Effects of early mother–infant intervention on outcomes in mothers and moderately and late preterm infants at age 1 year: A randomized controlled trial

Ravn, Ingrid Helen; Smith, Lars; Smeby, Nina Aarhus; Kynoe, Nina Margrethe; Sandvik, Leiv; Bunch, Eli Haugen; Lindemann, Rolf

doi:10.1016/j.infbeh.2011.09.006

Cited by 73 publications

(97 citation statements)

References 148 publications

(171 reference statements)

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“…In particular our results pointed out that mothers of preterm children feel more anxious and more depressed than mothers of term children. Our results are in line with those researches that found that, at least one month after delivery, mothers of premature babies exhibited more negative feelings, in particular, anxiety and depression, than did the mothers of full-term children (Ravn et al, 2012; Vigod, Villegas, Dennis, & Ross, 2010). …”

Section: Discussionsupporting

confidence: 93%

Mothers and fathers in NICU: The impact of preterm birth on parental distress

et al. 2016

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Preterm birth is a stressful event for families. In particular, the unexpectedly early delivery may cause negative feelings in mothers and fathers. The aim of this study was to examine the relationship between preterm birth, parental stress and negative feelings, and the environmental setting of NICU. 21 mothers (age = 36.00 ± 6.85) and 19 fathers (age = 34.92 ± 4.58) of preterm infants (GA = 30.96 ± 2.97) and 20 mothers (age = 40.08 ± 4.76) and 20 fathers (age = 40.32 ± 6.77) of full-term infants (GA = 39.19 ± 1.42) were involved. All parents filled out the Parental Stressor Scale: Neonatal Intensive Care Unit, the Impact of Event Scale Revised, Profile of Mood States, the Multidimensional Scale of Perceived Social Support and the Post-Partum Bonding Questionnaire. Our data showed differences in emotional reactions between preterm and full-term parents. Results also revealed significant differences between mothers and fathers’ responses to preterm birth in terms of stress, negative feelings, and perceptions of social support. A correlation between negative conditions at birth (e.g., birth weight and Neonatal Intensive Care Unit stay) and higher scores in some scales of Impact of Event Scale Revised, Profile of Mood States and Post-Partum Bonding Questionnaire were found. Neonatal Intensive Care Unit may be a stressful place both for mothers and fathers. It might be useful to plan, as soon as possible, interventions to help parents through the experience of the premature birth of their child and to begin an immediately adaptive mode of care.

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Section: Discussionsupporting

confidence: 93%

Mothers and fathers in NICU: The impact of preterm birth on parental distress

et al. 2016

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“…Other studies drew attention to the importance and influence of perinatal risk factors (medical complications during birth, hypoxia, hypertension, white matter abnormalities) in preterm children, particularly regarding their cognitive and language development (17,41,46,69). Similarly, the influence of contextual risk factors (socioeconomic status, educational level and parental interactive style, mother-child attachment and type of attachment, parental and maternal emotional adjustment and mental health, negative maternal anxiety and displayed affect, support networks, early parenthood, expectations and characteristics of the proposed task) on the cognitive, communicative-linguistic, and especially emotional development, of preterm children has also been highlighted (17,39,45,49,66,68,69,71,72,74,75). The majority of these studies investigated the influence of sociocultural factors as covariables on the psychological development of preterm children.…”

Section: Resultsmentioning

confidence: 98%

“…In relation to social and personal development studies, the reviewed studies found that preterm children have problems in social adjustment in the first months (35,68), in task persistence also at 4 years (35,44), in emotional regulation and social interactions from the first year of life (37,39,44,68,71), in emotional adjustment (48,68), in the development of secure attachment and social competence in the early years (5,48,71), in internalizing behavior at two years (such as shyness, fear, anxiety, depression) (5, 71) and behavioral difficulties, such as hyperactivity at 3, 5 and 6 years (76). However, there is no agreement between the studies regarding externalizing behavior problems, such as aggression, hyperactivity and defiance, or emotional expression and regulation difficulties.…”

Section: Discussionmentioning

confidence: 99%

Early Psychological Development of Very Preterm and/or Low Birth Weight Children: A Review of the Literature

