gms | German Medical Science

15th Congress of the European Forum for Research in Rehabilitation (EFRR)

15.04. - 17.04.2019, Berlin

The impact of early intervention in infants preterm and in their familiar environment

Meeting Abstract

  • corresponding author presenting/speaker Margarita Pérez-Bonilla - Hospital Universitario Reina Sofía, Córdoba, Spain
  • Eloy Girela López - Universidad de Córdoba, Córdoba, Spain
  • author presenting/speaker Pablo Casado Adam - Hospital Universitario Reina Sofía, Córdoba, Spain
  • Josefina Jiménez López - Hospital Universitario Reina Sofía, Córdoba, Spain
  • Fernando J. Mayordomo Riera - Hospital Universitario Reina Sofía, Córdoba, Spain

15th Congress of the European Forum for Research in Rehabilitation (EFRR). Berlin, 15.-17.04.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. Doc102

doi: 10.3205/19efrr102, urn:nbn:de:0183-19efrr1029

Veröffentlicht: 16. April 2019

© 2019 Pérez-Bonilla et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Background: Early intervention in newborns at risk, that is, those under 32 weeks of gestation and less than 1.5 kg in weight, started in the neonatal intensive care units practically from birth, prevents motor and cognitive deterioration and is therefore very necessary and beneficial, given that both technological and scientific advances in medicine are increasingly less infant deaths at the time of delivery, which has led to a high percentage both in the number and survival of premature babies, a those that have been related to a higher incidence of brain injury among other pathologies. On the other hand, not only helps to minimize or prevent the motor and cognitive impairment of the newborn, it also improves the mental health of the parents, which in turn reverts positively in the newborn and in a better use of resources.

Aim: Analyze the impact of early intervention carried out before discharge to prevent motor and cognitive impairment in risky newborns and their family environment.

Method:

  • Design: Prospective descriptive observational study
  • Sample of the study: All live newborns less than 32 weeks of gestation and 1500Kg of weight in a sanitary area during the years 2018-2020.
  • Selection of the sample: Exclusion criteria are the refusal of the parents to participate in it, presenting some type of chromosomal abnormality or hereditary pathology.
  • Measuring instruments will be used before and after the treatment: GMS (General Movements Scale) and AIMS (Alberta Infant Motor Scale) for motor assessment, Baley for motor assessment and Hammersmith Infant Neurological Examination. To assess anxiety-depression in parents, the Goldberg scale will be used with 9 items to assess anxiety and another 9 to assess depression.

Results/findings: The results will be presented and discussed.


References

1.
Spittle A, Orton J, Anderson PJ, Boyd R, Doyle LW. Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants. Cochrane Database Syst Rev. 2015 Nov 24;(11):CD005495. DOI: 10.1002/14651858.CD005495.pub4 Externer Link
2.
Castel S, Creveuil C, Beunard A, Blaizot X, Proia N, et al. Effects of an inervention program on maternal and paternal parenting stress alter preterm Barth: A randomized trial. Earl Hum Dev. 2016;103:17-25.
3.
Hadders-Algra M, Boxum AG, Hielkama T, Hamer EG. Effect of early intervention in infants at very high risk of cerebral palsy: a systematic review. Dev Med Child Neurol. 2017;59:246-58.