Early Interventions and Pediatric Practice

  • J. Gomes Pedro
  • M. Benedita Monteiro
  • Arnaldo Carvalho
  • Madalena Patricio
  • F. Torgal-Garcia
  • Inacio Fiadeiro
  • M. Lourdes Levy
Part of the NATO ASI Series book series (NSSA, volume 161)


An intervention study using the Brazelton Neonatal Behaviour Assessment Scale (BNBAS) was carried out on 60 primiparous low to medium-class Portuguese mothers. Its aim was to reinforce the mothers’ skills through active learning of some of their babies’ competences. Intervention in the experimental group was made on the third day after delivery and consisted of the assessment of items in the BNBAS such as visual and auditory orientation, consolability with intervention, and cuddliness. The intervention took the form of seven minutes of demonstration to the mothers allied with their active participation. Maternal adjustment and perception of their babies were assessed through specific questionnaires. BNBAS assessment of the babies was performed on the third and twenty-eighth days. Development assessments, through the Bayley Scales of Infant Development (BSID), took place at the third and sixth months. Better results for the experimental group were obtained, especially on aspects concerned with the BNBAS items used in the intervention and those related with mental infant development. A longitudinal perspective of the assessment of babies’ development and behavior is discussed with particular reference to the first six months although this research is designed to examine the intervention effects during the first two years of life.


