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- Title
- FACTORS RELATED TO BIRTH TRANSITION SUCCESS OF LATE PRETERM INFANTS.
- Creator
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Wright, Karen, Byers, Jacqueline, University of Central Florida
- Abstract / Description
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Problem: Identifying the factors effecting birth transition success of late preterm infants may improve early recognition of newborn compromise. Multiple explanatory variables may be associated with birth transition success or failure. The purpose of the study was to determine the prevalence of, and clinical-epidemiological and demographic predictive factors for birth transition success of late preterm infants. Methods: A retrospective case-control chart review was used to compare the...
Show moreProblem: Identifying the factors effecting birth transition success of late preterm infants may improve early recognition of newborn compromise. Multiple explanatory variables may be associated with birth transition success or failure. The purpose of the study was to determine the prevalence of, and clinical-epidemiological and demographic predictive factors for birth transition success of late preterm infants. Methods: A retrospective case-control chart review was used to compare the characteristics of successful and unsuccessful birth transition of 35 and 36 week gestational age late-preterm infants delivered in a large tertiary-care center during calendar year 2007. A mixture of categorical and numeric variables related to maternal, birth, and physiologic constructs were analyzed for their effects on birth transition as a binary outcome variable (success or failure). Results: Of 22 variables tested, four predictor variables were associated with birth transition failure: labor (OR = .42, p = .014), 5-minute Apgar score (OR = 1.79, p = .043), gender (OR = .47, p =.003), and respiratory rate (OR= 2.08, p = .001) as tested by logistic regression. The model was able to accurately assign transition failure and success at a rate of 66.7% and 74% respectively. The overall model was statistically significant (likelihood ratio chi square = 38.97(4), p <.001). The Hosmer & Lemseshow test indicated that the model estimates fit the data at an acceptable level (X2 = 7.72, p = .358). Discussion/Implication: The absence of labor was identified as a risk factor for transition failure in this population. Male preterm infants were nearly twice as likely to fail transition as females in this population. The case group had a higher frequency of lower 5-minute Apgar scores, resulting in significantly lower mean scores. The failed transition group had more than twice the number of newborns with abnormally high respirations than the control group. These findings indicate that identification infants at risk for birth transition failure begins with the recognition of the absence of labor as a significant risk factor for birth transition failure of late preterm infants.
Show less - Date Issued
- 2011
- Identifier
- CFE0003655, ucf:48818
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0003655
- Title
- THE EFFECTS OF RECORDED MATERNAL SOUND ON PRETERM NEONATES: A SYSTEMATIC LITERATURE REVIEW.
- Creator
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Aloisantoni, Angela, Breit, Donna, Quelly, Susan, University of Central Florida
- Abstract / Description
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A fetus hears and responds to maternal sounds as early as 26 weeks' gestation. When born prematurely, a neonate may face health challenges due to overall organ immaturity and hospitalization in the Neonatal Intensive Care Unit, where developmentally important maternal sounds are replaced with routine hospital noise. A potential intervention that can provide meaningful auditory stimulation these neonates lack is implementation of maternal sound interventions. These interventions replicate the...
Show moreA fetus hears and responds to maternal sounds as early as 26 weeks' gestation. When born prematurely, a neonate may face health challenges due to overall organ immaturity and hospitalization in the Neonatal Intensive Care Unit, where developmentally important maternal sounds are replaced with routine hospital noise. A potential intervention that can provide meaningful auditory stimulation these neonates lack is implementation of maternal sound interventions. These interventions replicate the intrauterine auditory environment by playing recorded maternal speech and heart sounds in the incubator. A literature review was completed to identify effects on neurodevelopmental, nutritional, and physiological measurements this intervention may have on premature neonates. A review of the literature was conducted using the databases CINAHL Plus with Full Text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, MEDLINE, and PsycINFO. Search terms utilized were: Voice/Sound; preterm/prematur*; neonat*/infant*/newborn; and matern*/mother*. Results were refined using limiters of peer-reviewed, publication date of 2012-2017, and English language. Twelve articles met the criteria for review. The maternal sounds intervention was found to correlate with improved neurodevelopment in the first months of life, especially relating to auditory and language areas of the brain. Nutritional outcomes were positive, but studies were inconsistent with findings. The physiological measurements were positively affected, with strong evidence of a calming effect, and lowering of the heart rate. Results indicated recorded maternal sound interventions were associated with positive health outcomes in premature neonates. Further research with larger sample sizes and uniform study designs are needed to validate the findings.
