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

Zahr, Lina Kurdahi

doi:10.1038/sj.jp.7200159

Cited by 20 publications

(26 citation statements)

References 21 publications

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“…Environmental factors (i.e., socioeconomic background, stress levels, ethnicity, education of mothers, mother–infant interaction, and social support) did not contribute significantly to predicting the developmental outcome of infants with suspected brain injury, in contrast to previous reports (e.g., [32,53,54]). A potential explanation is that this study included infants with suspected brain injury, while previous studies included high-risk preterm infants.…”

Section: Discussioncontrasting

confidence: 92%

“…Medical information was obtained from the medical records at baseline and assessments including questionnaires (e.g., parental stress, social support), and direct observation (e.g., Bayley II scales, mother–infant interactions, quality of the home environment) were obtained at baseline (i.e., discharge, typically 2 to 19 weeks after birth), and at 12 and 18 months corrected for gestational age. Questionnaires and other materials used in this study were available bilingually [32]. …”

Section: Methodsmentioning

confidence: 99%

“…Clinical markers (e.g., intrapartum distress, intubation or resuscitation in the delivery room, Apgar scores <5 at 5 min) do not reliably predict cognitive or motor outcome [8–10]. Similarly, although environmental factors (e.g., stress, socioeconomic status, education of parents, and interaction of mother with infant) correlate with developmental outcome in preterm and high-risk infants, they do not consistently predict long-term progress in premature infants suspected of brain injury [11–14]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Predictors of neurodevelopmental outcome for preterm infants with brain injury: MRI, medical and environmental factors

Badr

Bookheimer²,

Purdy³

et al. 2009

Early Human Development

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This multi-center correlational prospective study examined early neonatal predictors of neurodevelopment in 59 premature infants (mean birth weight=1713.8±1242.5 g; mean gestational age=31.2±3.6 weeks) suspected to have sustained brain injury at birth. The mental and motor development of the infants selected from five university-affiliated hospitals was assessed at baseline (59 infants), 12 (55 infants), and 18 months (46 infants) using Bayley II scales. Factors correlating with Bayley II scores at 12 and 18 months included head circumference, results of neurological and magnetic resonance imaging (MRI) examination at baseline, environmental factors such as motherinfant interactions and levels of parental stress, and infant medical factors such as Apgar scores at 5 min and length of hospital stay. Multiple regression analyses distinguished the most significant predictors of mental and motor development.The best predictors of mental and motor development at 18 months were head circumference, neurological examinations, and MRI results. These findings suggest that in infants suspected of brain injury at birth, neurological assessments and head circumference measurements are just as predictive of developmental outcome at 18 months as MRI, and this is especially relevant in developing countries or other locations where MRI is not possible. The presence of this information may offer the potential of early tailored interventions to improve the mental and motor development of children in developing countries or other facilities where MRI is unavailable.

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Section: Discussioncontrasting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Predictors of neurodevelopmental outcome for preterm infants with brain injury: MRI, medical and environmental factors

Badr

Bookheimer²,

Purdy³

et al. 2009

Early Human Development

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“…The quality of appropriate stimulation in the home environment is associated with children's overall development and affords children with opportunities for actions that may stimulate motor development and learning (Garret et al . ; Zahr ; Haydari et al . ).…”

Section: Introductionmentioning

confidence: 99%

Family ecology of young children with cerebral palsy

Fiss

Chiarello

Bartlett

et al. 2013

Child

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“…Además, es importante señalar que al comparar los promedios de estimulación cognoscitiva, emocional y social disponible para el niño en el hogar (HOME), las madres y niños pertenecientes al Sistema 1 (mayores interacciones madres-hijo y mejor desarrollo motor) mostraron los promedios más altos. Este resultado concuerda con otros estudios sobre correlaciones entre puntajes altos de estimulación en el hogar con un me jor desarrollo de los niños (Gunning et al, 2004;Murray & Yingling, 2000;Zhar, 1999). La relación entre la estimulación en el hogar y el desarrollo motor, también ha sido confirma da por otro estudio que reportó la confianza materna, el ambiente en el hogar y el desa rrollo motor como factores predictores del desarrollo en niños prematuros (Badr-Zahr, 2001).…”

Section: Discussionunclassified

Interacciones tempranas madre-niño y predicción de desarrollo motor mediante ecuaciones estructurales: Aplicación del modelo en niños con riesgo de daño neurológico perinatal

Rábago

Ramírez

Pérez

et al. 2013

Interd

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RESUMENLos impactos más importantes de las expresiones tempranas del daño neurológico en los niños, son las dificultades para establecer intercambios con su medio social, afectando en la etapa inicial las primeras interacciones con su ma dre. Niños con riesgo biológico muestran grandes dificultades para iniciar interacciones. Cuando las madres se ajustan en una relación bidireccional se logra un aumento en las iniciaciones del niño; si las madres responden menos, los niños disminuyen las iniciaciones y aumentan la irritabilidad.Los programas de intervención temprana que integran en sus estrategias el manejo de las interac ciones madre-niño se han considerado exitosos por sus implicaciones directas en el desa rrollo del niño. Se requiere mayor soporte empírico sobre la influencia de patrones específicos de in teracciones tempranas madre-hijo y el desa rrollo posterior de niños con daño neurológico perinatal, en términos de prevención de alte raciones o discapacidad. Se realizó un estudio longitudinal y se reporta el efecto de las interacciones de reciprocidad madre-hijo en el desa rrollo motor observado en niños a los 4, 8 y 12 meses de edad, a través del empleo del Modelo de Ecuaciones Estructurales (Curva de Crecimiento Latente). Se concluye que el modelo permitió mostrar que en niños de riesgo perinatal, las interacciones madre-hijo representan un buen predictor del desarrollo motor en el primer año de vida. Estos hallazgos tienen importantes impli-

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

Cited by 20 publications

References 21 publications

Predictors of neurodevelopmental outcome for preterm infants with brain injury: MRI, medical and environmental factors

Predictors of neurodevelopmental outcome for preterm infants with brain injury: MRI, medical and environmental factors

Family ecology of young children with cerebral palsy

Interacciones tempranas madre-niño y predicción de desarrollo motor mediante ecuaciones estructurales: Aplicación del modelo en niños con riesgo de daño neurológico perinatal

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