Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais (UFMG), Faculdade de Medicina, Departamento de Pediatria, Belo Horizonte, MG, Brazil.
J Pediatr (Rio J). 2018 May-Jun;94(3):300-307. doi: 10.1016/j.jped.2017.05.014. Epub 2017 Aug 30.
To compare the behavior of preterm newborns and full-term newborns using the Newborn Behavioral Observation and to evaluate the mothers' experience when participating in this observation.
This was a cross-sectional study performed at a referral hospital for high-risk births, involving mothers and neonates before hospital discharge. The mothers answered the sociodemographic questionnaire, participated in the Newborn Behavioral Observation session, and evaluated the experience by answering the parents' questionnaire at the end. The characteristics of the preterm newborn and full-term newborn groups and the autonomic, motor, organization of states, and responsiveness scores were compared. Linear regression was performed to test the association of the characteristics of mothers and neonates with the scores in the autonomic, motor, organization of states, and responsiveness domains.
The Newborn Behavioral Observation was performed with 170 newborns (eight twins and 77% preterm newborns). Approximately 15% of the mothers were adolescents and had nine years of schooling, on average. The groups differed regarding weight for gestational age, age at observation, APGAR score, feeding, and primiparity. The linear regression adjusted for these variables showed that only prematurity remained associated with differences in the scores of the motor (p=0.002) and responsiveness (p=0.02) domains. No statistical difference was observed between the groups in the score attributed to one's own knowledge prior to the session (p=0.10). After the session, these means increased in both groups. This increase was significantly higher in the preterm newborn group (p=0.02).
The Newborn Behavioral Observation increased the mothers' knowledge about the behavior of their children, especially in mothers of preterm newborns, and identified differences in the behavior of preterm newborns and full-term newborns regarding the motor and responsiveness domains.
使用新生儿行为观察比较早产儿和足月儿的行为，并评估母亲参与该观察的体验。
这是一项在高危分娩转诊医院进行的横断面研究，涉及出院前的母亲和新生儿。母亲回答社会人口学问卷，参加新生儿行为观察会议，并在结束时通过回答家长问卷来评估体验。比较早产儿和足月儿组的自主、运动、状态组织和反应评分的特征。线性回归用于检验母亲和新生儿的特征与自主、运动、状态组织和反应领域的评分之间的关联。
对 170 名新生儿（8 对双胞胎和 77%早产儿）进行了新生儿行为观察。大约 15%的母亲是青少年，平均受教育程度为 9 年。两组在胎龄体重、观察时的年龄、APGAR 评分、喂养和初产妇方面存在差异。对这些变量进行线性回归调整后发现，仅早产与运动（p=0.002）和反应（p=0.02）领域的评分差异相关。在会话前自身知识的评分（p=0.10）方面，两组之间没有观察到统计学差异。在两组中，评分均有所增加。早产儿组的增加幅度显著更高（p=0.02）。
新生儿行为观察增加了母亲对其子女行为的了解，特别是在早产儿母亲中，并且发现早产儿和足月儿在运动和反应领域的行为存在差异。
