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- Title
- THE QUALITY OF ATTACHMENT IN PREMATURE INFANTS:AN ANALYSIS OF MOTHER-INFANT RELATIONSHIPS.
- Creator
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Clarke, Christy, Culp, Anne, University of Central Florida
- Abstract / Description
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The purpose of this study was to conduct a qualitative case study using secondary data on four mothers with premature infants in a home visitation intervention group. Three data points were collected on each mother and infant: the health of the infant, the quality of attachment as seen in play interactions, and maternal life circumstances such as depression, social support and use of community resources. The data was looked at prenatally up until the infants were 15 months old. The results...
Show moreThe purpose of this study was to conduct a qualitative case study using secondary data on four mothers with premature infants in a home visitation intervention group. Three data points were collected on each mother and infant: the health of the infant, the quality of attachment as seen in play interactions, and maternal life circumstances such as depression, social support and use of community resources. The data was looked at prenatally up until the infants were 15 months old. The results indicated that all four infants were relatively healthy across the first year of their lives. Three out of the four mothers had a secure attachment with their premature infants at 12 months of age and one mother was at risk for an insecure attachment. All four mothers demonstrated some positive play interactions; however, one mother in particular demonstrated low involvement. Of the four mothers, one was highly depressed, and the other three mothers were minimally to moderately depressed. The four mothers were also in a marital or partner relationship, and all reported satisfaction in their support systems as well as very similar uses of community resources. The results of this study can be used to assist Home Visitors in understanding the need to help mothers improve their interactions with their premature infants and to encourage the Home Visitors to refer the mothers who show any signs of depression.
Show less - Date Issued
- 2013
- Identifier
- CFH0004527, ucf:45156
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004527
- 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
- EFFECTS OF PROBIOTICS ON THE REDUCTION IN INCIDENCE OF NECROTIZING ENTEROCOLITIS IN PREMATURE ([less than]37 WEEKS GESTATION) NEONATES.
- Creator
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Cox, Makenzie, Covelli, Maureen, University of Central Florida
- Abstract / Description
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Problem: Necrotizing Enerocolitis (NEC) is one of the leading causes of morbidity and mortality in neonatal intensive care units (NICU), affecting 7% to 14% of premature neonates weighing less than 1500g (Lin et al., 2008). Healthcare costs for the treatment of NEC account for roughly 20% of the 5 billion dollars spent on infants in the NICU annually (Gephart, McGrath, Effken and Halpern, 2012). Nutritional supplements, such as probiotics, may be used prophylactically to prevent NEC in this...
Show moreProblem: Necrotizing Enerocolitis (NEC) is one of the leading causes of morbidity and mortality in neonatal intensive care units (NICU), affecting 7% to 14% of premature neonates weighing less than 1500g (Lin et al., 2008). Healthcare costs for the treatment of NEC account for roughly 20% of the 5 billion dollars spent on infants in the NICU annually (Gephart, McGrath, Effken and Halpern, 2012). Nutritional supplements, such as probiotics, may be used prophylactically to prevent NEC in this high-risk population. Objective: A literature review was performed to examine which strains of probiotics show the most potential in reducing the incidence of necrotizing enterocolitis. Method: A literature review was performed using CINAHL, Science Citation Index, Science Direct, Medline, Academic One file, PsychINFO, and PUBMED databases. Key words included enterocolitis, Necrotizing*/PC OR NEC* AND probiotics*. After applying exclusion criteria, 9 articles remained for this review. Results: A variety of probiotic strains used to reduce the incidence of NEC were identified, along with inconsistent times of initiation, number of colony forming units and length of treatment. The most commonly studied probiotic strains include Lactobacillus species, Bifidobacterium species, and Saccharomyces species. After detailed analysis, it appears that a combination of Bifidobacterium species and Lactobacillus species reduce the incidence of NEC from an 8% (Fern�ndez-Carrocera et. al, 2013) reduction up to 100% reduction in the incidence of NEC (Braga, Pontes da Silva, Cabral de Lira, and Lima, 2011). These two species, when combined, were more successful when compared to Saccharomyces species or Lactobacillus species alone. Conclusion: Although there is positive support for the proactive use of probiotics for the reduction of the incidence of NEC in premature neonates, the inconsistencies between studies are a barrier for determination of a specific treatment recommendation. Although the combination of Bifidobacterium species and Lactobacillus species has been shown to have an impact on the reduction of NEC incidence, the research inconsistencies provide a barrier to generalizations for treatment. Additional research that focus on Bifidobactrium species in combination with Lactobacillus species is needed. Furthermore, the use of probiotics as a preventative treatment for NEC has not been thoroughly researched in extremely premature infant populations (gestation). Therefore, although the results are promising, further research is needed before this can be determined as a safe preventative method. The current questions remaining include: when prophylactic treatment should be initiated, how long prophylactic treatment should last, the number of colony forming units to be administered, and what is the long-term impact of probiotic administration on the normal gut flora, if any.
Show less - Date Issued
- 2016
- Identifier
- CFH2000055, ucf:45537
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000055
- Title
- PREVALENCE OF AND RISK FACTORS FOR INTRAOPERATIVE NON-EUGLYCEMIA EVENTS IN PREMATURE NEONATES <2500 GRAMS.
- Creator
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Ritrosky, Zulay, Talbert, Steve, University of Central Florida
- Abstract / Description
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ABSTRACT This study examined the rates and risks of premature neonates
Show moreABSTRACT This study examined the rates and risks of premature neonates <2500grams developing intraoperative non-euglycemia events (IONEE).A retrospective chart review of 26 premature neonates <2500 grams who underwent surgical procedures between January 1 and December 31, 2009 was conducted. Statistical analysis was done using Chi square and t-tests. Ten of the 26 subjects (38%) experienced an IONEE. Hyperglycemia was the primary IONEE that was noted in the neonates. (Mean: 143.19; sd: 56.041) Length of surgery was significantly longer in those premature neonates with IONEE than those with euglycemia (71.7 0± 27.03 vs. 45.62 ± 17.98 minutes). All IONEE subjects received general anesthesia (n=10) while none of those with only intravenous anesthesia had an IONEE (X2 (1) = 4.875, p=.027). Subjects with IONEE had a higher mean preoperative glucose level (127.11 gm/dL ± 31.66) than those who did not experienced IONEE (86.36 gm/dL ± 29.39; t(21) = 3.151, p=.005). A higher proportion of subjects who developed IONEE had the capillary heel (60%) as opposed to an arterial (40%) site for blood collection (X2 (1) = 6.518, p =.001). Also, subjects free of preoperative pulmonary complications were more prone to develop IONEE (X2 (1)= 8.60, p = .003). The presence of IONEE was associated with development of metabolic acidosis (X2 (1)= 5.426, p=.020) and lower postoperative pH values (7.19 ± 0.20 vs. 7.35 ± 0.11). Anesthesia providers need to establish intraoperative guidelines for the monitoring and treatment of IONEE to protect these premature neonates from having complications such as developmental delay.
Show less - Date Issued
- 2010
- Identifier
- CFE0003300, ucf:48501
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0003300
