scholarly journals Effects of a home follow‐up program in Turkey for urban mothers of premature babies

2019 ◽  
Vol 37 (1) ◽  
pp. 56-64
Author(s):  
Nebahat Bora Güneş ◽  
Hicran Çavuşoğlu

Retinopathy of prematurity (ROP) that occurs in premature babies and can result in blindness is one of the vascular diseases of the retina. Currently, increased preterm birth and the survival of very small babies cause an increase in ROP incidence. Through effective screening programs, ROP can be detected and treated timely. The aim of this study is to review the most current global screening programs and the latest situation in our country.


Author(s):  
Rinik Kapti ◽  
Moses Pandin

Abstract Background: Premature babies have a greater risk for having health issues after being discharged from the hospital whilst the mother ability to provide premature baby care still has many issues as well. Interventions are needed to be given to mothers at home to improve the ability of mothers to care their premature babies. Methods: Search for articles used the bolean operator of “or” and “and” with the keywords used were “preterm or premature”, “intervention or program”, and “mother and home”. Data based used were Sciencedirect, Ebscohost, PubMed, SAGE, Proquest and Scopus with inclusion criteria using full text in English from 2018 to 2021. There were 428 articles obtained, the articles were then screened by reading the main focus of articles with paying attention to the topic and the suitability of article content and we obtained 13 suitable articles. Results: The interventions at home carried out for mothers and premature babies were divided into two namely the follow-up interventions from the hospital and the interventions carried out at the patient's home. Seven articles about research of interventions that were as a combination from hospital intervention with follow-up hospital intervention plus five full interventions at the patient's home. Interventions were provided through home visits (12 articles) and by telephone (1 article). The results of the article analysis resulted in 4 main themes of intervention for mothers and premature babies, they were health education, counceling, support, and care for premature babies. Conclusion: Quality care is essential for the best health, growth and development of premature babies. Interventions need to be carried out by health workers to ensure the readiness and ability of mothers to care for their babies. Maternal readiness and abilities can be improved by providing health education, counseling, support and care for premature babies.


Author(s):  
Viviane Dutra Piber ◽  
Dani Laura Peruzzolo ◽  
Karenina Correa Sampson

