TY - JOUR
T1 - Early Intervention for Preterm Infants and Their Mothers A Systematic Review
AU - Zhang, Xin
AU - Kurtz, Melissa
AU - Lee, Shih Yu
AU - Liu, Huaping
N1 - Funding Information:
Drs Marie Nolan and Hae-ra Han at School of Nursing, Johns Hopkins University for their supports in the production of this article. The authors also thank Ms Stella Seal, an information specialist at the Welch Medical Library (Johns Hopkins University), for her assistance in developing their literature search strategy.
Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021
Y1 - 2021
N2 - This systematic review evaluates the efficacy of various early interventions on maternal emotional outcomes, mother-infant interaction, and subsequent infant outcomes during neonatal intensive care unit admission and postdischarge. Key interventions associated with outcomes in both the neonatal intensive care unit and postdischarge (ie, home) settings are summarized. A comprehensive search of peer-reviewed randomized controlled trials involving early interventions for infants and their mother published between 1993 and 2013 in the electronic databases PubMed, CINAHL, EMBASE, PsychINFO, and Cochrane was undertaken. Methodological quality was assessed using the PEDro scale to evaluate internal and external validity of the study. Twelve randomized controlled trials were included in the review, and all used some form of parenting education. The interventions had limited effects on maternal stress and mother-infant interaction and positive effects on maternal anxiety, depressive symptoms, and maternal coping. There were positive effects on infants' short-term outcomes for length of stay and breastfeeding rate. Positive and clinically meaningful effects of early interventions were seen in some physiological/ psychological outcomes of mothers and preterm infants. It is important for nurses to foster close mother-infant contact and increase maternal competence during and after the infant's hospitalization period.
AB - This systematic review evaluates the efficacy of various early interventions on maternal emotional outcomes, mother-infant interaction, and subsequent infant outcomes during neonatal intensive care unit admission and postdischarge. Key interventions associated with outcomes in both the neonatal intensive care unit and postdischarge (ie, home) settings are summarized. A comprehensive search of peer-reviewed randomized controlled trials involving early interventions for infants and their mother published between 1993 and 2013 in the electronic databases PubMed, CINAHL, EMBASE, PsychINFO, and Cochrane was undertaken. Methodological quality was assessed using the PEDro scale to evaluate internal and external validity of the study. Twelve randomized controlled trials were included in the review, and all used some form of parenting education. The interventions had limited effects on maternal stress and mother-infant interaction and positive effects on maternal anxiety, depressive symptoms, and maternal coping. There were positive effects on infants' short-term outcomes for length of stay and breastfeeding rate. Positive and clinically meaningful effects of early interventions were seen in some physiological/ psychological outcomes of mothers and preterm infants. It is important for nurses to foster close mother-infant contact and increase maternal competence during and after the infant's hospitalization period.
KW - early intervention
KW - neonatal intensive care
KW - premature infants
KW - randomized controlled trial
KW - systematic review
UR - http://www.scopus.com/inward/record.url?scp=84912016988&partnerID=8YFLogxK
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U2 - 10.1097/JPN.0000000000000065
DO - 10.1097/JPN.0000000000000065
M3 - Review article
C2 - 25408293
AN - SCOPUS:84912016988
SN - 0893-2190
VL - 35
SP - E69-E82
JO - Journal of Perinatal and Neonatal Nursing
JF - Journal of Perinatal and Neonatal Nursing
IS - 4
ER -