Cited by 89Infant Development and Preterm CareMaternal Mental Health During Pregnancy and PostpartumInfant Health and Development

Effects of early mother-infant intervention on outcomes in mothers and moderately and late preterm infants at age 1 year: A randomized controlled trial

Ravn, Ingrid Helen, Smith, Lars, Smeby, Nina Aarhus, Kynoe, Nina Margrethe, Sandvik, Leiv, Bunch, Eli Haugen, Lindemann, Rolf·2012·Infant Behavior and Development

Abstract

Objective There is a dearth of knowledge about the effects of early interaction-based interventions on parenting and infant communication skills in moderately and late preterm infants. Aims Assess in a RCT the effects of the Mother-Infant Transaction program (MITP) on maternal depression and stress, breastfeeding and mothers' perception of infant temperament; and MITP's impact on preterm infant communication skills at 12 months. Methods Mothers/preterm infants (30-36 weeks) were randomly assigned to MITP (intervention group) or standard care (control group). Mean gestational age in the intervention group was 33.3±1.5 (n=56) and in the control group (n=50) 33.0±1.6. Outcomes were assessed by CES-D, Parenting Stress Index; WHO breast-feeding categories, Infant Behavior Questionnaire and The Pictorial Infant Communication Scales. Results Intervention mothers reported significantly less postpartum depression one month after discharge (p=.04) and more breastfeeding at 9 months (p=.02). No significant group differences in favour of the intervention group were found on total parenting stress at 6 (p=.08) and 12 months (p=.46) or on perceived infant communication skills at 12 months (p=.86). The intervention mothers reported significantly less infant smile and laughter at 6 (p=.02) and 12 (p=.006) months and less motor activity at 12 months (p=.04). Conclusions The results suggest that MITP reduced postpartum depression and extended the period of breastfeeding, but did not support an…

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Crossref · 10.1016/j.infbeh.2011.09.006

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  • Mothers in the intervention group had higher breastfeeding rates compared with the control group at 9-months (66% vs. 40%) and 12-months (38% vs. 20%) post-discharge.

    “Mothers in the intervention group had higher breastfeeding rates compared with the control group at 9-months (66% vs. 40%) and 12-months (38 % vs. 20%) post-discharge, respectively (Ravn et al., 2012).”
  • Mothers in the intervention group reported less smiling, laughter, and activity in their infants at 6-months and 12-months post-discharge compared with the control group.

    “However, mothers in the intervention group reported less smiling, laughter, and activity in their infants at 6-months and 12-months post-discharge compared with the control group (Ravn et al., 2012).”
  • An overwhelming and prolonged stressful experience negatively impacts the developing parent-infant relationship, breastfeeding, and health outcomes of the infant and parents.

    “Such an overwhelming and prolonged stressful experience negatively impacts the developing parent-infant relationship, breastfeeding, and health outcomes of the infant and parents (Ghetti et al., 2021; Purdy, Craig, & Zeanah, 2015; Ravn et al., 2012; Silva, Zilly, Nonose, Fonseca, & Mello, 2020).”
  • At 1-month post-discharge, 14% of mothers in the intervention group versus 27% in the control group reported elevated depressive symptom scores.

    “At 1-month post-discharge, only 14% of mothers in the intervention group versus 27% in the control group reported elevated depressive symptom scores (Ravn et al., 2012).”

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Authors
Ravn, I. H., Smith, L., Smeby, N. A., Kynoe, N. M., Sandvik, L., Bunch, E. H., & Lindemann, R.
Affiliations
  • Oslo University Hospital (NO)
  • University of Oslo (NO)
Corresponding author
Ravn, Ingrid Helen
Venue
Infant Behavior and Development
Publisher
Elsevier BV
Published
2012-02
Volume
35
Issue
1
Pages
36-47
ISSN
0163-6383 (ISSN-L)
OpenAlex
W1969748614
Cited by
89
References
9
Citations by year
2026: 3 · 2025: 4 · 2024: 2 · 2023: 5 · 2022: 9 · 2021: 9 · 2020: 2 · 2019: 8 · 2018: 6 · 2017: 6 · 2016: 5 · 2015: 7 · 2014: 10 · 2013: 9 · 2012: 4
FWCI
6.77
Type
journal article
Language
en
Open access
closed
Locations
  • Infant Behavior and Development (publishedVersion)
  • PubMed (publishedVersion)
Funders
Helse Sør-Øst RHF
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Health Professions › Pharmacy › Infant Health and Development
Keywords
early mother-infant interaction, moderately preterm infants, late preterm infants, postpartum depression, maternal stress, breastfeeding, infant temperament, infant motor activity, parenting
MeSH terms
Adult, Breast Feeding, Depression, Education, Female, Follow-Up Studies, Humans, Infant, Infant, Newborn, Infant, Premature, Male, Mother-Child Relations, Surveys and Questionnaires, Risk Factors, Stress, Psychological, Treatment Outcome

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