Maternal Participation Program for Enhancing Growth and Neurobehavioral Development of Very and Moderately Preterm Infants: A Case Study

Authors

  • Nethong NAMPROM Faculty of Nursing, Chiang Mai University, Chiang Mai 50210
  • Wilawan PICHEANSATHIAN Faculty of Nursing, Chiang Mai University, Chiang Mai 50210
  • Usanee JINTRAWET Faculty of Nursing, Chiang Mai University, Chiang Mai 50210
  • Jutamas CHOTIBANG Faculty of Nursing, Chiang Mai University, Chiang Mai 50210

DOI:

https://doi.org/10.48048/wjst.2019.3729

Keywords:

Neonatal, maternal participation, growth, neurobehavioral development, preterm infants

Abstract

A Maternal Participation Program in the context of Thai culture was developed based on the Neonatal Integrative Developmental Care model. A multiple case study design was used to explore the feasibility and acceptability and potential outcomes of implementing the program in a Thai NICU. The potential outcomes were growth and neurobehavioral development of very and moderately preterm infants. This program consisted of education and monitoring strategies including 4 teaching and practice sessions of 6 care practices, which included optimizing nutrition, positioning and handling, safeguarding sleep, promoting a healing environment, minimizing stress, and protecting the skin. The maternal participation program with education strategies was implemented one week after the infant’s admission to an NICU. Strategies to monitor the maternal participation level and to boost maternal participation were used. The maternal participation program was beneficial for 3 Thai mothers. They gave positive feedback regarding the feasibility and acceptability of the program, as well as the readability of the “My Baby” handbook. The level of maternal participation in caring for preterm infants increased after being involved in this program. Additionally, preterm infants’ body weight and neurobehavioral scores dramatically increased. Further studies of this program need to be conducted in a randomized controlled trial design.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

CP Hornik, AL Sherwood, CM Cotten, MM Laughon, RH Clark and PB Smith. Daily mortality of infants born at less than 30 weeks’ gestation. Early Hum. Dev. 2016; 96, 27-30.

S Chawanpaiboon and S Kanokpongsakdi. Preterm birth at Siriraj Hospital: A 9 year period review (2002-2010). Siriraj Med. J. 2011; 63, 143-6.

JB Gouyon, S Iacobelli, C Ferdynus and F Bonsante. Neonatal problems of late and moderate preterm infants. Semin. Fetal Neonatal Med. 2012; 17, 146-52.

RE Behrman and AS Butler. Preterm birth: Causes, Consequences, and Prevention. The National Academies Press, Washington DC, 2007.

MC Sullivan, ME Msall and RJ Miller. 17-year outcome of preterm infants with diverse neonatal morbidities: Part 1-Impact on physical, neurological, and psychological health status. J. Spec. Pediatr. Nurs. 2012; 17, 226-41.

S Jenga, KT Yaub and R Tengb. Neurobehavioral development at term in very low birthweight infants and normal term infants in Taiwan. Early Hum. Dev. 1998, 51, 235-45.

S Cömert, T Ağzıkuru, Y Akin, B Telatar, PD Tan, SG Ergen and P Dervişoğlu. The cost analysis of preterm infants from a NICU of a State Hospital in Istanbul. Iran J. Pediatr. 2012, 22, 185-90.

H Niela-Vilén, A Axelin, S Salanterä, L Lehtonen, O Tammela, R Salmelin and R Latva. Early physical contact between a mother and her NICU-infant in two university hospitals in Finland. Midwifery 2013; 92, 1321-30.

AV Zani, ARC Golias, STF Martins, CMGL Parada, SS Marcon and VLP Tonete. Feelings experienced by the family of an at-risk newborn infant: Integrative literature review. J. Nurs. UFPE On Line 2013; 7, 269-78.

J Malakouti, M Jabraeeli, S Valizadeh and J Babapour. Mothers’ experience of having a preterm infant in the Neonatal Intensive Care Unit: A phenomenological study. Iran J. Crit. Care Nurs. 2013; 5, 172-81.

EC Hall, H Kronborg, H Aagaard and BS Brinchmann. The journey towards motherhood after a very preterm birth: Mothers’ experiences in hospital and after home-coming. J. Neonatal Nurs. 2013; 19, 109-13.

GC Lasiuk, T Comeau and C Newburn-Cook. Unexpected: An interpretive description of parental traumas’ associated with preterm birth. BMC Pregnancy Childbirth 2013; 13, S13.

V Swanson, H Nicol, R McInnes, H Cheyne, H Mactier and E Callander. Developing maternal self-efficacy for feeding preterm Babies in the neonatal unit. Qual. Health Res. 2012; 22, 1369-82.

H Kearvell and J Grant. Getting connected: How nurses can support mother/infant attachment in the neonatal intensive care unit. Aust. J. Adv. Nurs. 2010; 27, 75-82.

R Flacking, L Lehtonen, G Thomson, A Axelin, S Ahlqvist, VH Moran, U Ewald and F Dykes. Closeness and separation in neonatal intensive care. Acta Paediatr. 2012; 101, 1032-7.

