Developmental changes in maternal interactions with term and preterm infants

Barnard, Kathryn E.; Bee, Helen L.; Hammond, Mary A.

doi:10.1016/s0163-6383(84)80026-0

Cited by 160 publications

(103 citation statements)

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“…Interactions with parents may be compromised for premature infants for several reasons: the emotional response of parents to preterm birth, an altered parental role as a noncaregiver in the nursery, the infant's characteristics, the NICU environment and the prolonged parent-infant separation. [10][11][12][13][14][15][16][17][18][19] Early experience can modify the anatomy of the rapidly developing brain, 20 which implies that early intervention may alter developmental paths and improve health, educational and social outcomes. 21,22 This has prompted the use of early interventions for preterms, aimed at different targets in the complex interplay of biology and environment influencing development.…”

Section: Introductionmentioning

confidence: 99%

Early interventions involving parents to improve neurodevelopmental outcomes of premature infants: a meta-analysis

et al. 2009

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Objective: To determine in a systematic review, whether interventions for infant development that involve parents, improve neurodevelopment at 12 months corrected age or older.Study Design: Randomized trials were identified where an infant intervention was aimed to improve development and involved parents of preterms; and long-term neurodevelopment using standardized tests at 12 months (or longer) was reported.Result: Identified studies (n ¼ 25) used a variety of interventions including parent education, infant stimulation, home visits or individualized developmental care. Meta-analysis at 12 months (N ¼ 2198 infants) found significantly higher mental (N ¼ 2198) and physical (N ¼ 1319) performance scores favoring the intervention group. At 24 months, the mental (N ¼ 1490) performance scores were improved, but physical (N ¼ 1025) performance scores were not statistically significant. The improvement in neurodevelopmental outcome was not sustained at 36 months (N ¼ 961) and 5 years (N ¼ 1017). Conclusion:Positive clinically meaningful effects (>5 points) are seen to an age of 36 months, but are no longer present at 5 years.

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Section: Introductionmentioning

confidence: 99%

Early interventions involving parents to improve neurodevelopmental outcomes of premature infants: a meta-analysis

et al. 2009

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“…Infant regulated feeding behaviors have been found to depend on the mother's ability to modify the environment when needed and to directly support the infant's feeding (Brown & Pridham, 2007). Infant behaviors regulate those of the mother and the mother's caregiving behaviors in turn regulate those of the infant (Barnard, Bee, & Hammond, 1984;Osofsky & O'Connell,1972).Premature infants' immature regulatory systems make it difficult to process stimulation, and their cues for support in regulating input may not be clear to their mothers (Barnard et al, 1984;Davis et al, 2003;Singer et al, 2003;Thoyre & Carlson, 2003a). Consequently, premature infants have been found to be less attentive, less expressive, and fussier than term ;Wolf et al, 2002).…”

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confidence: 99%

Mother–Infant Feeding Tool

Brown¹,

Thoyre²,

Pridham³

et al. 2009

PsycTESTS Dataset

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Objective-To describe the development and evaluation of an observation system to assess the process of mother-infant feeding interaction relevant to infant neuro-behavioral regulation: the Mother-Infant Feeding Tool. Design-Secondary analysis.Setting-Special care nursery just before discharge and in the home at 1 and 4 months postterm age. Participants-Forty-three mother-infant dyads.Methods-Videotaped feeding interactions were examined to assess regulatory processes of mother-infant interaction. Data were collected at three times over the infant's first 4 postterm months: before the infant's discharge from the special care nursery and at 1 and 4 months postterm age in the home.Results-Across all three data points mothers rarely talked to their infants. Conclusion-Further testing is needed, but the Mother-Infant Feeding Tool shows promise in assessing very early mother-infant feeding interactions.Keywords preterm infant feeding; mother-infant interaction; preterm infants Early maternal and infant-feeding behaviors are important because of their frequency and their regulatory effects on nutrient intake and infant development (Anand & Scalzo, 2000;DeWitt et al., 1997;Valenzuela, 1997). These regulatory effects are derived from infant HHS Public Access Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript physiological, neuromotor, behavioral, attentional, and emotional responses to maternal behavior. Interactive feeding behaviors are particularly important for mothers of premature infants because of the infants' needs for feeding support. Early feeding interactions may strengthen adaptive feeding behaviors or reinforce maladaptive feeding behaviors of both the mother and the infant. Adaptive maternal feeding behavior is positive in affect and is sensitive and responsive to the infant's signals of need for protection, nurturance, and comfort (DeWitt et al.).A mother who is sensitive recognizes her infant's cues and responds accordingly. Adaptive infant feeding behavior is organized and regulated in a manner that supports participation in the feeding within the limits of developmental capacities. Over time, patterns of motherinfant feeding interaction may modify the development of the premature infant's brain pathways associated with social, cognitive, emotional, and behavioral participation in the goal-directed activity of feeding (Als et al., 2004;Anand & Scalzo, 2000). Little is known about the very early feeding interactions of mothers and their preterm infants' that occur during the first quarter of the first postterm year.Neural pathways of the brain involved in emotional and social function begin to develop in the first months of life (Champagne & Curley, 2005;Schore, 2001). A substantial amount of brain maturation occurs during infancy. The repeated interactions that an infant experiences during feeding are incorporated into and shape neural development. The neural pathways that develop are central to regulation of physiological, arousal, and motoric processes and conditions as well...

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“…These variables were selected because they have been reported in the literature to affect the long-term development of premature infants. 6,10,[13][14][15][16][17][18][19][20] …”

mentioning

confidence: 99%

Predictors of Development In Premature Infants From Low-Income Families: African Americans and Hispanics

Zahr

1999

J Perinatol

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Developmental changes in maternal interactions with term and preterm infants

Cited by 160 publications

References 4 publications

Early interventions involving parents to improve neurodevelopmental outcomes of premature infants: a meta-analysis

Early interventions involving parents to improve neurodevelopmental outcomes of premature infants: a meta-analysis

Mother–Infant Feeding Tool

Predictors of Development In Premature Infants From Low-Income Families: African Americans and Hispanics

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