Neurodevelopmental outcomes of very preterm and very-low-birthweight infants in a population-based clinical cohort with a definite perinatal treatment policy

Pascal, Aurelie; Naulaers, Gunnar; Ortibus, Els; Oostra, Ann; Coen, Kris De; Sonnaert, Michel; Cloet, Eva; Casaer, Alexandra; D'haese, James; Laroche, Sabrina; Jonckheere, An I.; Plaskie, Katleen; Mol, Christine Van; Delanghe, Gwenda; Bruneel, Els; Hoestenberghe, Marie-Rose Van; Samijn, Bieke; Govaert, Paul; Broeck, Christine Van den

doi:10.1016/j.ejpn.2020.06.007

Cited by 21 publications

(13 citation statements)

References 49 publications

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“…e Sepsis: positive blood culture and antibiotic treatment more than 5 days. *Significant difference: p < 0.001.24% and 5%) is consistent with those found in a previous multicentric Belgian study(19.3% and 6.2%) (Pascal et al, 2020). We hope therefore to be able to have generalized results despite the smaller population sample.The concurrent validity study revealed a high level of correlation between the raw score of the AIMS and the Bayley-III GMS at corrected age 9-14 months.…”

supporting

confidence: 89%

Comparative validity between the Canadian and the Dutch norms of the Alberta Infant Motor Scale in a preterm population

Gautier¹,

Alexandre²,

Zaczek³

et al. 2022

Child

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Background Prematurity remains a leading cause of motor developmental delays. The Alberta Infant Motor Scales (AIMS) is a useful tool to easily assess motor development. However, during the last decade, cross‐cultural differences have been identified regarding the original AIMS norms. Therefore, the aim of this study is twofold: confirm the validity of the AIMS in a preterm population and compare the new Dutch AIMS norms to the original Canadian ones in our Belgian population. Method Ninety‐six preterm infants were assessed simultaneously on the AIMS and on the Bayley Scales of Infant‐Toddler Development (Bayley‐III) at age 9–14 months. Concurrent validity was evaluated by correlation analysis. Among these, 89 were assessed on the AIMS at age 3–6 months. Clinimetric properties of both AIMS norms were calculated to compare their ability to detect a motor delay on the Bayley‐III at age 9–14 months. Result Pearson's coefficient showed an excellent level of correlation between the two scales (r = 0.91). At age 3–6 months, only the 10th Canadian centile showed acceptable properties to predict a significant motor delay. At age 9–14 months, the 5th centile of both norms showed good properties to diagnose a significant motor delay, while only the Canadian norms seems to be sensitive enough to diagnose a mild motor delay. Conclusion The new Dutch norms seem to be less sensitive but more specific than the Canadian ones and therefore require adapted cut‐offs to diagnose motor developmental delays in a preterm population.

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supporting

confidence: 89%

Comparative validity between the Canadian and the Dutch norms of the Alberta Infant Motor Scale in a preterm population

Gautier¹,

Alexandre²,

Zaczek³

et al. 2022

Child

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“…Many LWBIs have an increased risk of complications, such as cerebral palsy [ 4 , 5 , 6 , 7 , 8 , 9 ], respiratory diseases [ 34 ], and health issues. The parenting record handbook, which is an information sharing tool between multiple professions and families, is important in the developmental support for children who require early rehabilitation and continuous medical care.…”

Section: Discussionmentioning

confidence: 99%

“…However, the survival rate of premature infants has improved dramatically, not only in Japan, but also in other countries, due to advancements in perinatal care and improvements in the medical system [ 3 ]. Despite the improvements in survival rate, the number of children with neurological sequelae, such as cerebral palsy and mental retardation, as well as children requiring continuous medical care, is increasing [ 4 , 5 , 6 , 7 , 8 , 9 ]. Even in cases without neurological impairment, the development of extremely low birth weight infants (LBWIs) is slower than that of the average of healthy infants, and the shorter the gestational age, the lower the growth catch-up rate [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Parenting Record Handbook: The Needs of Mothers Raising Low Birth Weight Infants

