The effect of in-hospital developmental care on neonatal morbidity, growth and development of preterm Taiwanese infants: A randomized controlled trial

Li-Chiou, Chen; Wu, Yi Chang; Hsieh, Wu‐Shiun; Hsu, Chyong-Hsin; Leng, Chi-Hon; Chen, Wei-Jen; Chiu, Nan-Chang; Lee, Wang-Tso; Yang, Ming‐Chin; Fang, Li-Jung; Hsu, Hui‐Chin; Jeng, Suh‐Fang

doi:10.1016/j.earlhumdev.2012.10.008

Cited by 22 publications

(34 citation statements)

References 18 publications

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“…Studies looking at necrotising enterocolitis [ 53 , 81 , 83 – 88 ] used the Bells (or modified Bell’s) criteria [ 89 ] and some studies [ 77 ] using the Gidieon classification for respiratory distress syndrome [ 90 ] or a classification for, broncho-pulmonary dysplasia [ 52 , 91 – 96 ]. Some studies looking at retinopathy of prematurity [ 75 , 76 , 92 – 95 , 98 – 100 ] used the International Classification of Retinopathy of Prematurity (ICROP) [ 75 , 97 , 99 – 101 ]. These well-defined outcomes tools were not however systematically used across all studies in neonatal units which reported these morbidities.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of these facility based studies report an increased risk of morbidity in preterm infants compared to babies born at term. This includes increased risk of respiratory distress syndrome (RDS) [ 52 , 59 , 102 , 103 ], broncho-pulmonary dysplasia (BPD) [ 68 , 97 , 104 – 108 ], retinopathy of prematurity (ROP) [ 73 , 101 , 106 , 109 ] intraventricular haemorrhage (IVH) [ 72 , 110 ], periventricular leukomalacia (PVL) [ 111 ] and cerebral palsy [ 55 , 58 , 112 ]. Studies are however not comparable due to differences in diagnostic approach and level of care available in the different settings.…”

Section: Resultsmentioning

confidence: 99%

“…Only five studies were population based: Malawi [ 28 ], Pakistan [ 116 ], Ethiopia [ 121 ], Guatemala [ 43 ] and a recent large study in Nepal [ 16 ]. The majority of other studies were from babies who had been admitted to a neonatal unit including India [ 34 , 58 , 122 – 125 ], Bangladesh [ 126 ], Kenya [ 112 ] and Taiwan were developmental care was provided [ 97 ]. Outcome measures include a wide range of developmental cognitive educational or neurological assessments ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

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Survival, Morbidity, Growth and Developmental Delay for Babies Born Preterm in Low and Middle Income Countries – A Systematic Review of Outcomes Measured

2015

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BackgroundPremature birth is the leading cause of neonatal death and second leading in children under 5. Information on outcomes of preterm babies surviving the early neonatal period is sparse although it is considered a major determinant of immediate and long-term morbidity.MethodsSystematic review of studies reporting outcomes for preterm babies in low and middle income settings was conducted using electronic databases, citation tracking, expert recommendations and “grey literature”. Reviewers screened titles, abstracts and articles. Data was extracted using inclusion and exclusion criteria, study site and facilities, assessment methods and outcomes of mortality, morbidity, growth and development. The Child Health Epidemiology Reference Group criteria (CHERG) were used to assess quality.FindingsOf 197 eligible publications, few (10.7%) were high quality (CHERG). The majority (83.3%) report on the outcome of a sample of preterm babies at time of birth or admission. Only 16.0% studies report population-based data using standardised mortality definitions. In 50.5% of studies, gestational age assessment method was unclear. Only 15.8% followed-up infants for 2 years or more. Growth was reported using standardised definitions but recommended morbidity definitions were rarely used. The criteria for assessment of neurodevelopmental outcomes was variable with few standardised tools - Bayley II was used in approximately 33% of studies, few studies undertook sensory assessments.ConclusionsTo determine the relative contribution of preterm birth to the burden of disease in children and to inform the planning of healthcare interventions to address this burden, a renewed understanding of the assessment and documentation of outcomes for babies born preterm is needed. More studies assessing outcomes for preterm babies who survive the immediate newborn period are needed. More consistent use of data is vital with clear and aligned definitions of health outcomes in newborn (preterm or term) and intervention packages aimed to save lives and improve health.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Survival, Morbidity, Growth and Developmental Delay for Babies Born Preterm in Low and Middle Income Countries – A Systematic Review of Outcomes Measured