Objetivo: problematizar os resultados do instrumento Indicadores de Referência ao Desenvolvimento Infantil (IRDI) utilizado para avaliação de bebês prematuros e correlacioná-los ao tipo de aleitamento materno e a prematuridade. Método: Estudo quantitativo, retrospectivo e exploratório. Público alvo foram díades mãe/bebê atendidas em Programa de Seguimento de Prematuros egressos de Unidade de Tratamento Intensivo Neonatal. A coleta se deu em dois momentos: entrevista com questionário para as mães e coleta dos resultados do IRDI, fase I e fase II, em prontuário. A amostra contou com 38 pacientes, com idade até 8 meses, que se enquadravam nos critérios da pesquisa. Os dados foram analisados estatisticamente no software Statistical Package for Social Sciense, versão 15.0. Resultados: Na fase I do IRDI observou-se que dos cinco indicadores avaliados, dois estiveram presentes em todos os bebês. 6 destes apresentaram pelo menos um indicador ausente, sendo um sinal de alerta. Na fase II, 27 bebês apresentaram todos os indicadores presentes e 11 bebês apresentaram indicadores ausentes. Este estudo não apresentou associação significativa entre as Fases I e II, nem entre a ausência de IRDI e a prematuridade e não houve correlação significativa com os tipos de aleitamento. Porém foi possível problematizar teoricamente os resultados e suas interpretações frente a prematuridade e o aleitamento. Considerações Finais: o IRDI abre caminhos interpretativos para compreenderse o nível de investimento relacional, porém é necessário uma avaliação ainda mais complexa, que foque no cotidiano familiar, para, a partir deste conhecimento mais amplo, possa-se pensar alternativas de intervenção para as famílias. Abstract Objective: problematize the results of the Child Development Reference Indicators (IRDI) instrument used to assess premature babies and correlate them with the type of breastfeeding and prematurity. Method: This is a retrospective study, with an exploratory quantitative approach, whose target audience were mother / baby dyads attended in the Premature Follow-up Program (PSP) discharged from the Neonatal Intensive Care Unit (NICU).Data collection was carried out in two different moments: interview with the use of a questionnaire for mothers, in order to collect information regarding mainly breastfeeding; collection of data from IRDI phase I and phase II in medical records. The sample included 38 patients who met the research criteria. The data were grouped and then statistically analyzed using the Statistical Package for Social Science software, version 15.0. Results: In phase I of the IRDI, it was observed that of the five indicators evaluated, two were present in all babies and that 6 children had at least one missing indicator, which is a warning sign. While in phase II, 27 children had all indicators present and 11 children had absent indicators. This study did not demonstrate a significant association between the absence of IRDI and prematurity, just as there was no significant correlation between exclusive breastfeeding. However, it was possible to theoretically problematize the results and their interpretations regarding prematurity and breastfeeding. Conclusion: IRDI opens interpretative paths to understand the level of relational investment, but an even more complex assessment is needed, focusing on family life, so that, based on this broader knowledge, it is possible to think about intervention alternatives for the families.Keywords: Premature Newborn. Breastfeeding. Child Development ResumenObjetivo: problematizar los resultados del instrumento de Indicadores de Referência de Desarrollo Infantil (IRDI) utilizado para evaluar a los bebés prematuros y correlacionarlos con el tipo de lactancia materna y la prematuridad. Metodo: se trata de un estudio cuantitativo, retrospectivo y exploratorio, cuyo objeto de investigación fueron las díadas madre/bebé atendidas en un Programa de Seguimiento para Prematuros (PSP) dadas de alta de la Unidad de Cuidados Intensivos Neonatales. La recopilación de datos se realizó en dos momentos: entrevista con cuestionario para madres y recopilación de los resultados del protocolo IRDI fase I y fase II de los registros médicos. La muestra incluyó a 38 díadas que cumplían los criterios de la investigación. Los datos fueron agrupados y luego analizados estadísticamente utilizando el paquete Statistical Package for Social Sciense, versión 15.0. Resultados: En la fase I del IRDI, se observó que dos, de los cinco indicadores evaluados, estaban presentes en todos los bebés y que seis niños tenían al menos un indicador ausente, siendo una señal de alerta. En la fase II, 27 niños tenían todos los indicadores presentes y 11 niños tenían algunos indicadores ausentes. Este estudio mostró una asociación significativa entre las Fases I y II y entre la ausencia de IRDI y la prematuridad. Sin embargo, fue posible problematizar teóricamente los resultados y sus interpretaciones sobre la prematuridad y la lactancia materna. Consideraciones finales: El IRDI abre caminos interpretativos para comprender el nivel de inversión relacional, pero se necesita una valoración aún más compleja, centrada en la vida familiar, para que, a partir de este conocimiento más amplio, sea posible pensar en alternativas de intervención para las familias.Palabras clave: Recién Nacido Prematuro. Lactancia Materna. Desarrollo infantil


2014 ◽  
Vol 27 (5) ◽  
pp. 492-498 ◽  
Author(s):  
Anelize Helena Sassá ◽  
Maria Aparecida Munhoz Gaíva ◽  
Ieda Harumi Higarashi ◽  
Sonia Silva Marcon

Objective To describe nursing actions implemented in a home context for the needs presented by the families of extremely low birth weight newborns. Methods This convergent care research was carried out with nine families who were visited in their home. For data collection we used semi-structured informal interviews and observation of participants during the first six months after hospital discharge. Data were analyzed using the thematic modality. Results Care needs of families during daily home care were related mainly to doubts and insecurities specific to extremely low birth weight premature babies and the care and guidance required for follow-up of newborns in general. Conclusion Nursing actions in a home context involve child evaluation, guidance, demonstrations, clarifications, referrals, and stimulation for puericulture follow-up with specialists. These actions also include facilitating family empowerment and gradual autonomy of care.


