Tags

Type your tag names separated by a space and hit enter

Maternal holding of preterm infants during the early weeks after birth and dyad interaction at six months.
J Obstet Gynecol Neonatal Nurs. 2010 Jul-Aug; 39(4):401-14.JO

Abstract

OBJECTIVE

To examine whether a supportive nursing intervention that promoted kangaroo holding of healthy preterm infants by their mothers during the early weeks of the infant's life facilitated coregulation between mother and infant at 6 months of age.

DESIGN

Randomized controlled trial.

PARTICIPANTS

Sixty-five mother/infant dyads with mean gestational age at birth of 33 weeks. Fifty percent of infants were male, and 50% were non-White.

INTERVENTIONS

An 8-week home intervention encouraged daily 1-hour, uninterrupted holding with either blanket (baby wrapped in blanket and held in mother's arms) or the kangaroo (baby in skin-to-skin contact on mother's chest) method. In both conditions, weekly home visits by an experienced RN included encouragement to hold the infant, emotional support, and information about infant behavior and development. A control group received brief social visits, had no holding constraints, and participated in all assessments.

MAIN OUTCOME MEASURES

When infants were 6 months of age, the Still-Face Paradigm was used to assess mother/infant interaction. Outcome measures were coregulation of the dyad's responses during the play episodes of the Still-Face Paradigm and vitality in infant efforts to reengage the mother during the neutral face portion of the Still-Face Procedure.

RESULTS

Significant differences among groups were found in mother/infant coregulation. Post hoc analysis showed that dyads who were supported in kangaroo holding displayed more coregulation behavior during play than dyads in the blanket-holding group. No differences were found between groups in infant vitality during the neutral face portion of the Still-Face Procedure.

CONCLUSION

Dyads supported in practicing kangaroo holding in the early weeks of life may develop more coregulated interactional strategies than other dyads.

Authors+Show Affiliations

College of Nursing, University of Colorado-Denver, Denver, CO, USA. madalynn.neu@uchsc.eduNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

20629927

Citation

Neu, Madalynn, and JoAnn Robinson. "Maternal Holding of Preterm Infants During the Early Weeks After Birth and Dyad Interaction at Six Months." Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN, vol. 39, no. 4, 2010, pp. 401-14.
Neu M, Robinson J. Maternal holding of preterm infants during the early weeks after birth and dyad interaction at six months. J Obstet Gynecol Neonatal Nurs. 2010;39(4):401-14.
Neu, M., & Robinson, J. (2010). Maternal holding of preterm infants during the early weeks after birth and dyad interaction at six months. Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN, 39(4), 401-14. https://doi.org/10.1111/j.1552-6909.2010.01152.x
Neu M, Robinson J. Maternal Holding of Preterm Infants During the Early Weeks After Birth and Dyad Interaction at Six Months. J Obstet Gynecol Neonatal Nurs. 2010 Jul-Aug;39(4):401-14. PubMed PMID: 20629927.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal holding of preterm infants during the early weeks after birth and dyad interaction at six months. AU - Neu,Madalynn, AU - Robinson,JoAnn, PY - 2010/7/16/entrez PY - 2010/7/16/pubmed PY - 2010/10/27/medline SP - 401 EP - 14 JF - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN JO - J Obstet Gynecol Neonatal Nurs VL - 39 IS - 4 N2 - OBJECTIVE: To examine whether a supportive nursing intervention that promoted kangaroo holding of healthy preterm infants by their mothers during the early weeks of the infant's life facilitated coregulation between mother and infant at 6 months of age. DESIGN: Randomized controlled trial. PARTICIPANTS: Sixty-five mother/infant dyads with mean gestational age at birth of 33 weeks. Fifty percent of infants were male, and 50% were non-White. INTERVENTIONS: An 8-week home intervention encouraged daily 1-hour, uninterrupted holding with either blanket (baby wrapped in blanket and held in mother's arms) or the kangaroo (baby in skin-to-skin contact on mother's chest) method. In both conditions, weekly home visits by an experienced RN included encouragement to hold the infant, emotional support, and information about infant behavior and development. A control group received brief social visits, had no holding constraints, and participated in all assessments. MAIN OUTCOME MEASURES: When infants were 6 months of age, the Still-Face Paradigm was used to assess mother/infant interaction. Outcome measures were coregulation of the dyad's responses during the play episodes of the Still-Face Paradigm and vitality in infant efforts to reengage the mother during the neutral face portion of the Still-Face Procedure. RESULTS: Significant differences among groups were found in mother/infant coregulation. Post hoc analysis showed that dyads who were supported in kangaroo holding displayed more coregulation behavior during play than dyads in the blanket-holding group. No differences were found between groups in infant vitality during the neutral face portion of the Still-Face Procedure. CONCLUSION: Dyads supported in practicing kangaroo holding in the early weeks of life may develop more coregulated interactional strategies than other dyads. SN - 1552-6909 UR - https://www.unboundmedicine.com/medline/citation/20629927/Maternal_holding_of_preterm_infants_during_the_early_weeks_after_birth_and_dyad_interaction_at_six_months_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0884-2175(15)30292-6 DB - PRIME DP - Unbound Medicine ER -