Background Late preterm and early term infants are at increased risk of poor growth,behavioral problems,and developmental delays.This study aimed to investigate the impact of maternal and infant characteristics,feedin...Background Late preterm and early term infants are at increased risk of poor growth,behavioral problems,and developmental delays.This study aimed to investigate the impact of maternal and infant characteristics,feeding practices,and breastmilk composition on infant behavior following late preterm and early term delivery,and to evaluate the association between infant behavior and growth.Methods Data from 52 Chinese mothers and their late preterm/early term infants participating in the Breastfeed a Better Youngster study were used.Maternal and infant characteristics were collected using questionnaires at 1 week postpartum.Breastmilk macronutrient content was measured using a human milk analyzer,and infant behavior was assessed using a 3-day infant behavior diary at 8 weeks postpartum.Feeding practices were collected at both time points using questionnaires.Multivariate models were used to assess associations between potential predictors and infant behavior and between infant behavior and growth.Results Exclusive breastfeeding was associated with greater sleep duration(P=0.02)and shorter crying duration(P=0.01).Mothers with a vocational education reported greater distress duration(P=0.006).Greater colic duration was associated with higher maternal annual income(P=0.004).There was no significant association between infant behavior and growth(all P>0.05).Conclusions Exclusive breastfeeding might promote more favorable infant behaviors in late preterm/early term infants,while the development of infant distress behaviors was associated with some maternal characteristics(maternal education and annual income).However,due to the limitations of diary methods,determinants of infant behavior should ideally be assessed using more objective measures in larger samples.展开更多
This study presents a danger estimation system to prevent accidents among infants. A video camera positioned above the infant＇s crib captures video. The proposed system can monitor the behavior of infants aged zero t...This study presents a danger estimation system to prevent accidents among infants. A video camera positioned above the infant＇s crib captures video. The proposed system can monitor the behavior of infants aged zero to six months. If there is a change in behavior or any other unusual occurrence, the system alerts the person responsible to attend to the baby immediately. The proposed system operates in three phases, which are foreground color model （FC model） construction, infant detection, and degree of danger analysis. During FC model construction, the foreground color histogram is created iteratively; the background image does not have to be constructed first. A motion-history image （MHI） is also obtained based on the motion of the infant. The color and motion information supplied by the FC model and the MHI are combined to detect the infant, who is regarded as the foreground object in the input frame. Moreover, six features of infant behavior are extracted from the detected infant to measure the degree of danger faced by the infant, and the result is used to warn the baby-sitter if needed. Experimental results show that the proposed method is robust and efficient.展开更多