Neonatology ◽  
1987 ◽  
Vol 52 (4) ◽  
pp. 181-187 ◽  
Author(s):  
M.E.. de Gamarra ◽  
Y. Schutz ◽  
C. Catzeflis ◽  
D. Freymond ◽  
M. Cauderay ◽  
...  

2018 ◽  
Vol 5 (6) ◽  
pp. 2304
Author(s):  
Yogesh N. Parikh ◽  
Priya M. Patel ◽  
Palak T. Hapani

Background: Retinopathy of prematurity is a vaso-proliferative disorder of retina in premature babies. The objective of this study was to study retinopathy of prematurity in premature babies and to study associated risk factors.Methods: Study was a prospective study was conducted among infants in high risk follow up clinic of our department KT Children Hospital, tertiary teaching hospital attached to Government medical college, Rajkot. Sample size of study was conducted on 100 high risk neonates who were brought to high risk follow up clinic at K T children hospital, Rajkot.Results: Out of studied 100 infant, 40% developed ROP, 12% developed stage 1 ROP, 13% developed stage 2 ROP,15% developed stage 3 ROP. Out of 100 cases 40% were ROP positive.15% occurred between 28-30 weeks of gestation. In 31-33 weeks of gestation 82.5%. In 34-36 weeks of gestation 2.5%. 15% of cases between 740-1000 gm of birth weight developed ROP.67.5% between 1000-1500 gm of birth weight developed ROP.15% between 1500-2000 gm of birth weight developed ROP.2.5% between 1500-2000 gm of birth weight developed ROP. 70 newborns received oxygen, 95% of newborns developed ROP. 5% newborns who have not received oxygen developed ROP. In present study there is association of ROP with oxygen therapy. 40 cases had apnea. Out of 40 cases 55% had ROP. Association between apnea and ROP. 21 received blood products.57% of them had ROP. Association between blood transfusion and ROP. 20 received ventilation. 75% of them had ROP. Association between ventilation and ROP. Out of 40 positive newborns there 17 were male and 23 were female. No difference in distribution of ROP in male and female sex. Significant relationship between gestational age, O2 therapy, mechanical ventilation, apnea and blood products. Insignificant relationship between sexes.Conclusions: This study has identified ROP is found to be associated with gestational age, o2 therapy, mechanical ventilation, apnea and blood products.


2006 ◽  
Vol 40 (4) ◽  
pp. 641-647 ◽  
Author(s):  
Rosely Sichieri ◽  
Vania Matos Fonseca ◽  
Daniel Hoffman ◽  
Nadia Maria F Trugo ◽  
Aníbal Sanchez Moura

OBJECTIVE: To assess the association between iron status at birth and growth of preterm infants. METHODS: Ninety-five premature babies (26 to 36 weeks of gestational age) born from July 2000 to May 2001 in a public hospital in Rio de Janeiro, Southeastern Brazil, were followed up for six months, corrected by gestational age. Iron measurements at birth were available for 82 mothers and 78 children: hemoglobin, hematocrit, mean corpuscular volume and plasma iron. All children received free doses of iron supplement (2 mg/kg/day) during the follow-up period and up to two years of age. Multivariate linear regression analyses with repeated measurements were performed to assess factors associated to linear growth. RESULTS: Growth was more pronounced up to 40 weeks of gestational age, increasing about 1.0 cm/week and then slowing down to 0.75 cm/week. The multivariate analysis showed growth was positively associated with birth weight (0.4 cm/100 g; p<0.001) and negatively associated with gestational age at birth (-0.5 cm/week; p<0.001). There was no association between cord iron and mother iron measurements and growth (p>0.60 for all measures). Only two children had anemia at birth, whereas 43.9% of mothers were anemic (hemoglobin <11 g/dl). Also, there was no correlation between anemia indicators of mothers and children at birth (r<0.15; p>0.20). CONCLUSIONS: Maternal anemia was not associated with anemia in preterm infants and iron status of mothers and children at birth was not associated with short-term growth of preterm infants.


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