Wednesday, 20 August 2014 08:51

Prevention of Preemie Parent Distress

The birth of a preterm infant can cause significant psychological distress for parents and families. In particular it has been consistently reported that the birth and hospitalisation of an unwell baby is associated with high levels of distress and depressive symptoms in the mother of the infant. Most research in this area has focused on the mother of preterm infants but some research groups are now trying to evaluate the emotional affect preterm birth also has on fathers.

Research suggests that 10% of mothers of infants with very low birth weight (VLBW; infants born less than 1,500 g) report severe symptoms of psychological distress in the neonatal period which is five-fold the rate of term mothers, and almost one-third of mothers of VLBW infants have clinically meaningful levels of depression and anxiety.

A research team in the United States have recently evaluated a treatment intervention developed for reducing symptoms of posttraumatic stress, depression, and anxiety in parents of preterm babies.

There were 105 mothers of preterm infants who particpated in the study. The gestational age of preemies ranged from 25 to 34 weeks' gestational age and all were born more than 600grams. The 105 participants were randomly selected to be part of 2 groups; 1)intervention group - these mothers received 6 sessions of intervention which combined trauma-focused treatments, including psychoeducation, cognitive restructuring, progessive muscles relaxation, and development of their trauma narrative. It also included material which targeted infant redefinition - changing the mother's negative perceptions of her baby and the parenting experience; 2)control group - these mothers were described as an active comparison group who received an education session.

The research findings were positive for the intervention group - mothers greater reduction in trauma symptoms and depression, both groups reported less anxiety, and mothers who experienced higher NICU stress before the intervention benefited more from the intervention than mothers who reported low NICU stress.

The researchers concluded that, "This short, highly manualized intervention for mothers of preterm infants reduced symptoms of trauma and depression. The intervention is feasible, can be delivered with fidelity, and has high ratings of maternal satisfaction. Given that improvements in mothers’ distress may lead to improved infant outcomes, this intervention has the potential for a high public health impact.

Research such as this could be a great step in lessening the burden and stress for families of preterm infants who often have to deal with many and varied challenges.

Published in Industry News
Saturday, 15 October 2011 13:54

Stem Cells may Prevent Preterm Birth

A break through in stem cell cell research could help thousands of women at risk of having a preterm birth. Findings reported in the journal “Tissue Engineering” have discovered that they can manipulate the stem cells to make a material that is almost the same as a woman’s natural membrane that surrounds the fetus. This would act as a sort of “repair” patch to prevent preterm birth. This is very important because up to 40% of preterm births are caused by preterm premature rupture of the membrane (known as PPROM).

According to researchers at the Reading school of pharmacy a treatment could be available within 4 years. Their team have been able to grow the sac membrane that surrounds the fetus using stem cells from placentas obtained after birth. Reportedly, only one donation is required to produce thousands of patches to help preserve pregnancies at risk of preterm birth.

There repair patches are likely most beneficial for woman whose membranes rupture before 24 weeks gestation, where the preterm infant has less chance of survival due to the immaturity of their lungs. One of the most common causes of PPROM is infection, other risk factors are bleeding in the first half of the pregnancy, carrying twins, and when the fetus is surrounded by too much amniotic fluid.

Published in Industry News
Monday, 07 July 2014 11:49

Preterm Birth Breakthrough: Infections

Estimates of preterm birth in Australia suggest one in 12 or approximately 8% of Australian babies is born preterm. The incidence worldwide is even higher, approximately 10%, meaning around 15 million babies are born preterm annually. The estimated cost is very high and Australia spends approximately $500 million per year on their care, whilst the United States spends more than $17 billion.

One of the causes of preterm birth is intrauterine infection or inflammation caused by infection. Experts in the field hypothesise that vaginal microorganisms break the cervical barrier, colonise the fetal membranes, and infect the amniotic cavity. The expectant mother's auto-immune response consistenting of a vigorous inflammatory reaction results in preterm birth.

