Does premature birth affect Brazilian parents' practices related to infant positioning?

Autor: Francisco ASPG; Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil., Graciosa MD; Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil., Pacheco SCDS; Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil., Sonza A; Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil., Sanada LS; Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil.
Jazyk: angličtina
Zdroj: Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo [Rev Paul Pediatr] 2023 Jul 24; Vol. 42, pp. e2022163. Date of Electronic Publication: 2023 Jul 24 (Print Publication: 2023).
DOI: 10.1590/1984-0462/2024/42/2022163
Abstrakt: Objective: To verify whether the time spent in prone, supine, or seated positions differed between term and preterm infants; and to determine whether a single verbal guidance session for parents changed the time spent in different positions, and, consequently, the motor development scores, after one month in preterm infants.
Methods: Sixty-one infants from a full-term and preterm group from Brazil were included. Motor development was assessed by the Alberta Infant Motor Scale (AIMS) and the parents registered the time spent in each position on a 24-hour schedule. A month after verbal guidance, a second assessment was performed only on the preterm infants.
Results: The positioning times awake determined for the full-term and preterm parents were similar. Preterm infants spent more time in the prone sleeping position (2.1 vs. 0.8 h; p=0.037) than full-term infants. The AIMS percentile scores did not differ significantly between the groups. For preterm infants, the time spent in all positions did not change during the second assessment (n=18).
Conclusions: The fact that some parents position their infants in the prone posture during sleeping periods reinforce the importance of parental education approaches for sudden infant death syndrome (SIDS) prevention during the first months of life. The verbal guidance provided to parents of preterm infants did not influence the AIMS percentile and time spent in various positions but increased preterm parents' confidence in placing their infants in a prone position to play.
Databáze: MEDLINE
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