Show less - Date Issued
- 2018
- Identifier
- CFH2000399, ucf:45719
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000399
- Title
- NURSING INTERVENTIONS TO PREVENT NECROTIZING ENTEROCOLITIS: A STATE OF THE SCIENCE LITERATURE REVIEW.
- Creator
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Casto, Katherine, Heglund, Stephen, University of Central Florida
- Abstract / Description
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The purpose of this review of literature is to understand the current state of the science and to make recommendations for practice and research in regards to the gastrointestinal condition affecting premature infants, necrotizing enterocolitis (NEC). Emphasis is placed on reviewing the literature to identify prevention strategies nurses can use to reduce the incidence, morbidity and mortality of NEC. The introduction will focus on discussing the problem of NEC including its risk factors,...
Show moreThe purpose of this review of literature is to understand the current state of the science and to make recommendations for practice and research in regards to the gastrointestinal condition affecting premature infants, necrotizing enterocolitis (NEC). Emphasis is placed on reviewing the literature to identify prevention strategies nurses can use to reduce the incidence, morbidity and mortality of NEC. The introduction will focus on discussing the problem of NEC including its risk factors, pathophysiology, and disease presentation. The findings sections will focus on the most promising and researched areas of intervention. The discussion section will focus on how this knowledge can be translated into practice and what nurses can do about it. The research will be conducted through nursing databases with conceptual primary sources that will further expand upon the selected studies on this topic.
Show less - Date Issued
- 2015
- Identifier
- CFH0004854, ucf:45461
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004854
- Title
- INTERVENTIONS TO REDUCE THE EFFECTS OF NICU NOISE IN PRETERM NEONATES.
- Creator
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Manske, Rebecca L, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Exposure to excessive noise during a neonates stay in the neonatal intensive care unit (NICU) can create both immediate and long term health problems such as, hearing loss, neurological deficits, and sleep pattern disturbances. The use of earmuffs or earplugs to decrease the neonate's exposure to noise can create a more stable environment to facilitate improved growth and development. The purpose of this research was to examine the use of earmuffs or earplugs to reduce the impact of noise on...
Show moreExposure to excessive noise during a neonates stay in the neonatal intensive care unit (NICU) can create both immediate and long term health problems such as, hearing loss, neurological deficits, and sleep pattern disturbances. The use of earmuffs or earplugs to decrease the neonate's exposure to noise can create a more stable environment to facilitate improved growth and development. The purpose of this research was to examine the use of earmuffs or earplugs to reduce the impact of noise on neonates. A systematic review of literature was conducted using online databases including CINAHL, ERIC, Ebsco Host, Medline, and PsychINFO. The search included a combination of the following terms: 'preterm', 'neonate', 'NICU', 'noise', 'earplugs', and 'earmuffs'. Peer reviewed, articles published in the English language were examined that tested noise reduction devices in the NICU setting, hearing screening of neonates, and the effect of noise reduction interventions on physiologic changes in the preterm infant receiving care in the NICU. Results yielded 8 articles between the years of 1995 to 2017 which were synthesized for review. The results indicated that the use of earmuffs or earplugs in the NICU may offer a viable solution to reducing the effects of excessive noise on neonate's growth and development. The use of earmuffs or earplugs has been shown to positively improve vital signs, increase growth, improve physiological and motor development, and improve sleep efficiency. Further research on larger sample sizes is needed in order to validate the findings and offer substantial evidence for its use in the clinical setting.