Sensitive Period Infant Development Prenatal Visit Infant Behavior Maternal Attitude 
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  1. 1.
    H.R. Schaffer. Child psychology: the future. J. Child Psychol. Psychiatr. 27: 761–79 (1986).CrossRefGoogle Scholar
  2. 2.
    K.S. Robson and H.A. Moss. Patterns and determinants of maternal attachment. J. Pediatr. 77: 976–85 (1970).PubMedCrossRefGoogle Scholar
  3. 3.
    W.T. Greenough. J.E. Black and C.S. Wallace. Experience and brain development. Child Dev. 58: 539–59 (1987).PubMedCrossRefGoogle Scholar
  4. 4.
    J. Bowlby. Attachment and Loss. Volume 1 Attachment. Basic Books, New York (1969).Google Scholar
  5. 5.
    I. Bretherton and E. Waiters. Growing Points of Attachment–Theory and Research. Monograph of the Society for Research in Child Development. 50: 1–2 (1987).Google Scholar
  6. 6.
    M. A. Hofer. Early social relationships: a psychobiologist’s view. Child Dev. 58: 633–47 (1987).PubMedCrossRefGoogle Scholar
  7. 7.
    H. Papousek and M. Papousek. The infant’s fundamental adaptive response system on social interaction. In Origins of the Infant’s Social Responsiveness. E. Thoman (ed.) Hillsdale, New York (1979).Google Scholar
  8. 8.
    H. Papousek and M. Papousek. Infant adult social interactions. their origins. dimensions and failures. In Review of Human Development. T. Field (ed.) Wiley and Sons, New York (1982).Google Scholar
  9. 9.
    T.B. Brazelton. The importance of early intervention. In Ola Bebe. J. Gomes Pedro (ed.) Calouste Gulbenkian Foundation, Lisbon (in press 1988).Google Scholar
  10. 10.
    T.B. Brazelton. Neonatal Behavioral Assessment Scale. Heinemann Medical, London (1973).Google Scholar
  11. 11.
    E. Tronick. On the primacy of social skills. In the Exceptional Infant. D.B. Sawin. L.O. Walker, S.H. Ponticuf (eds.) Bruner/Magel, New York (1980).Google Scholar
  12. 12.
    T.B. Brazelton, B. Koslowski and M. Main. The origins of reciprocity: the early mother-infant interaction. In The Effect of the Child on its Caregiver. M. Lewis, L. Rosenblaum (eds.) Wiley, New York (1976).Google Scholar
  13. 13.
    L. Sander, G. Stechnler, P. Burns and A. Lee. A Change in infant and caregiver variables over the first two months of life: integration of action in early development. In Origins of the Infant’s Social Responsiveness. E.B. Thomas (ed.) John Wiley and Sons, New York (1979).Google Scholar
  14. 14.
    T.B. Brazelton. Behavioral Competence in the Newborn Infant. Seminars in Perinatology 3 (1979).Google Scholar
  15. 15.
    F. Horowitz. Towards a model of early infant development. In Infants at Risk. C.C. Brown (ed.) Johnson and Johnson Round Table Series (1981).Google Scholar
  16. 16.
    T.B. Brazelton. Psychophysiological reactions in the neonate. No. 1: the value of observation of the newborn J. Pediatr. 58: 508 (1961).CrossRefGoogle Scholar
  17. 17.
    M.H. Bristor, R.E. Helfer and K.B. Coy. Effects of perinatal coaching on mother-infant interaction. Am J. Dis. Child. 138: 254–75 (1984).PubMedGoogle Scholar
  18. 18.
    J. Gomes-Pedro, A. Barbosa, J.B. Almeida, C.S. Costa, R. Gouveia, F. Torgal and M.L. Levy. Evolution de la reponse physiologique au stress pendant la periode neonatale Arch. Fr. Pediatr. 43: 775–8 (1986).Google Scholar
  19. 19.
    T.B. Brazelton, J.K. Nugent and B.M. Lester. Neonatal behavioral assessment scale. In Handbook of Infant Development. J.D. Osofsky (ed.) John Wiley & Sons, New York (1987).Google Scholar
  20. 20.
    J. Gomes-Pedro, J.B. Almeida, C.S. Costa and A. Barbosa. The effects of extended contact in the neonatal period on the behavior of a sample of Portuguese mothers and infants. In The Cultural Context of Infancy. K. Nugent, B. Lester, T.B. Brazelton (eds.) Ablex, New York (1988) (in press).Google Scholar
  21. 21.
    T.B. Brazelton. On Becoming a Family. Merloyd Lawrence Books, New York (1987).Google Scholar
  22. 22.
    J. Gomes-Pedro, F. Torgal Garcia and J. Colarinha. Linhas gerais da alimentacae da crianca normal durante o primeiro ano de vida. Acta Medica Portuguesa 5: 287–93 (1984).PubMedGoogle Scholar
  23. 23.
    J. Gomes-Pedro. Determinants of first parent-infant relationships. Child International 2: 3 (1988).Google Scholar
  24. 24.
    M. Klaus and J.H. Kennell. Maternal-Infant Bonding. The Impact of Early Separation or Loss on Family Development. First edition. Mosby Company, St Louis/London (1976).Google Scholar
  25. 25.
    B.T. Myers. Early intervention using Brazelton training with middle-class mothers and fathers of newborns. Child Dev. 53: 462–71 (1982).PubMedCrossRefGoogle Scholar
  26. 26.
    J. Gomes-Pedro and A. Barbosa. Mother and newborn infant behavior. In Children and Families: Studies in Prevention and Intervention. E.D. Hibbs (ed.) International University Press, New York (1988).Google Scholar
  27. 27.
    J. Gomes-Pedro, J.B. Almeida, C.S. Costa and A. Barbosa. Influence of early mother infant contact on dyadic behavior during the first month of life. Dev. Med. Child Neurol. 26: 657–64 (1984).PubMedCrossRefGoogle Scholar
  28. 28.
    L. Ryan. Maternal perception of Neonatal Behavior. Master’s Thesis. University of Washington, Seattle (1973).Google Scholar
  29. 29.
    R. Kang. The Relationship Between Informing both parents of their Infant’s Behavioral Response Patterns and the Mother’s Perception of the Infant. Master’s Thesis, University of Washington, Seattle (1973).Google Scholar
  30. 30.
    T.M. Field, J.R. Dempsey, N.H. Hallock and H.H. Schuman. Mother’s assessments of the behavior of their infants, Infant Behay. Dev. 1: 156–67 (1978).CrossRefGoogle Scholar
  31. 31.
    S. Riesch. Enhancement of mother infant social interaction. JOGN Nursing. 242–46 (1979).Google Scholar
