The effect of maternal participation in preterm's care and improved short-term growth and neurodevelopment outcomes

Namprom, Nethong; Picheansathian, Wilawan; Jintrawet, Usanee; Chotibang, Jutamas

doi:10.1016/j.jnn.2018.03.003

Cited by 15 publications

(43 citation statements)

References 21 publications

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“…The main characteristics of the included studies are summarized in (24), sensory stimulation interventions considering tactile stimulation (33) and multisensory stimulation (30,32), parental participation programs (23,35), music (36) and physical activity and/or hydrotherapy (34).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The other interventions were either performed by a nurse (34), mothers with guidance from nurses (23), nurses and/or parents when they were at the bedside (24), the principal investigator (a nurse) or a trained research team member (33), or physical therapists, parents and nurses (35). The majority of the studies (n=8) comprehensively described their control group (i.e., standard care or comparator group) (21,22,24,29,30,(32)(33)(34)(35), and three that described their control group as standard care did not provide speci cs (23,31,36).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The studies measured neurodevelopment using different scales, such as the APIB (21,29,31), the Prechtl Neurological Examination of the Full-term Newborn (22,29,31), the INFANIB (30,32), the NNNS (24,33) the TIMP (32,34), the NNE (23,35), the New Ballard Score (34,36) and items from the Dubowitz examination (34). Four studies used more than one scale (29,31,32,34).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Four studies used more than one scale (29,31,32,34). Eight studies included preterm infants whose neurodevelopment was measured during NICU hospitalization or at discharge (22)(23)(24)(30)(31)(32)(33)(34)(35)(36) and three studies measured the primary outcome at two weeks CA (21,29,31). Three studies did their measurements at the end of the intervention (32-34), while one study performed their last measurement 28 days after the infants' birth rather than at the end (23).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Selective reporting was unclear in all studies and this risk of bias was high in three studies because not all prespeci ed outcomes were reported (30), or a difference was noticed between the protocol registered and the publication (22,34). We considered six studies to be free from other sources of bias (22,24,(32)(33)(34)36), whereas two studies were judged high since an important risk of bias was associated with threats of study validity (21,31) and four had unclear risk of bias for insu cient rationale or evidence provided (23,29,30,35) (see Additional File 3 - Table S2 for a detailed explanation).…”

Section: Risk Of Bias Of Included Studiesmentioning

confidence: 99%

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Effectiveness of Interventions on Early Neurodevelopment of Preterm Infants: A Systematic Review and Meta-Analysis

Aita

Clifford-Faugère

Lavallée

et al. 2020

Preprint

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Abstract Background and ObjectiveAs preterm infants’ neurodevelopment is shaped by NICU-related factors during their hospitalization, it is essential to evaluate which interventions are more beneficial for their neurodevelopment at this specific time. The objective of this systematic review and meta-analysis was to evaluate the effectiveness of interventions initiated during NICU hospitalization on preterm infants’ early neurodevelopment during their hospitalization and up to two weeks corrected age (CA).MethodsThis systematic review referred to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses [PRISMA] guidelines and was registered in PROSPERO (CRD42017047072). We searched CINAHL, MEDLINE, PubMed, EMBASE (OVID), Cochrane Systematic Reviews, CENTRAL, and Web of Science from 2002 to February 2020 and included randomized controlled/clinical trials conducted with preterm infants born between 24 and 366/7 weeks of gestation. All types of interventions instigated during NICU hospitalization were included. Two independent reviewers performed the study selection, data extraction, assessment of risks of bias and quality of evidence.ResultsFindings of 12 studies involving 901 preterm infants were synthesized. We combined three studies in a meta-analysis showing that compared to standard care, the NIDCAP intervention is effective in improving preterm infants’ neurobehavioral and neurological development at two weeks CA. We also combined two other studies in a meta-analysis indicating that parental participation did not significantly improve preterm infants’ neurobehavioral development during NICU hospitalization. For all other interventions (i.e., developmental care, sensory stimulation, music and physical therapy), the synthesis of results shows that compared to standard care or other types of comparators, the effectiveness was either controversial or partially effective.Conclusions and Implications:The overall quality of evidence was rated low to very low. Future studies are needed to identify interventions that are the most effective in promoting preterm infants’ early neurodevelopment during NICU hospitalization or close to term age. Interventions should be appropriately designed to allow comparison with previous studies and a combination of different instruments could provide a more global assessment of preterm infants’ neurodevelopment and thus allow for comparisons across studies.Systematic Review Protocol Registration:Prospero CRD42017047072

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