoretical framework of Maurice Merleau-Ponty. This study was carried out using a qualitative approach. The participants were 30 undergraduate nursing students who were, at the time, in the eighth semester of the course. Results: students can be found everyday in different environments and with the children's family members. Once they allow themselves to be dazzled by the children, they are under their watching eyes and of their family members. Then, the phenomenon occurs, creating the following categories: intersubjectivity as a relationship between students and infants and the intersubjectivity and empathy experienced while caring for children. Practical implications: the implementation of theoretical knowledge in practice will strengthen strategies such as empathy, leading to the establishment of an intersubjective involvement for those caring for infants. Conclusion: the relation of intersubjectivity is established between students and infants due to the student entering the child version of reality.
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McMullen, Sherri, Bethann Lipke, and Catherine LeMura. "Sudden Infant Death Syndrome Prevention: A Model Program for NICUs." Neonatal Network 28, no. 1 (January 2009): 7–12. http://dx.doi.org/10.1891/0730-0832.28.1.7.
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Health care providers’ opinions can influence how parents place their infant to sleep. Neonatal nurses can improve how they teach and model safe infant sleep practices to parents. To increase neonatal nurses’ knowledge, a sudden infant death syndrome (SIDS) prevention program was implemented. Program components included a computerized teaching tool, a crib card, sleep sacks, and discharge instructions. Initial program evaluation showed that 98 percent of infants slept supine and 93 percent slept in sleep sacks in open cribs. However, nurses continued to swaddle some infants with blankets to improve thermoregulation. To increase nursing compliance in modeling safe infant sleep practices, Halo SleepSack Swaddles were provided for nurses to use in place of a blanket to regulate infant temperature. Recent data show that 100 percent of infants in open cribs are now sleeping supine wearing a Halo Swaddle or a traditional Halo SleepSack. This model program can easily be replicated to enhance neonatal nurses’ knowledge about SIDS prevention.
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Huang, Qiushi, Jeanne Murphy, Emily R. Smith, and Allison C. Sylvetsky. "Diet Beverage Intake during Lactation and Associations with Infant Outcomes in the Infant Feeding Practices Study II." Nutrients 13, no. 9 (September 10, 2021): 3154. http://dx.doi.org/10.3390/nu13093154.
Full textAbstract:
Consumption of diet beverages (DB) containing low-calorie sweeteners (LCS) is widespread in the United States. LCS are ingested by nursing infants upon maternal DB consumption, which may impact infants’ weight and health. This study aims to examine cross-sectional associations between infants’ LCS exposure via maternal DB intake during lactation and infants’ health outcomes. Six hundred and eighty-two mother–infant dyads at three months postpartum, from the Infant Feeding Practices Study II, 2005–2007, were included in the analysis. Maternal DB consumption during lactation was estimated using the serving size and frequency of DB consumption reported on the diet history questionnaire. Infants’ LCS exposure was estimated by multiplying maternal DB consumption and breastfeeding intensity. Infant outcomes included weight, weight-for-age and BMI-for-age z-scores, overweight, and gastrointestinal (GI) symptoms including diarrhea, reflux, and vomiting. Associations between infants’ LCS exposure and continuous and categorical outcomes were examined using linear and logistic regressions adjusting for confounders, respectively. Forty-three percent of lactating women reported DB consumption. While no significant associations were observed between infants’ LCS exposure and BMI-for-age or risk of overweight, infants’ LCS exposure was associated with a 2.78-fold increased risk of vomiting (95% confidence interval 1.05–7.34). Potential adverse effects of LCS exposure on GI symptoms require further study, and null findings on infant weight should be interpreted with caution, given the small sample size. Additional research is needed to inform recommendations for or against DB consumption during lactation.