2015

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“…Participants were drawn from our previous randomized controlled study that prospectively examined the effectiveness of in-hospital developmental care on neonatal morbidity, growth, and development of VLBW preterm infants (Chen et al, 2013). A total of 62 term infants and 178 preterm infants were recruited from two medical centers and one regional hospital in Taipei, Taiwan during the period of 2006-2008.…”

Section: Participantsmentioning

confidence: 99%

A psychometric study of the Bayley Scales of Infant and Toddler Development – 3rd Edition for term and preterm Taiwanese infants

Hsieh

Hsu

et al. 2013

Research in Developmental Disabilities

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“…Preterm birth complications are the most frequent causes of deaths in children under 5 years of age (3, 4). Preterm infants born with very low birth weight (VLBW) experience several disadvantages and developmental challenges (5–7). Long-term growth development is one of these challenges.…”

Section: Introductionmentioning

confidence: 99%

Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study

Gao

Sun

et al. 2019

Front. Pediatr.

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Background: Survival of very-low-birth-weight infants is improving in neonatology and family-centered-care might contribute to premature infants' clinical outcomes. Aim: To evaluate a family-centered care intervention on clinical outcomes of very-low-birth-weight infants. Methods: A quasi-experimental study was conducted in a Chinese NICU between June 2016 and June 2017. The intervention included parental education of basic care knowledge and skills followed by active participation in care for at least 4 h a day. A total of 319 very-low-birth-weight infants were recruited by convenience sampling; intervention group n = 156 and control group n = 163. Primary outcome measures were weight at discharge, length-of-stay, breastfeeding, nasal feeding, total parental nutrition, re-admission, hospital expenses. Secondary outcome measures were infant complications. Results: Infants' weight at discharge was higher in the interventions group (2,654 g vs. 2,325 g, p < 0.001). Nutritional outcomes improved significantly: breastfeeding rate 139 vs. 91, p < 0.001; days of total parental nutrition 25 d vs. 32 d, p < 0.001; gastric feeding days 23 d vs. 35 d, p < 0.001. Length-of-stay and hospital expenses did not differ between both groups. Improved infants' complications were bronchopulmonary dysplasia (32 vs. 51, p = 0.031), retinopathy of prematurity (between groups no/mild and moderate/severe, p = 0.003), necrotizing enterocolitis (6 vs. 18, p = 0.019), and re-admission rate (21 vs. 38, p = 0.023). No differences were observed in intraventricular hemorrhage and nosocomial infections. Conclusion: Very-low-birth-weight premature infants might experience improved clinical health outcomes when parents are present and caring from them. Family-centered care is as a beneficial care model for premature infants and should be recognized and implemented by NICUs where parents have currently limited access.

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The effect of in-hospital developmental care on neonatal morbidity, growth and development of preterm Taiwanese infants: A randomized controlled trial

Cited by 22 publications

References 18 publications

Survival, Morbidity, Growth and Developmental Delay for Babies Born Preterm in Low and Middle Income Countries – A Systematic Review of Outcomes Measured

Survival, Morbidity, Growth and Developmental Delay for Babies Born Preterm in Low and Middle Income Countries – A Systematic Review of Outcomes Measured

A psychometric study of the Bayley Scales of Infant and Toddler Development – 3rd Edition for term and preterm Taiwanese infants

Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study

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