6 research outputs found
Mindâmindedness and parenting stress in mothers of preterm and fullâterm infants: The moderating role of perceived social support
The goal of this study was to examine the effects of preterm birth and maternal childbirthârelated posttraumatic stress and parenting stress on maternal mindâmindedness (MM). The study also investigated the effects of perceived social support on parenting stress and MM. Sixtyâfive preterm (N = 32) and fullâterm (N = 33) motherâinfant dyads were observed at 6 months. Measures of maternal MM were obtained from observations of motherâinfant interaction. Mothers also provided ratings of their posttraumatic stress disorder (PTSD) symptoms, parenting stress, and perceived social support via an online survey. Experiencing a preterm birth did not affect mothersâ use of mental state descriptors during motherâinfant interaction. Neither childbirthârelated posttraumatic stress nor parenting stress directly affected maternal ability to comment on the child's mental states appropriately. However, at medium and high levels of perceived social support, a negative association between parenting stress and MM was observed. Maternal perception of being emotionally supported by significant others promoted MM in mothers showing low or mild levels of parenting stress, but not in mothers experiencing high stress in parenting their infants. Results suggest that a proclivity to MM might be affected by the interaction between parenting stress and social support, rather than by childbirthârelated variables, such as prematurity
Tidal Breathing Measurements in Former Preterm Infants: A Retrospective Longitudinal Study
To investigate in preterm infants with or without bronchopulmonary dysplasia (BPD the trajectory of tidal breathing flow-volume (TBFV) parameters in the first two years of life; the association between TBFV parameters and perinatal risk factors; and the predictive value of TBFV parameters for re-hospitalizations due to respiratory infections and wheeze,
In-hospital growth and long-term neurodevelopmental outcomes of very low birth weight infants
Background and ObjectivesVery low birth weight infants (VLBW) are at risk for adverse growth and neurodevelopmental outcomes. We aimed to evaluate the association between growth during Neonatal Intensive Care Unit (NICU) stay and long-term neurodevelopmental outcomes in a cohort of preterm VLBW newborns.MethodsWe conducted a longitudinal observational study in the Follow-up Service of our Clinic from January 2014 to April 2017. All preterm VLBW infants born at our hospital and enrolled in our follow-up program were considered eligible for the study. The neurodevelopmental assessment was performed using the Griffiths Mental Development Scales at 12 and 24 months corrected age.ResultsStudy population included 172 subjects (47.1% males) with a mean gestational age of 29 weeks and a mean birth weight of 1,117â
g. A unitarian Îz-score increase in head circumference from birth to discharge was associated with a 1.6-point increase in General Quotient at 24 months corrected age. An association with subscales C and D was also found. Likewise, an increase in length Îz-score was associated with better 24-month subscale C scores although not reaching statistical significance. No relationship with the outcome at 24 months was found for weight gain.ConclusionsGrowth during NICU stay appears to be related to a more favorable neurodevelopmental outcome at 24 months corrected age, especially in the hearing and language domain (subscale C). The longitudinal evaluation of auxological parameters during hospitalization can contribute to the identification of subjects at risk for adverse neurodevelopmental outcomes in the first years of life