Special Medical Food in Premature Child with Postnatal Malnutrition: Clinical Case

Background. Protein-calorie deficiency is common multifactorial medical condition in infants. Nutrition therapy of protein-calorie deficiency in premature infants with special medical food is not always quite effective. It can be associated with residual manifestations of overlapping perinatal pathology.Clinical case description. Extremely premature child with severe protein-calorie deficiency in the late period with combined perinatal pathology (perinatal central nervous system damage and bronchopulmonary dysplasia) was administrated with therapeutic highly nutritious (high-protein/high-energy) milk formula according to individual plan. The positive dynamics in clinical manifestations of the main and associated diseases was noted on nutrition therapy.Conclusion. High-calorie and protein-enriched therapeutic formula can effectively correct protein-calorie deficiency in premature infants with associated perinatal pathology in the recovery period (disfunction compensation).

Pattern of growth development of premature children at the age of two and three years in Alexandria, Egypt [Part II]

Thisis the second part of a paper on a study conducted in Alexandria on 68 premature children. Controls were full-term children, double the number of prematures, and matched by age and sex. The first part presented differences in growth and development in relation to prematurity. This part deals with risk factors for prematurity. The study revealed that low educational level of fathers and parental smoking were significant risk factors for prematurity. The mean age of both parents and mothers’ gravidity were significantly higher for prematures. Other risk factors were identified. Mothers with diabetes and chronic nephritis were more likely to have a premature child

Brevundimonas Vesicularis: Unusual Cause of Bacteraemia in Otherwise Healthy 8 Months old Premature Child: Case Report

Brevundimonas vesicularis, a non-fermenting gram-negative bacterium, has rarely been diagnosed as a cause of infection in an otherwise healthy child. In this report,we describe Brevundimonas vesicularis bacteremia, in an 8months old healthy girl who was treated successfully with intravenous piperacillin-tazobactam.

Aleitamento materno do prematuro em um hospital amigo da criança

O objetivo foi descrever as experiências maternas relacionadas ao aleitamento materno de prematuros em uma unidade neonatal de um Hospital Amigo da Criança. Trata-se de um estudo qualitativo exploratório-descritivo, realizado em 2015. Participaram da pesquisa seis mães de prematuros hospitalizados em um Hospital Amigo da Criança. A coleta das informações foi realizada por meio de entrevista semiestruturada. Empregou-se a análise de conteúdo do tipo temática. Emergiram três categorias temáticas: Dificuldades enfrentadas durante o processo de aleitamento materno; Rotina de ordenha no banco de leite humano e Sentimentos relacionados ao aleitamento materno do filho prematuro. Conclui-se que, neste cenário, as mães vivenciaram dificuldades, tais como as condições clínicas do bebê e sentimentos de estresse e ansiedade. No entanto, sentiram satisfação em poder amamentar seus filhos prematuros e auxiliar na recuperação. Ainda foi possível identificar a importância da atuação da equipe de saúde nesse processo. Descritores: Aleitamento Materno, Recém-Nascido Prematuro, Enfermagem Neonatal. Breastfeeding of premature infant in a baby-friendly hospitalAbstract: The objective was to describe maternal experiences related to breastfeeding of premature infants in a neonatal unit of a baby-friendly hospital. This is a qualitative exploratory-descriptive study conducted in 2015. Six mothers of premature infants hospitalized in a baby-friendly hospital participated in the research. Information was collected through semi-structured interviews. Thematic content analysis was used. Three thematic categories emerged: Difficulties faced during the breastfeeding process; Human milk bank milking routine and Feelings related to breastfeeding of a premature child. It is concluded that, in this scenario, mothers experienced difficulties, such as the baby's clinical conditions and feelings of stress and anxiety. However, they were pleased to be able to breastfeed their premature children and assist in recovery. It was also possible to identify the importance of health team performance in this process.Descriptors: Breast Feeding, Infant, Premature, Neonatal Nursing. Lactancia materna del prematuro en un hospital amigo del niñoResumen: El objetivo fue describir las experiencias maternas relacionadas con la lactancia materna de bebés prematuros en una unidad neonatal de un Hospital Amigo del Niño. Este es un estudio cualitativo exploratorio descriptivo realizado en 2015. Seis madres de bebés prematuros hospitalizados en un Hospital Amigo del Niño participaron en la investigación. La información se recopiló a través de entrevistas semiestructuradas. Se utilizó el análisis de contenido temático. Surgieron tres categorías temáticas: dificultades enfrentadas durante el proceso de lactancia materna; Rutina de ordeño del banco de leche humana y sentimientos relacionados con la lactancia materna en niños prematuros. Se concluye que, en este escenario, las madres experimentaron dificultades, como las condiciones clínicas del bebé y los sentimientos de estrés y ansiedad. Sin embargo, estaban contentas de poder amamantar a sus hijos prematuros y ayudarlos en la recuperación. También fue posible identificar la importancia del desempeño del equipo de salud en este proceso.Descriptores: Lactancia Materna, Recien Nacido Prematuro, Enfermería Neonatal.