An incredible breakthrough achieved at the University of Western Australia, King Edward Memorial Hospital, has described the ability of an antibiotic - solithromycin - to potentially cross the placenta and kill infections responsible for many preterm births. Professor Jeffrey Keelan estimated that up to 30% of preterm births could be prevented using this new antibiotic, solithromycin. Most of the benefits would be attributed to saving the very early prems.

The research behind this exciting breakthrough involved measurements in sheep and the crossover from sheep to human placentas is about 50% compared with only 2-4% for older antibiotics and it's 10 to 100 times stronger. Researchers report that the next step is to, confirm that in pregnant women, that the antibiotic crosses the placenta and destroys harmful bacteria. If research grants are successful clinical trials will take place between Western Australia and the United States.

This is a significant finding as currently used antibiotics are largely ineffective at destroying harmful bacteria or are unable to cross the placenta at high enough levels, thereby unable to prevent the preterm birth from occuring.

Published in Industry News
Tuesday, 17 June 2014 14:59

Preemie Parents Skin

Talking about parent’s skin might seem weird – after all the skin barrier is fully developed and most people already have their own skincare regime. But preemie parents have some unique skincare needs primarily due to the unique environment of the NICU. If you’re a parent of a preemie baby you will be familiar with the humidity of the NICU – designed to prevent temperature instability, dehydration, and electrolyte imbalance caused by the immaturity of preemie skin. You’ll also be acutely aware of the importance of clean, sterilized hands when handling your prem. You no doubt have a ritual when arriving at the hospital that involves thorough hand washing and sanitizing. These two factors in particular often lead to very dehydrated and under-nourished hands. You probably also notice that your face and lips are also dry and sensitive.

You may not be able to abide by your usual skincare routine and your requirements are likely quite different. It is for these reasons we decided to work with skincare experts to formulate products specifically for preemie parent needs.

One of our best active ingredients in Sea Kelp.

What’s so Good about Sea Kelp?


The medicinal benefits of kelp have been renowned for centuries due to its ability to enhance health and beauty. The seawater where kelp grows contains an abundance of vitamins, minerals, trace minerals, proteins and enzymes that have wonderful benefits for the skin.

Sea Kelp Bioferment can be used as a great nutritive active to skincare lotions and moisturizers. Sea Kelp is firming, healing and soothing for any skin type and is a powerful nutritive moisturizer for normal and dry skin as well as having antioxidant properties, also a fantastic plus for the skin.

Sea Kelp can also help keep skin looking firmer and younger as it helps prevent loss of skin elasticity. Research has demonstrated that the iodine in Sea Kelp effectively removes free radicals - chemicals that accelerate ageing - from human blood cells.

If that wasn’t enough Sea Kelp also contains minerals like calcium, fluorine and magnesium that contribute to a more radiant skin tone. It is also rich in Vitamins A, B1, B2, C and E, as well as minerals such as magnesium, selenium and zinc - vitamins and minerals that are essential to regenerating skin cells and tissue.

The Product!


SEA KELP CORAL NICU HAND CREAM - PROTECTION FORMULA A RICH THICK BARRIER CREAM TO PROVIDE MOISTURIZING PROTECTION FOR HANDS DRY AND TIRED FROM LONG DAYS IN THE NICU This exceptional product provides cover when you need extra protection and will help prevent water loss from damaged skin. A careful blend including sea kelp coral helps soften, moisturize, and remove toxins from the skin. Perfect for skin regularly subjected to air-conditioning and hand sanitiser.

Published in Preemiehelp News
Monday, 31 March 2014 13:52

Preterm Infants: Visual Processing

An Australia research project looking at the long-term outcome of preterm birth on visual processing has found that despite advances in medical care improving the survival rate of high-risk extremely low birth weight and/or extremely preterm infants, visual morbidity is still relatively high compared with controls in late adolescence.