Tomoyasu

Sobue

Rahman

2022

IJERPH

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This study investigated the necessity for a parenting record handbook that is specifically tailored to the needs of low birth weight infants (LBWIs) and their families, especially mothers, who face parenting difficulties and challenges. The participants were 20 mothers, raising LBWIs, discharged from the neonatal intensive care unit. The mean age and weight of the children were 2.75 ± 0.35 years and 1417.50 ± 152.06 g, respectively; the mean duration of neonatal intensive care unit hospitalization was 78.75 ± 14.10 days. At the time of the study, 35% (7/20) were nursery children, 10% (2/20) were kindergarten children, 20% (4/20) were using rehabilitation centers, and 10% (2/20) were using the medical rehabilitation handbook. The needs of the mothers were investigated through focus group interviews or individual interviews, and content analyses were performed. The mothers required the promotion of peer support that assists the alleviation of mental burden and postpartum mental and physical care, as well as the publication of counseling service counters and reliable information sources for parenting difficulties in the parenting record handbook. The mothers required the publication and recording of the growth indicators of LBWIs, parenting records, information management of children since birth, and for the handbook to function as a multidisciplinary information sharing tool. In addition, the requirements for the parenting record handbook were the early provision of the parenting record handbook and measures to cope with poor maternal physical condition. The results of this study suggest that mothers with LBWIs require a parenting record handbook that can provide comprehensive maternal and child health assurance, starting from pregnancy, to resolve childcare difficulties for LBWIs, as well as mental support.

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“…The survival rates are: 7.3% of all live births at GA 22 weeks; 25.7% at 23 weeks, 53.9% at 24 weeks, 74% at 25 weeks, around 80% at 26 weeks, and 90% at 27 weeks ( 3 ). These infants also have a higher risk of mild (e.g., behavioral disorders) to severe (e.g., blindness, cognitive impairments) disabilities compared to infants born at term ( 4 – 7 ). The risk of severe disability decreases as GA increases ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Neonatologists’ Resuscitation Decisions at Birth for Extremely Premature Infants. A Belgian Qualitative Study

et al. 2022

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ObjectiveDeciding whether initiating or withholding resuscitation at birth for extremely preterm infants (EPIs) can be difficult due to uncertainty on outcomes. Clinical uncertainty generates ethical uncertainty. Thus, physicians’ attitudes and perspectives on resuscitation of EPIs might influence resuscitation decisions. We aimed at understanding how neonatologists make clinical-ethical decisions for EPI resuscitation and how they perceive these decisions.MethodsWe performed a qualitative study using a constructivist account of grounded theory. Face-to-face, semi-structured in-depth interviews with neonatologists comprised data collection. For data analysis, we used the Qualitative Analysis Guide of Leuven.ResultsWe interviewed 20 neonatologists working in 10 hospitals in Belgium. Participants’ decision-making can be described as consensus-based, gestational age-based, contextualized, progressive, and shared. All participants agreed on the importance of using the consensus expressed in guidelines as a guidance for the decision-making, i.e., consensus-based. Consequently, all 20 participants use GA thresholds indicated in the guidelines, i.e., GA-based. However, they use these thresholds differently in their decisions. Few participants rigidly follow established thresholds. The vast majority reported using additional contextual factors as birthweight or parents’ wishes in the decision-making, rather than only the EPIs’ GA, i.e., contextualized. All participants agreed on the importance of involving the parents in the decision-making, i.e., shared, and indeed parents’ wishes were among the most valued factors considered in the decision-making. However, the extent to which parents were involved in the decision-making depended on the infant’s GA. Participants described a gray zone in which parents’ were viewed as the main decision-makers due to the high clinical uncertainty. This mean that participants tend to follow parents’ request even when they disagree with it. Outside the gray zone, physicians were viewed as the main decision-makers. This mean that, although parents’ wishes were still considered, counseling was more directive and the final decision was made by the physician.ConclusionAlthough an EPI’s GA remains the main factor guiding neonatologists’ resuscitation decisions, other factors are seriously considered in the decision-making process. All neonatologist participants agreed on the importance of involving parents in the decision-making. However, they involve parents differently depending on the EPI’s GA.

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Neurodevelopmental outcomes of very preterm and very-low-birthweight infants in a population-based clinical cohort with a definite perinatal treatment policy

Cited by 21 publications

References 49 publications

Comparative validity between the Canadian and the Dutch norms of the Alberta Infant Motor Scale in a preterm population

Comparative validity between the Canadian and the Dutch norms of the Alberta Infant Motor Scale in a preterm population

Parenting Record Handbook: The Needs of Mothers Raising Low Birth Weight Infants

Neonatologists’ Resuscitation Decisions at Birth for Extremely Premature Infants. A Belgian Qualitative Study

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