Maternal care in the preterm child’s family context: A comprehensive look towards the sibling

ABSTRACT Objective: To analyze maternal care for siblings of preterm babies hospitalized in the neonatal intensive care unit. Method: Qualitative research using symbolic interactionism as a theoretical reference and narrative research as a methodological reference. Ten mothers were surveyed through semi-structured interviews. Results: Three thematic units emerged from the analysis of data: “social support in the sharing of child care”; “promotion of adaptation to the arrival of a sibling” and “maternal feelings and coping”. Final considerations: Care for the premature child’s sibling is developed under mothers’ physical distance from him/her, justified by the need to remain close to the premature child due to risks and fragility related to the condition.

Reproductive Injustice

The premature birth rate in the United States has been persistently high among Black women for many decades. While most research on the topic of premature birth involves poor and low-income women, this book focuses on the experiences of more affluent women to show that race is as much a common denominator as class in adverse birth outcomes. Using the afterlife of slavery framework, the book argues that racism shapes professional and college-educated Black women’s prenatal and birthing medical encounters, which have precedents that emanate from slavery. The book weaves in historic examples of medical racism, offering analytical context for understanding contemporary Black women’s interpretations of medical encounters of prenatal care, labor, birthing, and the admission of their premature child to the neonatal intensive care unit. Based on ethnographic observations, archival research, and nearly fifty interviews with parents, medical professionals, public health administrators, and birth workers, including midwives, doulas and reproductive justice advocates, the book is divided into two parts. Part I offers definitions of prematurity, outlines some of its causes, and describes what it is like to have a premature child. This part also explores the everyday forms of racism, such as diagnostic lapses or being dismissed by medical personnel, and links those experiences to past ideologies and practices of medical racism. Part II uses a critical racial lens to explore three strategies to address prematurity: technological intervention, public health intervention, and the preventionist approach taken up by birth workers. The conclusion gestures toward ideas to address medical racism.

The presence of the father in the kangaroo method

ABSTRACT Objective: To reflect about the father’s experience close to the premature son using the kangaroo method under the referential of Merleau-Ponty. Method: Theoretical-reflexive study based on the phenomenology of perception and behavior proposed by Merleau-Ponty and relevant literature. Results: To live the prematurity with the son using the kangaroo method, provides for the father to recognize himself as a being in the world. His intentions regarding the care are demonstrated through the skin to skin contact and the associated care for the newborn child. From the lived experiences, the father can exert the fullness of his paternity. Conclusion and implications for practice: By comprehending the father’s way of being, acting and reacting using the kangaroo method, it will be possible to reflect upon his attitudes as caregiver and get him closer to the newborn child. Therefore, it is possible to strengthen the behaviors between father and son with the purpose of creating an emotional bond, thus allowing the inherent care regarding prematurity. Understanding the paternal behavior in the care of the premature child in the Kangaroo Method and their perceptions about care neonatal, can benefit nursing praxis from the perspective of promoting neonatal health, as well as in the prevention of diseases in relation to morbidity and Infant mortality.

Sentimentos maternos frente à hospitalização do filho prematuro: análise de conteúdo

Aim: understand the feelings experienced by the mother when having her premature child hospitalized in the Neonatal Intensive Care Unit (NICU). Method: Descriptive research of a qualitative nature, performed with 11 mothers, through a semi-structured interview. The Content Analysis framework was adopted. Results: three thematic categories were identified: Suffering from the hospitalization of the premature child; Premature child care: trust in the team; Experiencing the impact of the neonatal intensive care environment. Discussion: mothers were faced with feelings such as fear, guilt over suffering and possible loss of the child, and reported feeling powerless and unable to care for the child at this time, which increased their anguish. Conclusion: mothers, when faced with the premature child in the NICU, experienced different feelings, feeling incapable and, often, moving away from the newborn. However, they reported confidence and security in the care of professionals with their children, valuing both technical aspects and interpersonal relationships.