  32. 32.
    F.D. Eyler, Assessment and intervention with mothers and their premature newborns. Paper presented at the Society for research in Child Development, Biennal Meeting, San Francisco (1979).Google Scholar
  33. 33.
    S.M. Davidson. An experiment in teaching parental skills. Paper presented at the Society for Research in Child Development, Biennal Meeting, San Francisco (1979).Google Scholar
  34. 34.
    B.A. Poley. Altering dyadic synchrony, maternal self-confidence and maternal perception of the infant through a teaching-modelling intervention for primiparous mothers. Diss Abs. Int. B. Sci. Eng. 39: 5319 b (1979).Google Scholar
  35. 35.
    S.M. Widmayer and T.M. Field. Effects of Brazelton demonstrations on early interactions of preterm infants and their teenage mothers. Infant Behavior. 3: 79–89 (1980).CrossRefGoogle Scholar
  36. 36.
    R. Olsen. Use of the Brazelton Neonatal Behavioral Assessment Scale as an intevention with adolescent parents. Paper presented at the Ambulatory Pediatric Association. Annual Meeting. San Francisco (1981).Google Scholar
  37. 37.
    C.T. Anderson. Enhancing reciprocity between mother and neonate. Nurs. Res. 30: 89–93 (1981).Google Scholar
  38. 38.
    R. Dolby and B. Warren. Brazelton demonstrations for mothers and fathers - impact on the developing parent-infant relationship. Paper presented at the International Conference on Infant Studies, Austin (1982).Google Scholar
  39. 39.
    J.K. Whitt and P.H. Carey. The mother-infant relationship and infant development: the effect of pediatric intervention. Child Dev. 53: 948–56 (1982).PubMedCrossRefGoogle Scholar
  40. 40.
    J. Worobey and J. Belsky. Employing the Brazelton scale to influence mothering: an experimental comparison of three strategies. Dev. Psychol. 18: 736–43 (1982).CrossRefGoogle Scholar
  41. 41.
    G.S. Liptak, B.B. Keller, A.W. Feldman and R.J. Chamberlin. Enhancing infant development and parent-practitioner interaction with brazelton Neonatal Assessment Scale, Pediatric 72: 71–78 (1983).Google Scholar
  42. 42.
    D.T. Slaughter. Early Intervention and its effects on maternal and child development. Monographs of the Society for Research in Child Development, 202, 48: 4 (1983).Google Scholar
  43. 43.
    M. Rutter. Continuities and discontinuities from infancy. In Handbook of Infant Development. J.D. Osofsky (ed.) John Wiley and Sons, New York (1987).Google Scholar
  44. 44.
    R.B. McCall. The development of intellectual functioning in infancy and the prediction of later I.Q. In Handbook of Infant Development. J.D. Osofsky (ed.) John Wiley and Sons, New York (1979).Google Scholar
  45. 45.
    S.B. Crockenberg. Infant irritability, mother responsiveness and social support inferences on the security of infant-mother attachment. Child Dev. 52: 857–65 (1981).PubMedCrossRefGoogle Scholar
  46. 46.
    L.S. Siegel. Infant tests as predictors of cognitive and language development at two years. Child Dev. 52: 545–557 (1981).CrossRefGoogle Scholar
  47. 47.
    H.L. Bee, R.E. Barnard, S.J. Eyres, C.A. Gray, Mary A. Hammond, A.L. Spietz, C. Snyder and Barbara Clark. Prediction of I.Q. and language skill from perinatal status, child performance, family characteristics and mother-infant interaction. Child Dev. 53: 1134–56 (1982).PubMedCrossRefGoogle Scholar
  48. 48.
    T.M. Field, S.M. Widmayer, E. Ignatoff and S. Stringer. Developmental effects of an intervention of preterm infants of teenage mothers. Infant Mental Hlth. J. 3: 19–27 (1982).CrossRefGoogle Scholar
  49. 49.
    K.O. Yeats, D. MacPhee, F.A. Campbell and C.T. Ramey. Maternal I.Q. and home environment as determinants of early childhood intellectual competence: a developmental analysis. Dev. Psychol. 19: 731–9 (1983).CrossRefGoogle Scholar
  50. 50.
    A.M. Clarke and A.D.B. Clark. Early Experience: Myth and Evidence. Open Books, London; Free Press, New York (1976).Google Scholar
  51. 51.
    A.J. Sameroff and M.J. Chandler. Reproduction risk and the continuum of caretaking casualty. In Review of Child Development Research. F.D. Horowitz (ed.), University of Chicago Press, Chicago (1978).Google Scholar
  52. 52.
    B.H. lester, H.Als and T.B. Brazelton. Scoring criteria for seven clusters of the Brazelton Scale. Unpublished Manuscripts, Child Development Unit, Children’s Hospital Medical Center, Boston.Google Scholar
  53. 53.
    R. Kumar, K.M. Robson and A.M.R. Smith. Development of a self-administered questionnaire to measure maternal adjustment and maternal attitudes during pregnancy and after delivery. J. Psychosom. Res. 28: 43–51 (1984).PubMedCrossRefGoogle Scholar
  54. 54.
    E.R. Broussard and M.S.S. Hartner. Maternal perception of the neonate as related to development. Child Psychol. Hum. Dev. 1: 16–25 (1970).CrossRefGoogle Scholar
  55. 55.
    N. Bayley. Bayley Scales of Infant Development: Birth to Two years. Psychological Corporation, New York (1969).Google Scholar
  56. 56.
    A.P.Jr. Matheny, A.B. Dolan and R.S. Wilson. Within-pair similarity on Bayley’s infant behavior record. J. Gen. Psychol. 128: 263–70 (1976).CrossRefGoogle Scholar
  57. 57.
    R. Kohen-Raz. Scalogram analysis of some developmental sequences of infant behavior as measured by the Bayley Infant Scale of Mental Development. Genetic Psychology Monographs 76: 3–21 (1967).PubMedGoogle Scholar

Copyright information

© Plenum Press, New York 1989

Authors and Affiliations

  • J. Gomes Pedro
    • 1
  • M. Benedita Monteiro
    • 1
  • Arnaldo Carvalho
    • 1
  • Madalena Patricio
    • 1
  • F. Torgal-Garcia
    • 1
  • Inacio Fiadeiro
    • 1
  • M. Lourdes Levy
    • 1
  1. 1.Department of PediatricsUniversity of LisbonLisbonPortugal

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