目的探讨口腔吸吮训练对改善母乳喂养中婴儿吸吮不良的有效性,为提高母乳喂养率提供有效手段。方法抽取2021年9月—2022年4月首次就诊于江苏省南京市妇幼保健院儿童保健科母乳喂养咨询门诊的264例吸吮不良的婴儿为研究对象,随机分为实...目的探讨口腔吸吮训练对改善母乳喂养中婴儿吸吮不良的有效性,为提高母乳喂养率提供有效手段。方法抽取2021年9月—2022年4月首次就诊于江苏省南京市妇幼保健院儿童保健科母乳喂养咨询门诊的264例吸吮不良的婴儿为研究对象,随机分为实验组和对照组,每组各132例。对照组接受常规的一次性母乳喂养指导,实验组在接受常规母乳喂养指导的基础上进一步接受口腔吸吮训练,包括双侧脸颊肌肉训练、牙床按摩、非营养性吸吮训练及舌头跟随训练,训练结束后评估两组在母乳喂养技能评估量表(Latch/Audible/Type of nipple/Comfort/Hold positioning,LATCH)的得分、纯母乳喂养比例以及体格生长方面的差异。结果干预后两组的LATCH量表评分均有显著提高,且实验组的LATCH量表评分显著高于对照组(t=14.54,P<0.05);与干预前相比,干预后两组的纯母乳喂养比例均有所提高,且实验组纯母乳喂养比例显著高于对照组(χ^(2)=3.952,P<0.05);干预后两组的身长、体重均有所增长,且实验组的身长、体重增长幅度大于对照组(t身长=2.511,t体重=16.971,均P<0.05)。结论口腔吸吮训练可有效改善母乳喂养情况,提升母乳喂养率,促进婴儿体格生长,是婴儿母乳喂养吸吮不良的有效干预手段。展开更多
目的:分析母亲声音干预对NICU早产儿生长发育及睡眠的影响。方法:选取2023年1月至2023年11月福建省晋江市医院NICU收治的早产儿98例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组49例。对照组接受音乐疗法,观察组接受母亲...目的:分析母亲声音干预对NICU早产儿生长发育及睡眠的影响。方法:选取2023年1月至2023年11月福建省晋江市医院NICU收治的早产儿98例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组49例。对照组接受音乐疗法,观察组接受母亲声音干预。比较2组体格发育指标、行为状态与安静睡眠周期(QSC),行为状态评估采用安德森行为状态量表(ABSS)。结果:观察组体质量增长速率快于对照组(P<0.05)。观察组在干预中10 min、干预后5 min ABSS评分低于对照组(P<0.05)。观察组QSC平均时间、总时间长于对照组,中断次数较少(P<0.05)。结论:母亲声音干预可改善NICU早产儿行为状态与睡眠状态,促进体格发育。展开更多
目的探究婴幼儿听性脑干反应(ABR)、短纯音听性脑干反应(tb-ABR)与行为测听(BA)的相关性及其诊断价值。方法采用回顾性分析法,选择2021年10月至2022年10月于南京市妇幼保健院进行检查的80例婴幼儿,对其进行ABR、tb-ABR、BA测试,依据ABR...目的探究婴幼儿听性脑干反应(ABR)、短纯音听性脑干反应(tb-ABR)与行为测听(BA)的相关性及其诊断价值。方法采用回顾性分析法,选择2021年10月至2022年10月于南京市妇幼保健院进行检查的80例婴幼儿,对其进行ABR、tb-ABR、BA测试,依据ABR阈值测试结果将婴幼儿分为4组,A组(≤35 dB nHL,30侧耳),B组(>35~50 dB nHL,64侧耳),C组(>50~70 dB nHL,46侧耳),D组(>70~90 dB nHL,9侧耳)。分析各组ABR与各频率tb-ABR、BA阈值的相关性,以及各组ABR阈值与各频率tb-ABR的相关性。结果各组的tb-ABR的2、4 kHz频率阈值与click-ABR阈值均呈正相关(P<0.05),且A组和C组随频率升高相关系数有逐渐上升趋势。A组的1~4 kHz及B组和C组的click-ABR阈值与BA各频率阈值均呈正相关(P<0.05),且A组随频率升高相关系数有逐渐上升趋势。A组和B组的1 kHz,B组和C组的0.5 kHz,各组2、4 kHz的tb-ABR阈值与BA相同频率阈值均呈正相关(P<0.05),且A组及D组的相关系数有随频率升高逐渐上升趋势。结论婴幼儿的ABR、tb-ABR与BA的相关性较高,可对婴幼儿听力功能进行更加综合完善的评估。展开更多
基金The research was conducted as part of a PhD and expenses were covered from the research group’s funds.
文摘Background Late preterm and early term infants are at increased risk of poor growth,behavioral problems,and developmental delays.This study aimed to investigate the impact of maternal and infant characteristics,feeding practices,and breastmilk composition on infant behavior following late preterm and early term delivery,and to evaluate the association between infant behavior and growth.Methods Data from 52 Chinese mothers and their late preterm/early term infants participating in the Breastfeed a Better Youngster study were used.Maternal and infant characteristics were collected using questionnaires at 1 week postpartum.Breastmilk macronutrient content was measured using a human milk analyzer,and infant behavior was assessed using a 3-day infant behavior diary at 8 weeks postpartum.Feeding practices were collected at both time points using questionnaires.Multivariate models were used to assess associations between potential predictors and infant behavior and between infant behavior and growth.Results Exclusive breastfeeding was associated with greater sleep duration(P=0.02)and shorter crying duration(P=0.01).Mothers with a vocational education reported greater distress duration(P=0.006).Greater colic duration was associated with higher maternal annual income(P=0.004).There was no significant association between infant behavior and growth(all P>0.05).Conclusions Exclusive breastfeeding might promote more favorable infant behaviors in late preterm/early term infants,while the development of infant distress behaviors was associated with some maternal characteristics(maternal education and annual income).However,due to the limitations of diary methods,determinants of infant behavior should ideally be assessed using more objective measures in larger samples.
