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At least 793 records · Page 44Linked to original sources
PubMed2002

[The baby alarm distress scale: a validity study].

It should take into account the psychopatologic context and the child's development moment to evaluate the baby alarm distress from a standardized instrument. We present the BADS questionnaire validation by its application in 90 children, from 0 to 2 years-old, obtaining a K=0.783 to p<0.01, with a Spearman coefficient of 0.866 and factorial analysis to 4 factors to 63.5% of the population studied. With these psychometrical qualities, the scale shows its importance as a screening but is important its study in others populations.

Child Development↗
PubMed2004

An infant oral health programme in Goiânia-GO, Brazil: results after 3 years of establishment.

The objective of this study was to describe the outcomes of an infant oral health programme 3 years after implementation, a programme focused on health education for parents and caries prevention methods for children in a baby clinic. A retrospective cohort study was carried out. The setting was the Infant Oral Health Programme developed at the baby clinic of the State Department of Health, Goiânia-GO, Brazil. The sample comprised 100 children who entered the programme from birth to 12 months and were followed for 2 to 3 years. Variables investigated were caries experience, caries risk, and children's behaviour in the dental clinic. The number of children with caries experience was 1 at the initial visit and 8 after the follow-up. There was a dramatic decrease in the number of children in the high risk group, from 51% at the initial visit to only 1% after 2 to 3 years. Children's behaviour in the dental clinic was according to their psychological development. It was concluded that the Infant Oral Health Programme in Goiânia showed positive outcomes after 3 years of establishment. Further investigations should evaluate the cost-benefit, as well as the effectiveness of the procedures used in the programme.

Brazil↗
PubMed2001

The effects of lactation education and a prosthetic obturator appliance on feeding efficiency in infants with cleft lip and palate.

OBJECTIVE: This prospective study examined the effect of lactation instruction and palatal obturation in decreasing time to feed, increasing intake, and on growth in eight breast milk bottle-fed newborn infants with cleft lip, cleft palate, or both. DESIGN: An A, B1, C1, B2, and C2 reversal design was used with eight mothers. In A, baseline data on minutes fed by breast were recorded. In B1, baseline on minutes fed with a Haberman bottle was recorded. In C1, minutes fed following lactation education and palatal obturation were documented. Lactation education was information given to mothers to recognize infant feeding cues and to have infant-led feedings. The palatal obturator was a passive molding appliance. In B2, the obturator was removed and minutes fed noted. In C2, the obturator was returned and lactation support provided. Mothers kept feeding logs, satisfaction was assessed, and infant breast milk intake and flow rate were recorded during each study phase. Routine nutrition evaluation of weight, height, weight for height, and feed volume was completed by a registered dietitian during and following completion of the study. RESULTS: Feeding times decreased with all infants, volume consumed increased with seven of eight infants, and flow rate increased with all infants. Mean feeding times during B1 and B2 phases (Haberman bottle only) were 34.4 and 32.3 minutes, respectively. Mean feeding times during C1 and C2 phases (obturation and lactation education) were 15.1 and 15.6 minutes. Volume of milk consumed during B1 and B2 feedings averaged 36.5 and 37 mL, compared with 67 mL and 76 mL during C1 and C2 phases. Growth as measured by height, weight gain, and weight for height during the study and the first 2 years of life compared favorably with that of children born without clefts. CONCLUSIONS: The combined use of a palatal obturator and lactation education reduced feeding time and increased volume intake and was associated with good growth. Mothers who had desired to breast-feed elected to use the obturator to support high-volume intake, decrease infant fatigue, and provide breast milk for nutrition.

Analysis of Variance↗
PubMed2002

Infant crying: nature, physiologic consequences, and select interventions.

This article describes the nature of infant crying, the physiologic events and changes associated with it, and appropriate nursing interventions for infant crying. A cry is a series of four movements that basically resembles a Valsalva maneuver. Documented immediate and long-term sequelae of crying include increased heart rate and blood pressure, reduced oxygen level, elevated cerebral blood pressure, initiation of the stress response, depleted energy reserves and oxygen, interrupted mother-infant interaction, brain injury, and cardiac dysfunction. Caregivers are encouraged to answer infant cries swiftly, consistently, and comprehensively. Kangaroo care is an efficient method for preventing, minimizing, and halting crying. Other interventions for crying include swaddled holding, a pacifier, sugar water, a sweet-tasting nonsucrose solution, heartbeat sounds, distraction by lullabies or mother's voice, rhythmic movement, and reduction of external stimuli.

Crying↗
PubMed2000

From unidentified to 'misidentified' newborn: male bias in recognition of sex.

Our study tests in newborns the perceptual bias described in 1979 by Hildebrandt and Fitzgerald in recognizing the sex of infants, using videorecords instead of still photographs. Analysis showed a tendency for young adults to perceive newborn infants as male immediately after birth, and this perceptual bias diminished if the babies smile.

Adult↗
PubMed2002

How do children climb out of cribs?