 

Ocular growth and development differ between extremely low birth weight (ELBW, ,1000 g) or extremely preterm (EP, gestational age ,28 weeks) and term children and may have long-term negative consequences for visual function. Visual sensory and perceptual skills are important for a range of functions and everyday activities, such as classroom learning, overall school performance,successful social interaction, and social cognition. Consequently, understanding the nature and frequency of visual deficits in ELBW/EP children is vital to inform adequate and appropriately targeted clinical follow-up and to increase focus on developing avenues for remediation.

The study involved following up 228 extremely preterm survivors born in Victoria in 1991 and 1992 and 166 randomly selected normal birth weight controls. The participants were assessed between the ages of 14 and 20 years of age. Visual acuity, stereopsis, convergence, color perception, and visual perception were assessed and contrasted between groups.

The researchers reported that adolescents born extemely preterm had worse visual acuity, poorer depth perception, and more problems with visual perception. Given the potential importance of visual perceptual skills to more complex tasks and academic achievement, these results have important clinical relevance.

Published in Industry News
Tuesday, 25 September 2012 20:06

Pacemaker to Stop Premature Birth

The latest in scientific research sees a "pacemaker" being developed to help prevent premature birth!

The "pacemaker" is composed of electrodes which deliver mild bursts of electricity to stop muscles in the womb contracting - it has recently just completed a clinical trial.

The rates of premature birth have been increasing putting more babies at risk for short and long term health difficulties so more and more research efforts are being put behind ways to help prevent preterm birth.

Published in Industry News
Friday, 30 March 2012 14:33

Grief – Quick Recovery Key

Becoming a parent of a preemie can result in, for good reason, feelings of grief and high levels of distress, which is similar to that of parents who have a child with a chronic illness (e.g. epilepsy or cerebral palsy). According to new research, the faster a mother of a preemie can overcome the feelings of grief they are experiencing the better the chances of developing secure attachment between baby and mother.

Experiencing a preterm birth has been described as an “emotional crisis” that is characterized by feelings of loss and grief, which can continue for months even after discharge from the neonatal intensive care unit (NICU). Mother’s of preemies must adapt her expectations and hopes for her baby in difficult and uncertain situations, and must mourn the loss of her hoped-for baby, while also trying to embrace the baby she has.

A history of unresolved grief experienced by mothers about their baby’s diagnosis has been associated with insecure infant-mother attachment. Most of this research has been carried out on chronic medical conditions or disabilities, such as Down syndrome, autism, and cerebral palsy. Persistent feelings of grief can affect a parent’s capacity to respond sensitively and contingently to baby’s cues. According to attachment theory a parent’s interactive behaviour influences later emotional development in the child. For example, contingently responsive and sensitive parenting contributes to secure attachment and therefore better social and emotional development. On the other hand, interactions lacking sensitivity and responsiveness are associated with insecure attachment.

A recent study undertaken by Prachi Shah M.D., assistant professor in the Department of Pediatrics and Communicable Diseases at the University of Michigan C. S. Mott Children’s Hospital, aimed to investigate the association between mothers’ unresolved grief regarding their preterm birth and infant-mother attachment security. The study involved 74 preemies (i.e. born less than 36 weeks gestation) and their mothers and the analysis included assessment of neonatal and socioeconomic risk at NICU discharge, maternal depression, Reaction to Preterm Birth Interview findings, and quality of parenting at 9 months postterm, and infant-mother attachment at postterm age of 16 months.

Study conclusion –The study found that unresolved grief related to a preterm birth is associated with the development of insecure infant-mother attachment. Importantly, mothers with resolved grief after preterm birth are 3 times more likely to have secure infant-attachment compared with preterm mothers with unresolved grief. Mothers who demonstrated more positive interactions with their infants were also more likely to have securely attached infants. There researchers suggested that successfully getting over grief may require the mother to redirect her expectations and hopes for her child during uncertain circumstances, and mourn the “hoped-for child” as she still embraces the child she has.