EJ Starr-Phillips and AK Beery. Natural variation in maternal care shapes adult social behavior in rats. Dev. Psychobiol. 2013; 56, 1017-26.

KO Brien, M Bracht, K Macdonell, TM Bride, K Robson, LO Leary, K Christie, M Galarza, T Dicky, A Levin and SK Lee. A pilot study of family integrated care in a Canadian neonatal intensive care unit. BMC Pregnancy Childbirth 2013; 13, S12.

MG Welch, MM Myers, PG Grieve, JR Isler, WP Fifer, R Sahni, MA Hofer, J Austin, RJ Ludwig, RI Stark and FNI Trial Group. Electroencephalographic activity of preterm infants is increased by family nurture intervention: A randomized controlled trial in the NICU. J. Clin. Neurophysiol. 2014; 125, 675-84.

P Sannino, ML Giannì, GD Bon, C Fontana, O Picciolini, L Plevani, M Fumagalli, D Consonni and F Mosca. Support to mothers of premature babies using NIDCAP method: A non-randomized controlled trial. Early Hum. Dev. 2016; 95, 15-20.

KM Benzies, JE Magill-Evans, KA Hayden and M Ballantyne. Key components of early intervention programs for preterm infants and their parents: A systematic review and meta-analysis. BMC Pregnancy Childbirth 2013; 13, 1-15.

C Brecht, RJ Shaw, SM Horwitz and NH John. Effectiveness of therapeutic and behavioral interventions for parents of low-birth weight premature infants: A review. Infant Ment. Health J. 2012; 36, 651-65.

J Brett, S Staniszewska, M Newburn, N Jones and L Taylor. A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants. BMJ 2011; 1, e000023.

JA Vanderveen, D Bassler, CM Robertson and H Kirpalani. Early interventions involving parents to improve neurodevelopmental outcomes of premature infants: A meta-analysis. J. Perinatol. 2009; 29; 343-51.

L Altimier and RM Phillips. The Neonatal integrative developmental care model: Seven neuroprotective core measures for family-centered developmental care. Newborn Infant Nurs. Rev. 2013; 13, 9-22.

Y Pongjaturavit and RC Harrigan. Parent participation in the care of hospitalized child in Thai and western cultures. Issues Compr. Pediatr. Nurs. 2003. 26; 183-99.

P Pholanun, S Kantawang and P Klunklin. Maternal participation in caring for preterm infants in neonatal intensive care unit and related factors. Nurs. J. 2013; 40, 89-101.

B Punthmatharith, U Buddharat and T Kamlangdee. Needs, need responses, and need response satisfaction of mothers having infants admitted to a Neonatal Intensive Care Unit of a Regional Hospital in lower southern Thailand. Songkla Med. J. 2007; 5, 117-26.

N Taya, W Picheansatian and R Yunaka. Needs and received response among mothers of newborns in Neonatal Intensive Care Units. J. Health Sci. 2007; 16, 268-74.

R Orapiriya, V Jirapaet and B Rodcumdee. Struggling to get connected: The process of maternal attachment to the preterm infant in the neonatal intensive care unit. Thai J. Nurs. Res. 2007; 11, 251-63.

JH Chaudhuri, MA Easterbrooks and CR Davis. The relation between emotional availability and parenting style: Cultural and economic factors in a diverse sample of young mothers. Parent Sci. Pract. 2009; 9, 277-99.

R Flacking, L Lehtonen, G Thomson, A Axelin, S Ahlqvist, VH Moran, U Ewald and F Dykes. Closeness and separation in neonatal intensive care. Acta Paediatr. 2012; 101, 1032-7.

AL Patel, JL Engstrom, PP Meier, E Robert and RE Kimura. Accuracy of methods for calculating postnatal growth velocity for extremely low birth weight infants. Pediatrics 2005; 116, 466-73.

TR Fenton, R Nasser, M Eliasziw, JH Kim, D Bilan and R Sauve. Validating the weight gain of preterm infants between the reference growth curve of the fetus and the term infant. BMC Pediatr. 2013; 13, 92.

AM Morgan, V Koch, V Lee and J Aldag. Neonatal Neurobehavioral examination: A new instrument for quantitative analysis of neonatal neurological status. Phys. Ther. 1988; 68, 1352-8.

E Proctor, H Silmere, R Raghavan, P Hovmand, G Aarons, A Bunger, R Griffey and M Hensley. Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Admin. Pol. Ment. Health 2011; 38, 65-76.

BK Redman. The Practice of Patient Education: A Case Study Approach. 10th eds. Mosby Elsevier, St Louis, 2007.

CC Doak, LG Doak and JH Root. Teaching Patients with Low Literacy Skills. 2nd eds. J.B. Lippincott, Philadelphia, 1996.

Downloads

Published

2017-11-28

How to Cite

NAMPROM, N., PICHEANSATHIAN, W., JINTRAWET, U., & CHOTIBANG, J. (2017). Maternal Participation Program for Enhancing Growth and Neurobehavioral Development of Very and Moderately Preterm Infants: A Case Study. Walailak Journal of Science and Technology (WJST), 16(8), 523–533. https://doi.org/10.48048/wjst.2019.3729