Quality of attachment in infants less than 1500g or less than 32weeks. Related factors

Promoting attachment between parents and neonates despite the COVID‐19 pandemic

“…Although medical advances mean more vulnerable babies survive, neurodevelopmental disabilities remain an issue. Bonding to the primary caregiver is fundamental to children's growth and development, 26 and the neurobiological processes involved in the maturation of the brain and activation of neuroendocrine systems are driven by attachment‐related behaviours 27 . This attachment is facilitated by couplet care or no separation from birth.…”

Attachment and relationship-based interventions for families during neonatal intensive care hospitalization: a study protocol for a systematic review and meta-analysis

“…A random effects model and subgroup analysis will be considered for meta-analysis if a p value of 0.10 or smaller for the χ 2 test or if moderate heterogeneity (I 2 < 50%) is identified. If possible, subgroup analysis will be performed based on infants' gestational age at birth, congenital defect, and maternal age at childbirth, as these variables have been considered as covariates in previous studies [4,13,35]. If heterogeneity is too substantial to be explained, thereby rendering meta-analysis impossible, we will opt to synthesize the data only narratively.…”

“…The interpretation of the attachment process comes from a developmental perspective on human life. Bonding to the primary caregiver is fundamental to growth and development in children; the caregiver is identified as a "secure base" from which to explore the external environment after birth [4]. In the neurobiological underpinnings of human attachment, the processes involved in the maturation of the brain and activation of neuroendocrine systems operate according to the motheroffspring relationship through attachment-related behaviors, especially during the first 2 years of life [5].…”

“…However, the early separation between the parent and preterm infant and a traumatic technological environment interrupt the complex attachment process [12]. There is consensus that the infant-, NICU environmental-, and family-related factors that influence the parentpreterm infant attachment, bonding, and relationship are neonatal characteristics (i.e., prematurity, gestational age, and congenital defects with severe complications) [4,13], parental sensitivity [11], caregiving [14,15], parentinfant closeness and interaction [16,17], supportive nursing care [18], parental mental health and emotional distress [19,20], and tactile stimulation and skin-to-skin contact [21,22]. Hence, interventions aimed at supporting or modifying these factors during the NICU stay should help establish parent-infant attachment.…”

A influência da idade gestacional nas habilidades do desenvolvimento infantil e a qualidade da interação na díade mãebebê ao longo do primeiro ano de vida

“…Foi realizada a decodificações do toque da mãe no bebê, segundo a segundo e do afeto infantil. Em geral, as análises mostraramMaestro et al (2017) avaliaram o tipo de apego em crianças nascidas com IG inferior a 32 semanas e/ou peso abaixo de 1500 gramas, e verificaram a associação entre vários tipos de apego e características neonatais e familiares. OsInicialmente foi solicitado aos responsáveis que assinassem o Termo deConsentimento Livre e Esclarecido, e só após assinatura foi aplicada uma Entrevista Materna (FUERTES, LOPES, 2005) com as mães.…”