Published in Industry News
Friday, 07 October 2011 11:02

New Article: ROP surgery

Preemie Help have just released a new article called, Retinopathy of Prematurity; Surgeries and Procedures. It provides some basic information about the surgeries and procedures used to treat preterm infants with retinopathy of prematurity (ROP). This is an important topic as the smallest and sickiest preterm infants are at the greatest risk for ROP, understanding a little about what's involved can help with feelings of being overwhelmed and confused.

There a several studies being undertaken at the moment to try and improve outcomes following ROP and ways to prevent it in the first instance. Preemie Help will keep up-to-date with this information and post any new findings.

Retinopathy of Prematurity; Surgeries and Procedures can be found under the section "About Preemies" > "In the Hospital" > under the heading "Preemie Surgeries and Procedures."

Published in Industry News
Sunday, 29 January 2012 15:58

Steroids Help Micro Preemies

A recent study has found that treating women at risk of preterm birth as early as 22 to 23 weeks gestation improved the survival of extremely preterm infants. Babies born this early are colloquially called micro preemies. Due to extreme prematurity, micro preemies have a reduced chance of survival and are at increased risk for a number of health complications, such as respiratory distress syndrome, patent ductus artiosus, retinopathy of prematurity, necrotizing enterocolitis, and intraventricular hemorrhage.

Women who are at risk of preterm delivery are treated with antenatal corticosteroids (steroids for short) to help the infant’s immature lungs develop. Various studies have provided evidence for the effectiveness of steroids for decreasing mortality and morbidity in preterm infants. Typically, women at high risk of preterm birth between 24 to 34 weeks gestation are treated with steroids, however the use of steroids in women between 22 to 26 weeks gestation has been low and there is wide international and regional variation in their use. A research team in Japan sough to evaluate the effectiveness of antenatal corticosteroids to improve neonatal outcomes for infants born at less than 24 weeks of gestation. This was an important study as steroid use at this early stage may have large ramifications for survival and morbidity in the most vulnerable and tiniest of preterm babies.

The study involved the analysis of 11,607 infants born at 22 to 33 weeks gestation between 2003 and 2007. They evaluated the gestational age effects of treating women threatened with preterm birth with steroids on several factors related to neonatal morbidity and mortality. The most important finding of this study was that treatment with antenatal corticosteroids improved the survival of extremely preterm infants, including the tiniest micro preemies; babies born 22 to 23 weeks gestation.

Other results from the study demonstrated that steroid treatment was effective in decreasing respiratory distress syndrome, brain injury (intraventricular hemorrhage), surfactant use, and duration of oxygen use in preterm infants born between 24 and 29 weeks of gestation but not for the smaller micro preemies.

Published in Industry News
Tuesday, 23 August 2011 20:15

Preemies and Attention

Preemiehelp is pleased to announce that Michelle Wilson-Ching Ph.D is the latest contributor to our website. Dr Wilson-Ching is an expert in attention difficulties experienced by preterm children. She completed her dissertation in 2010 and now works as a Postdoctoral Research Fellow at Australia's Murdoch Children's Research Institute. Michelle was a researcher in a large regional cohort study based in Victoria, Australia called the Victorian Infant Collborative Study or VICS for short. The aim of VICS is to establish the extent of long-term health problems that occur in the tiniest (those of birthweight less than 1000 g) and most premature (those born less than 28 weeks of gestation) preterm survivors born in Victoria.

 

Published in Industry News
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Preemie, Premmie, or Prem?

Most babies spend between 38 and 42 weeks in their mother’s uterus. So, technically a preterm birth, preemie, premmie, or prem, is an infant who is born less than 37 completed gestational weeks. 


Read More: Defining Preterm birth


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New Release - Preemie Development

All in one easy to read eguide

‘The complete preemie guide to: ‘Preemie development’ is the must have guide to the NICU for new preemie parents.

With an easy-to-read layout this comprehensive guide is over 130 pages of important information about the NICU and your preemie.

Using Adobe’s .pdf format makes the guide usable across a wide range of platforms from ipad to PC, smartphone to macbook.

Packed with extra features like progress charts, NICU checklists and plenty of others. ‘The preemie guide’ is a must for any new parents.


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