Comparison of neuro-developmental status in preterm neonates with and without family based interventions
1Professor, Breast Feeding Research Center, Tehran University of Medical Sciences, Tehran, Iran.
2Pediatrician, Maternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran.
3Professor, Department of pediatric neurology, Imam Khomeini Medical Complex, Tehran University of Medical Sciences, Tehran, Iran.
4Physiologist, Maternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran.
5Professor, Maternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran
Research Article
World Journal of Advanced Research and Reviews, 2020, 08(02), 056-063
Article DOI: 10.30574/wjarr.2020.8.2.0357
Publication history:
Received on 23 September 2020; revised on 07 October 2020; accepted on 12 October 2020
Abstract:
Objective: Preterm neonates are at risk of neuro-developmental delay. Proper contribution of parents may influence on their neurocognitive development. We aimed to compare neurodevelopmental status in preterm infants less than 1 year with and without parents based intervention.
Methods: A randomized controlled trial study (IRCT; IRCT201705079568N17) was done at NICU of Vali e asr Hospital (Tehran-Iran) in 2010-2011. During this period, parents of preterm neonates were trained to do some simple instructions for their children like performing gentle skin massage, hydrotherapy (water game), and use of mental targeted games. Control group composed of preterm infants whose parents refused regular visits, receiving consultation and training. They only received routine care and visits. Neurodevelopment status of children were evaluated based on WHO Milestones Chart, ASQ at enrollment time and a year later, then recorded data were compared between 2 groups.
Results: Forty five children in the control group and 48 in the intervention group were compared. The results showed that that after one year intervention, improvement of motor (P value=0.03), sensory (P value=0.005), and language abilities (p<0.002) among children in the intervention group were significantly more notable compared to the controls.
Conclusions: Appropriate parent based intervention may improve neurological development in preterm neonates.
Keywords:
Outcome; Preterm Birth; Family; Intervention
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Copyright © 2020 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0