Who Is at Risk? High-Risk Infant Follow-up

Purdy, Isabell B.; Melwak, Mary Alice

doi:10.1053/j.nainr.2012.09.011

Cited by 10 publications

(6 citation statements)

References 36 publications

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“…After discharge, many parents feel socially isolated and lack optimal support [14]. While improving health outcomes for premature and medically complex infants has historically been the primary focus [7,15,16], NICUs should also pay attention to the psychosocial needs of parents during hospitalization [17][18][19] and after discharge [20]. Peer support from a parent with lived experience [21] may be helpful in mitigating some of the stressors NICU parents face after discharge.…”

Section: Introductionmentioning

confidence: 99%

Giving parents support: a randomized trial of peer support for parents after NICU discharge

Fratantoni

Soghier

Kritikos³

et al. 2022

J Perinatol

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Background Peer support during inpatient hospitalization has been recommended for NICU parents and can improve maternal mental health. Less is known about the impact of peer support after NICU discharge on parental mental health and infant healthcare utilization. Methods Three hundred families of infants approaching discharge from a Level IV NICU were randomized to receive a care notebook (control) or care notebook plus peer support for 12 months (intervention). Participants reported on measures of stress, depression, anxiety, self-efficacy, and infant healthcare utilization. Analysis compared outcomes between control and treatment groups. Results Parental depression, anxiety, stress, and self-efficacy improved significantly for all participants, yet there were no differences between control and intervention groups. Infant ED visits, hospitalizations, immunization status, and developmental status at 12 months did not differ between groups. Conclusions Peer support after NICU discharge did not improve self-reported parental mental health measures or infant healthcare utilization. Clinical trial registration NCT02643472.

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Section: Introductionmentioning

confidence: 99%

Giving parents support: a randomized trial of peer support for parents after NICU discharge

Fratantoni

Soghier

Kritikos³

et al. 2022

J Perinatol

View full text Add to dashboard Cite

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“…Primary care needs for infants should be addressed, such as immunizations (including pneumococcal pneumonia), hearing and vision screening, metabolic screening and a car seat trial. Necessary consults and diagnostic studies should be arranged prior to discharge home (Purdy & Melwak, ).…”

Section: Enhancing Nursing Carementioning

confidence: 99%

Relationship-Based Care for Newborns with Down Syndrome and Endocardial Cushion Defect

Phillips

Boyd²

2015

Nursing for Women's Health

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“…[ 1 ] After clinical complications such as sepsis, chronic lung disease (CLD) and intraventricular hemorrhage (IVH), developmental and behavioural disorders including motor coordination disorders, behaviour problems, attention deficit hyperactivity disorder (ADHD) and reduced educational achievement are the most common problems in high-risk infant (HRIs). [ 2 ] Delay in diagnosis and treatment results in several complications that threaten the early childhood development as one of the social determinants of health. [ 3 4 ] Developmental screening must be done in cognitive, psychomotor, emotional, social, and communication fields, and also for hearing, speech, and visual disorders.…”

Section: Introductionmentioning

confidence: 99%

“…A developmental screening utilizes systematic approach by trained personnel and interpretation of parent reports. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes of high-risk infant follow-up program in a tertiary care centre

Mirnia

Akrami

Jodeiry

et al. 2017

Iranian J Nursing Midwifery Res

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Background:High-risk infant follow-up (HRIF) program is necessary for early detection, timely intervention, and promotion of health outcomes in vulnerable infants, ethically. The present study was carried out to assess the clinical outcomes of the HRIF Program in Alzahra hospital as a tertiary care centre, in Iran.Materials and Methods:In this cohort study, 5840 neonates were born at Alzahra hospital, from June 1, 2011 to 30th February 2012. Among those who were admitted to neonatal intensive care unit (NICU), 253 infants were recruited by census according to HRIs criteria. After doing necessary measurements and family education, information was recorded in HRI health certificate and then entered in the access database for analysis.Results:From 253 eligible HRIs registered, 241 (95%) infants attended the follow-up clinic after discharge. A total of180 cases were recalled for further visits, 110 of which attended the clinic. Anthropometric indices had an increasing trend in the first 6 months of life. There was no significant relation between ages and stages questionnaire (ASQ) results and infant birth weight, height, and head circumference. The ratios of intraventricular hemorrhage (IVH) and retinopathy of prematurity (ROP) were 8.7% and 3.1%, respectively. The incidence of congenital hypothyroidism was 2:341 in HRIs.Conclusions:Although some outcomes, such as ROP, improved in our study compared to similar studies, the findings indicate an impairment of the current follow-up processes and highlight the necessity to modify the current HRIF program. Ethically, we insist on integrating HRIF program in child health services to promote early childhood development.

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Who Is at Risk? High-Risk Infant Follow-up

Cited by 10 publications

References 36 publications

Giving parents support: a randomized trial of peer support for parents after NICU discharge

Giving parents support: a randomized trial of peer support for parents after NICU discharge

Relationship-Based Care for Newborns with Down Syndrome and Endocardial Cushion Defect

Clinical outcomes of high-risk infant follow-up program in a tertiary care centre

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