Show less - Date Issued
- 2017
- Identifier
- CFH0000227, ucf:44683
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0000227
- Title
- THE EFFECTS OF KANGAROO CARE ON THE NEURODEVELOPMENT OF PRETERM INFANTS IN THE NEONATAL INTENSIVE CARE UNIT (NICU).
- Creator
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Sarg, Tiffany, Quelly, Susan, University of Central Florida
- Abstract / Description
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Preterm birth disrupts the development of the brain and other critical organs of the infant body. Since the brain is one of the last organs to finish developing during pregnancy, the risk for substantial neurological deficits increases as the gestational age decreases. One way to combat these deficits is to reconnect the preterm infant with the mother via skin-to-skin contact, also known as kangaroo care (KC). This intimate touch helps to replicate aspects of the environment that the preterm...
Show morePreterm birth disrupts the development of the brain and other critical organs of the infant body. Since the brain is one of the last organs to finish developing during pregnancy, the risk for substantial neurological deficits increases as the gestational age decreases. One way to combat these deficits is to reconnect the preterm infant with the mother via skin-to-skin contact, also known as kangaroo care (KC). This intimate touch helps to replicate aspects of the environment that the preterm infant experienced in utero. The purpose of this literature review was to analyze the current literature to better understand the effects that KC may have on facilitating neurodevelopment of preterm infants in Neonatal Intensive Care Units (NICUs). Emphasis was placed on neurophysiologic functioning, autonomic functioning, and neurobehavioral functioning. A database search of CINAHL Plus with Full Text, PsycINFO, MEDLINE, Cochrane Central Register of Controlled Trials, and Health Source: Nursing/Academic Edition was conducted, and a total of six articles were reviewed based on their relevance and application towards this thesis. KC is a low-cost, relatively easy intervention to initiate that can have positive impacts on many aspects of preterm infant growth and maturation. There is limited research regarding the use of KC as an intervention to support neurodevelopment, especially with regards to long-term effects. Existing research supports the use of KC as an intervention to facilitate neurodevelopment in preterm infants in the NICU.
Show less - Date Issued
- 2016
- Identifier
- CFH2000010, ucf:45577
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000010
- Title
- SOCIAL CAPITAL INFLUENCES IN WOMEN AT RISK FOR POOR PREGNANCY OUTCOMES.
- Creator
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James-Mesloh, Jennifer, Wan, Thomas, University of Central Florida
- Abstract / Description
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Poor pregnancy outcomes such as prematurity, low birth weight and infant mortality are societal indicators of a nationÃÂÂ...
Show morePoor pregnancy outcomes such as prematurity, low birth weight and infant mortality are societal indicators of a nationÂÂÂÂÂÂÂÂ's health status. These indicators have remained at exceptionally high rates in the United States despite the levels of resources and technology. In the quest to understand that discrepancy, among the ranges of theories and models for explaining poor pregnancy outcomes an emerging concept is coming to attention: social capital. In order to test whether maternal social capital has an impact on pregnancy outcome, women in a Healthy Start program were surveyed over a 13-month period to assess their social capital levels and then their pregnancy outcomes. What emerged was that maternal social capital can predict up to 47% of the variance in pregnancy outcome. That is a powerful research result considering that previously there has been no literature tracing a link between maternal social capital and pregnancy outcome. In this study, maternal risk factors adversely affect up to 30% of the variance in pregnancy outcomes. Previous research has focused on maternal risk factors as the primary reason for high rates of preterm delivery, low birth weight, and infant mortality in the United States. However, this research found that in the sample of women at risk for adverse pregnancy outcomes, maternal risk factors had a very strong influence on maternal social capital (R-square=65%) while their effects on pregnancy outcomes were about half of their effects on social capital. This result suggests that social capital mediates the effects of maternal risk factors on pregnancy outcomes. It appears that one of the reasons that the high rates of adverse pregnancy outcomes in the United States have remained a mystery is that maternal social capital has not been taken into account.
Show less - Date Issued
- 2010
- Identifier
- CFE0003123, ucf:48639
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0003123
