Effectiveness of a Modified Mother-Infant Transaction Program on Outcomes for Preterm Infants from 3 to 24 months of age

Parent-Infant Research Institute, Clinical and Health Psychology, Austin Health, Melbourne, Victoria 3081, Australia.
Infant behavior & development (Impact Factor: 1.34). 12/2008; 32(1):17-26. DOI: 10.1016/j.infbeh.2008.09.004
Source: PubMed


Mothers of hospitalised preterm infants were randomised into an intervention or control condition. Intervention mothers received a modified Mother-Infant Transaction Program over seven sessions prior to infant discharge and two sessions over the next 3 months. Infant temperament, mother-infant interaction and parenting stress were assessed at 3 and 6 months and infant development was measured by parental report at 24 months. Intervention compared with control dyads showed enhanced mother-infant interactions, infants were temperamentally more "approaching" and "easier", had fewer regulatory problems (colic, sleep, excessive crying), and had more developed communication skills, while mothers were less stressed by their infant at 3 months. These early gains in the development of preterm infants and in the relationship with and adjustment of their mothers, may explain the process by which intervention infants in the original study showed increasing cognitive advantages to 9 years of age [Rauh, V. A., Nurcombe, B., Achenbach, T., & Howell, C. (1990). The mother-infant transaction program. Clinical Perinatology, 17, 31-45].

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    • "Ulteriori dati suggeriscono che il programma possa essere efficace nel migliorare lo sviluppo cognitivo a lungo termine del bambino (a 3 e 9 anni di età) (Achenbach et al., 1993). Newnham et al. (2009) riportano alcuni interessanti risultati ottenuti con una versione modificata del MITP, che ne conserva però i tratti centrali. Lo studio è stato condotto su 63 madri di neonati pretermine che sono state assegnate in modo randomizzato al gruppo sperimentale o di controllo. "

    10/2015; DOI:10.3280/QPC2015-036007
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    • "Early inclusion of the parents became an essential part of medical care of preterm infants [23] [24] [25] because early positive experience of parent–child interaction is the foundation for optimal neurodevelopment and may reduce the need of subsequent hospitalization [26] [27]. Studies suggest that the effect of early parental interaction can be even improved by add-on programs, which focus on specific parental education to enhance the recognition of an infant's subtle signs, and toward being receptive for their limited capacity to respond to stress by giving comprehensive tutorials by specially trained staff [28] [29] [30] [31]. Whereas some of the interventions have been tested, there are no data available on whether early teaching programs do have an effect on early mother–child interaction. "
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    ABSTRACT: To investigate influences on the interaction between preterm infants and their parents by a dedicated parental training program on the care of preterm infants. Standardized scenarios of mother-child interactions (50 mother-child dyads of very low birth weight infants (VLBWI), birth weight<1500g) were videotaped in two perinatal centers (PC-A, PC-B). The videos were reviewed and scored using a standardized instrument. In both centers, parents were integrated in the daily care by pediatric nurses, while additionally PC-A had a structured parental training program. PC-A and PC-B were comparable regarding patient spectrum and number of admissions of VLBWIs/year. Both centers had similar care values with respect to the "baby friendly" initiative. No significant differences were seen in characteristics of patients (gestational age, birth weight, postnatal age) and mothers (age, parity, marital status, professions). However, in scoring the mother-child interactions significant differences were observed: In contrast to PC-B the recorded behavior in mother-child dyads of PC-A was significantly more often scored as interaction-oriented. A dedicated, structured, and actively encouraging training program for parents of preterm infants was found to be more strongly correlated toward neurodevelopmental enhancing mother-child-interactions than an approach of merely integrating parents into daily care routine. Copyright © 2015 Elsevier Ltd. All rights reserved.
    Early Human Development 02/2015; 91(3):205-210. DOI:10.1016/j.earlhumdev.2015.01.012 · 1.79 Impact Factor
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    • "Approximately, 57% of neonatal death occurs at the first month of birth and 36% of them is attributable to preterm delivery [6]. Adverse outcomes of preterm delivery are considered as the greatest social and economic problems causing mental and behavioral disabilities [7]. Multiple pathologic processes such as length of cervix, preeclampsia and maternal stress may be associated with preterm delivery [8] [9] however poor nutrition is still assumed as a substantial related factor [10]-[12]. "

    Open Journal of Nursing 01/2015; 05(09):790-796. DOI:10.4236/ojn.2015.59083
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