Effectiveness of parental education based on Neurobehavioural cues and it's impact on Preterm infant development.

Dr. Sheetal Rajendra Tatar; Dr Hemant Nandgaonkar

Volume : X, Issue : VII, July - 2020

Effectiveness of parental education based on Neurobehavioural cues and it's impact on Preterm infant development.

Dr. Sheetal Rajendra Tatar, Dr Hemant Nandgaonkar

Abstract :

Background: The transition from the well supported and resourceful NICU to the home setting is really a demanding time for the families. Post discharge care by parents can have nurturing or direct toxic effect on the ain. Therefore it is important that a new parent mostly those whose is the first child i.e. to preterm baby, tune in quickly to what overwhelms her baby and learn to read the cues of the preterm baby before he/she overloads, to protect the development of ain and avoid the long term neurodevelopmental deficits. Objective:  To observe for caregiver’s response to various infant neurobehavioral cues and to categorize infant’s self–regulatory competence.  To assess the overall development of the infant with the Bayley Scale of Infant Development (BSID III). Study design: Prospective, Experimental, Interventional, Comparative and Matched Subjects Design. Methods: All the participants of the study were explained in detail about the study protocol and were notified regarding the camera surveillance and accordingly consent was taken from the caregiver. Administrative permission was taken for installation of camera and accordingly privacy guidelines were made such as automatic deletion of stored data within 15 days. Investigator observed the video recording, analyzed it and the infant competence level was noted using the Infant Behavior Assessment tool (IBA) and depending on the competence level the facilitation strategies were explained to the caregiver. Results: There was significant improvement in the Self–regulatory competence and Developmental functioning of preterm infant in all the domains of BSID III (Cognitive, Language, Motor, Social–Emotional and Adaptive Behaviour) after parental education. Conclusion: Parental education about their infant’s neurobehavioral cues, create optimal conditions for their infant development and enhance the infant’s self–regulatory competence.