2015

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Objective -The aim of this paper is to describe the psychological development in three areas (cognitive, communicative-linguistic and social-emotional domains) of very preterm children and/or low birth weight, aged from 0 to 6 years, to discover if problems exist and if these difficulties remain, decrease or increase over time, up to 6 years of age, through of review of studies done in this population. Materials and methods -Seven databases were searched. The search yielded 975 studies and those related to cognitive, communicative-linguistic and social-emotional development in children without physical problems, ranging in age from birth to 6 years, gestational age less than 32 weeks and/or birth-weight less than 2499 grams were analyzed. Most of the 47 studies analyzed were conducted after 2005, focused on children aged 3-5 years, and compared preterm and full-term infants. ResultsThe studies agree that preterm children differ in many developmental domains but there is no consensus on others. Several studies found a close association between the three different areas analyzed. Conclusion -Early intervention of preterm and/or low birth weight children is the most important way to prevent and/or reduce academic, communicative and social-emotional (anxiety/depression) problems, and improve long-term adaptation to the environment, self-regulation, communication skills, social competence and academic performance in general.

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“…Interventions to address the early loss of maternal role, reduce psychological distress, and improve mother-infant interactions are needed (Lasiuk et al, 2013). Several studies have examined interventions that focus specifically on parents (e.g., Benzies, Magill-Evans, Hayden, & Ballantyne, 2013; Melnyk et al, 2006; Morey & Gregory, 2012; Ravn, Smith, Smeby, et al, 2012). Less is known about the degree to which interventions focused on the preterm infant might also affect mothers, especially when administered by mothers.…”

Section: Introductionmentioning

confidence: 99%

Maternally administered interventions for preterm infants in the NICU: Effects on maternal psychological distress and mother–infant relationship

Holditch‐Davis

White‐Traut

Levy

et al. 2014

Infant Behavior and Development

118

178

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Although studies have examined the effects of interventions focused on preterm infants, few studies have examined the effects on maternal distress (anxiety, depressive symptoms, post-traumatic stress symptoms, parenting stress) or parenting. This study examined the effects of the auditory-tactile-visual-vestibular (ATVV) intervention and kangaroo care (KC) on maternal distress and the mother-infant relationship compared to an attention control group. 240 mothers from four hospitals were randomly assigned to the three groups. Maternal characteristics in the three groups were similar: 64.1% of ATVV mothers, 64.2% of KC mothers, and 76.5% of control mothers were African American; maternal age averaged 26.3 years for ATVV mothers, 28.1 for KC mothers, and 26.6 for control mothers; and years of education averaged 13.6 for ATVV and KC mothers, and 13.1 for control mothers. Mothers only differed on parity: 68.4% of ATVV and 54.7% of KC mothers were first-time mothers as compared to 43.6% of control mothers. Their infants had a similar mean gestational ages (27.0 weeks for ATVV, 27.2 for KC, and 27.4 for control) and mean birthweights (993 grams for ATVV, 1022 for KC, and 1023 for control). Mothers completed questionnaires during hospitalization, and at 2, 6 and 12 months corrected age on demographic characteristics, depressive symptoms, state anxiety, post-traumatic stress symptoms, parenting stress, worry about child health, and child vulnerability (only at 12 months). At 2 and 6 months, 45-minute videotapes of mother-infant interactions were made, and the HOME Inventory was scored. Behaviors coded from the videotapes and a HOME subscale were combined into five interactive dimensions: maternal positive involvement and developmental stimulation and child social behaviors, developmental maturity, and irritability. Intervention effects were examined using general linear mixed models controlling for parity and recruitment site. The groups did not differ on any maternal distress variable. Kangaroo care mothers showed a more rapid decline in worry than the other mothers. The only interactive dimensions that differed between the groups were child social behaviors and developmental maturity, which were both higher for kangaroo care infants. Change over time in several individual infant behaviors was affected by the interventions. When mothers reported on the interventions they performed, regardless of group assignment, massage (any form including ATVV) was associated with a more rapid decline in depressive symptoms and higher HOME scores. Performing either intervention was associated with lower parenting stress. These findings suggest that as short-term interventions, KC and ATVV, have important effects on mothers and their preterm infants, especially in the first half of the first year.

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Effects of early mother–infant intervention on outcomes in mothers and moderately and late preterm infants at age 1 year: A randomized controlled trial

Abstract: The results suggest that MITP reduced postpartum depression and extended the period of breastfeeding, but did not support any positive effects of the intervention on self-reported maternal stress and perceived infant communication.

Cited by 73 publications

References 148 publications

Mothers and fathers in NICU: The impact of preterm birth on parental distress

Mothers and fathers in NICU: The impact of preterm birth on parental distress

Early Psychological Development of Very Preterm and/or Low Birth Weight Children: A Review of the Literature

Maternally administered interventions for preterm infants in the NICU: Effects on maternal psychological distress and mother–infant relationship

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