基金supported by the National Science Council,Taiwan under Contract No.NSC98-2221-E-003-014-MY2 and NSC99-2631-S-003-002
文摘This study presents a danger estimation system to prevent accidents among infants. A video camera positioned above the infant＇s crib captures video. The proposed system can monitor the behavior of infants aged zero to six months. If there is a change in behavior or any other unusual occurrence, the system alerts the person responsible to attend to the baby immediately. The proposed system operates in three phases, which are foreground color model （FC model） construction, infant detection, and degree of danger analysis. During FC model construction, the foreground color histogram is created iteratively; the background image does not have to be constructed first. A motion-history image （MHI） is also obtained based on the motion of the infant. The color and motion information supplied by the FC model and the MHI are combined to detect the infant, who is regarded as the foreground object in the input frame. Moreover, six features of infant behavior are extracted from the detected infant to measure the degree of danger faced by the infant, and the result is used to warn the baby-sitter if needed. Experimental results show that the proposed method is robust and efficient.
文摘目的探讨口腔吸吮训练对改善母乳喂养中婴儿吸吮不良的有效性,为提高母乳喂养率提供有效手段。方法抽取2021年9月—2022年4月首次就诊于江苏省南京市妇幼保健院儿童保健科母乳喂养咨询门诊的264例吸吮不良的婴儿为研究对象,随机分为实验组和对照组,每组各132例。对照组接受常规的一次性母乳喂养指导,实验组在接受常规母乳喂养指导的基础上进一步接受口腔吸吮训练,包括双侧脸颊肌肉训练、牙床按摩、非营养性吸吮训练及舌头跟随训练,训练结束后评估两组在母乳喂养技能评估量表(Latch/Audible/Type of nipple/Comfort/Hold positioning,LATCH)的得分、纯母乳喂养比例以及体格生长方面的差异。结果干预后两组的LATCH量表评分均有显著提高,且实验组的LATCH量表评分显著高于对照组(t=14.54,P<0.05);与干预前相比,干预后两组的纯母乳喂养比例均有所提高,且实验组纯母乳喂养比例显著高于对照组(χ^(2)=3.952,P<0.05);干预后两组的身长、体重均有所增长,且实验组的身长、体重增长幅度大于对照组(t身长=2.511,t体重=16.971,均P<0.05)。结论口腔吸吮训练可有效改善母乳喂养情况,提升母乳喂养率,促进婴儿体格生长,是婴儿母乳喂养吸吮不良的有效干预手段。
文摘目的:分析母亲声音干预对NICU早产儿生长发育及睡眠的影响。方法:选取2023年1月至2023年11月福建省晋江市医院NICU收治的早产儿98例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组49例。对照组接受音乐疗法,观察组接受母亲声音干预。比较2组体格发育指标、行为状态与安静睡眠周期(QSC),行为状态评估采用安德森行为状态量表(ABSS)。结果:观察组体质量增长速率快于对照组(P<0.05)。观察组在干预中10 min、干预后5 min ABSS评分低于对照组(P<0.05)。观察组QSC平均时间、总时间长于对照组,中断次数较少(P<0.05)。结论:母亲声音干预可改善NICU早产儿行为状态与睡眠状态,促进体格发育。
文摘目的探究婴幼儿听性脑干反应(ABR)、短纯音听性脑干反应(tb-ABR)与行为测听(BA)的相关性及其诊断价值。方法采用回顾性分析法,选择2021年10月至2022年10月于南京市妇幼保健院进行检查的80例婴幼儿,对其进行ABR、tb-ABR、BA测试,依据ABR阈值测试结果将婴幼儿分为4组,A组(≤35 dB nHL,30侧耳),B组(>35~50 dB nHL,64侧耳),C组(>50~70 dB nHL,46侧耳),D组(>70~90 dB nHL,9侧耳)。分析各组ABR与各频率tb-ABR、BA阈值的相关性,以及各组ABR阈值与各频率tb-ABR的相关性。结果各组的tb-ABR的2、4 kHz频率阈值与click-ABR阈值均呈正相关(P<0.05),且A组和C组随频率升高相关系数有逐渐上升趋势。A组的1~4 kHz及B组和C组的click-ABR阈值与BA各频率阈值均呈正相关(P<0.05),且A组随频率升高相关系数有逐渐上升趋势。A组和B组的1 kHz,B组和C组的0.5 kHz,各组2、4 kHz的tb-ABR阈值与BA相同频率阈值均呈正相关(P<0.05),且A组及D组的相关系数有随频率升高逐渐上升趋势。结论婴幼儿的ABR、tb-ABR与BA的相关性较高,可对婴幼儿听力功能进行更加综合完善的评估。
