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Low birth-weight prematures: Preventive intervention and maternal attitude

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Abstract

This pilot intervention study assesses the impact of demonstrating two different physical exams (Brazelton Behavioral Assessment Scale vs. standard physical exam) of ill preterm infants to their mothers at 34 weeks gestational age. Outcome measures include mothers' (newborn intensive care unit) N.I.C.U. visits one week subsequently, and, at six months corrected age, mothers' attitudes towards childrearing, mother's assessment of infant temperament, mothers' memory of the examination and infants' development quotient. In addition, we compare the overall group of pre-term mothers' childrearing attitudes to full-term mothers. We found differences in childrearing attitudes between full-term and pre-term mothers and between intervention and control pre-term mothers. We also found that the intervention Brazelton Newborn Behavioral Assessment Scale (BNBAS) facilitated mothers' visits to the N.I.C.U. and at six months, mothers' attitudes towards reciprocity and their tendency to perceive their infants temperamently easier.

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References

  1. Nurcombe B, et al.: An intervention program for mothers of low-birthweight infants: Preliminary results:J Amer. Acad. Child Psych. 23:319–325, 1984.

    Google Scholar 

  2. Minde K, Whitelow A, Brown J, et al.: The effect of neonatal complication with premature infants or early parent-infant interaction.Dev. Med. & Child Neurol. 25:763–775, 1983.

    Google Scholar 

  3. Cohler B, Weiss J, Grunebaum H: Child-care attitudes and emotional disturbances among mothers of young children.Genetic Psychol. Monographs. 82:3–47, 1970.

    Google Scholar 

  4. Als H: Infant Individuality:Assessing Patterns of Very Early Development. New York: Basic Books, 1981.

    Google Scholar 

  5. Als H, Lester BM, Brazelton TB: Dynamics of the behavioral organization of the premature infant In:Infants, eds. Field TM, Sostek AM, Goldberg S, Shuman HH New York: Spectrum, 1979.

    Google Scholar 

  6. Harmon RJ and Culp AM: The effects of premature birth on family functioning and infant development. In: Children and our Future., ed., Berlin J Albuquerque: U of New Mexico Press, 1981.

    Google Scholar 

  7. Bakeman K, and Brown J: Mother-infant interaction during the first months of life: Differences between preterm and fullterm infant-mother dyads from a low income population. Technical Reports #5 for Grant #MH26131, 1977.

  8. Field TM: Interaction pattern of preterm and term infants, In:Infants Born at Risk., ed. Field TM. Jamaica, NY: Spectrum Pub., 1979.

    Google Scholar 

  9. Als H: Discussion of an intervention program for mothers of low birthweight babies: Outcome at six and twelve months. In:Frontiers of Infant Psychiatry., Call J, Galenson E, Tyson R New York: Basic Books, 1984.

    Google Scholar 

  10. Widmayer S, Fields T: Effects of Brazelton demonstrations for mothers on the development pattern of preterm infants.Pediatrics. 67:711–714, 1981.

    Google Scholar 

  11. Brazelton TB:Neonatal Behavioral Assessment Scale. Philadelphia: JB Lippincott, 1973

    Google Scholar 

  12. Anderson C: Enhancing reciprocity between mother and neonate.Nursing Research. 30:89–93, 1981.

    Google Scholar 

  13. Furr P, Kirgis C: Per Nugent K, personal communication, 1981.

  14. McLaughlin FJ: The effect of the mother's observation of a neonatal assessment and subsequent mother-infant interaction.Dissertation Abstracts International. 41, 1980.

  15. Worobey J, Belsky J: Employing the Brazelton scale to influence mothering: An experimental comparison of 3 strategies.Development Psychology. 18:736–743, 1982.

    Google Scholar 

  16. Myers B: Early interaction using Brazelton training with middle-class mothers and fathers of newborns.Child Development. 53:462–471, 1982.

    Google Scholar 

  17. Niebuhr V: The effectivenes of providing parents with feedback on the behavioral responses of their newborn using information from Brazelton's neonatal behavioral assessment scale.Dissertation Abstracts International. 40 (8-B), 1980.

  18. Olsen R, Olsen G, Pernice J, et al.: The use of the BNBAS as an intervention with high risk mothers in the newborn period. Ambulatory Pediatric Association and Society for Pediatric Research Meeting, San Francisco, April 1981.

  19. Eyler, FD: The assessment and intervention with mothers and their premature newborns. Presented at International Conference on Infant Studies, New Haven, CT, March 1980.

  20. Dolby R, English B, Warren, B.: Brazelton demonstrations for mothers and fathers: Impact on the developing parent-infant relationship. Presented at International Conference on Infant Studies, Austin, TX, March 1982.

  21. Berger L: Newborns are people too: An abbreviated Brazelton assessment for clinical use.Development and Behavioral Pediatrics. 2:109–111, 1981.

    Google Scholar 

  22. Boyd S: Mothers's and fathers' attitudes towards involvement in infant caretaking: Implications for family nursing research.Dissertation Abstracts International, 1981.

  23. Applebaum A: Neonatal assessment scale to encourage the bonding of parents to their newborn babies.Psychoanalytic Inquiry. 1:4, 1982.

    Google Scholar 

  24. Dubowitz L, Dubowitz V, Goldberg C: Clinical assessment of gestational age in the newborn infant.Journal of Pediatrics. 77:1, 1970.

    Google Scholar 

  25. Hollingshead, AB: Two Factor Index of Social Position. In:A Decade Later: A Followup of Social Class and Mental Illness., eds. Myers, Bean. New York: John Wiley & Sons, 1968.

    Google Scholar 

  26. Cohler B: Maternal attitude scale, in tests and measurements. In:Child Development Handbook II, Vol. 2. San Francisco: Jossey-Bass, 1976.

    Google Scholar 

  27. Carey W, McDevitt S: Infant temperament questionnaire.Pediatrics. 61:735–739, 1978.

    Google Scholar 

  28. Bayley N:Bayley Scales of Infant Development. New York: The Psychological Corporation, 1969.

    Google Scholar 

  29. Cohen S, Beckwith L: Preterm infant's interaction with a caregiver in the 1st year of life and competence at age 2.Child Development. 50:767–776, 1979.

    Google Scholar 

  30. DeVries MW, Sameroff, A. Culture and temperament: Influence on infant temperament in three East African societies.American Journal of Orthopsychiatry. 54:83–96, 1984.

    Google Scholar 

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Szajnberg, N., Ward, M.J., Krauss, A. et al. Low birth-weight prematures: Preventive intervention and maternal attitude. Child Psych Hum Dev 17, 152–165 (1987). https://doi.org/10.1007/BF00706226

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  • DOI: https://doi.org/10.1007/BF00706226

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