48 children between the ages of 16 and 32 mo. were observed climbing out of a crib. Each child was observed four times climbing out of the crib. All the children were able to walk independently and were less than 35 in. tall. Two different climbing patterns were identified and associated with a location of the climbing event within the crib environment. Most children (90%) climb from a crib by first moving to a corner of the crib and then start climbing from the crib. The remaining 10% of the children used a side-climbing pattern in at least one of the four observations. Crib safety standards have eliminated the most common catch-point, the cornerpost extension from cribs. Since at least 10% of the children climbed over the side of the crib rather than at the corner, any potential catch-points should be eliminated from the complete perimeter of the crib.

Child, Preschool↗
PubMedDate not supplied

Pain in the very preterm baby: 'suffer little children?'.

Increases in medical expertise and technological advances have enabled the survival of very preterm babies who form a new and growing population. Comparisons between the foetus, full-term baby and the very preterm baby indicate that by the time the foetus is of 23 weeks gestation, many of the abilities, for example, sensing touch, hearing, seeing, moving and even learning may be common to all three. Thus, the very preterm infant who has been described as a unique organism, is not passive, but is a sentient being who is unlikely to survive without the medical and technical support of the Neonatal Intensive Care Unit (NICU) where he/she is exposed to frequent and regular medical procedures. Many of these procedures would be, for any normal, fully developed human being at best uncomfortable and at worst painful. Reviews within the past 10 years have shown that the neurochemical, anatomic and functional systems of newborns are developed enough to perceive pain. More importantly, rat pup studies have indicated that not only may the very preterm baby experience pain but it may experience it more intensely than the more mature infant. Moreover, there may be serious consequences of repeated painful medical intervention. Alleviation of pain and/or distress in very preterm infants is, therefore, an important issue.

Humans↗
PubMed2004

Use of herbal agents by breastfeeding women may affect infants.

Breastfeeding women increasingly are taking herbal medications. Physicians dealing with women wishing to breastfeed should ask specifically about use of herbal and non-traditional medications. Important questions include why the herbals are being used, what benefits the patient is attempting to achieve, and whether it is truly critical to take the herbal agent during the time of breastfeeding. There are often other medications with known safety profiles during breastfeeding that can be used instead. If the herbal medication is not critical to a woman's health, it can often be deferred during the time of breastfeeding, the safest way to avoid any potential complications. To be able to discuss these issues with mothers who are planning to breastfeed, the clinician must become aware of which herbal medications are in use and understand their potential side effects. The more knowledge the health professional has regarding complementary medicine, the more trust the patient will have in discussing these issues and working with the physician to minimize any dangers to the breastfeeding infant.

Adult↗
PubMed2005

[Pain assessment using CRIES, FLACC and PIPP in high-risk infants].

PURPOSE: Infants at neonatal intensive care units (NICU) are invariably exposed to various procedural and environmental stimuli. The study was performed to compare the pain responses in three NICU stimulants and to examine the clinical feasibility for NICU infants using CRIES, FLACC and PIPP. METHOD: In a correlational study, a total of 94 NICU stimulants including angio-catheter insertions, trunk-rubbings and loud noises, was observed for pain responses among 64 infants using CRIES, FLACC and PIPP. RESULTS: A significant difference was identified among the mean scores in CRIES (F(2, 91)=47.847, p=.000), FLACC (F(2, 91)=41.249, p=.000) and PIPP (F(2, 91)=16.272, p=.000) to three stimulants. In a Post-hoc Scheff test, an angio-catheter insertion showed the highest scores in CRIES, FLACC and PIPP compared to the other two stimulations. A strong correlation was identified between CRIES and FLACC in all three stimulations (.817 < r < .945) while inconsistent findings were identified between PIPP and CRIES or FLACC. CONCLUSIONS: The results of the study support that CRIES and FLACC are reliable and clinically suitable pain measurements for NICU infants. Further studies are needed in data collection time-point as well as clinical feasibility on PIPP administration to assess pain response in infants, including premature infants.

Female↗
PubMed1999

The NICU Network Neurobehavioral Scale. Clinical use with drug exposed infants and their mothers.

The NNNS provides a comprehensive assessment of the at-risk and drug-exposed infant. The examination was developed for research and has now been extended to clinical practice. It is routinely used in our hospital in several clinical programs. In this article we detailed how the examination is used with substance-involved mothers and their infants. As we continue to develop assessment procedures based on understanding the capacities of the infant and understanding the parenting capacities of mothers, we will improve our ability to secure the welfare of drug-exposed infants.

Affect↗
PubMed1999

Lateral biases and fluctuations in infants' spontaneous arm movements and reaching.

The development of hand preference in infant reaching is marked by several lateral fluctuations. This study investigated whether similar lateral fluctuations were present in infants' spontaneous, nonreaching, and freely performed movements. We collected reaching and nonreaching movements kinematics in 4 infants that we followed longitudinally during their 1st year. In their 4th year, we assessed the direction of their hand preference. We found that lateral biases in spontaneous, nonreaching movements in the 1st year showed several shifts that were similar to those observed in reaching. Despite these shifts, all 4 infants traversed a short period of right-handedness. This right-handedness matched the direction of their hand preference at 3 years of age. We propose that shifts in the development of hand preference in the 1st year are linked to successive reorganizations of the motor system. These reorganizations take place as infants learn to sit, crawl, and walk.

Arm↗