Effects of early mother-infant intervention on outcomes in mothers and moderately and late preterm infants at age 1 year: A randomized controlled trial
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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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).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as 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).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as 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).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Ravn et al., 2012
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).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Ravn et al., 2012
Cites
Maternal depression and parenting behavior
Lovejoy, M. C., Graczyk, P. A., O'Hare, E., & Neuman, G. (2000) · Clinical Psychology Review · doi:10.1016/s0272-7358(98)00100-7 · Cited by 2,667 · see citing works
Postpartum depression effects on early interactions, parenting, and safety practices: a review
Field, T. (2010) · Infant Behavior and Development · doi:10.1016/j.infbeh.2009.10.005 · Cited by 1,493 · cited 2× · see citing works
“Lower depression scores in the intervention mothers one month after discharge may explain some of the differences in breastfeeding practice, as the immediate postnatal period is a critical time for duration of breastfeeding (Baxter, Cooklin, & Smith, 2009; Field, 2010).”
BackgroundMartins, C., & Gaffan, E. A. (2000) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00661 · Cited by 638 · see citing works
Vigod, S., Villegas, L., Dennis, C., & Ross, L. (2010) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2009.02493.x · Cited by 594 · see citing works
Prematurity, maternal posttraumatic stress and consequences on the mother-infant relationship
Forcada-Guex, M., Borghini, A., Pierrehumbert, B., Ansermet, F., & Muller-Nix, C. (2011) · Early Human Development · doi:10.1016/j.earlhumdev.2010.09.006 · Cited by 359 · see citing works
Kaaresen, P. I., Rønning, J. A., Ulvund, S. E., & Dahl, L. B. (2006) · Pediatrics · doi:10.1542/peds.2005-1491 · Cited by 318 · see citing works
Newnham, C. A., Milgrom, J., & Skouteris, H. (2009) · Infant Behavior and Development · doi:10.1016/j.infbeh.2008.09.004 · Cited by 190 · see citing works
Infant temperament and maternal sensitivity behavior in the first year of life
KIVIJÄRVI, M., RÄIHÄ, H., KALJONEN, A., TAMMINEN, T., & PIHA, J. (2005) · Scandinavian Journal of Psychology · doi:10.1111/j.1467-9450.2005.00473.x · Cited by 58 · see citing works
The impact of breastfeeding on mothers' attentional sensitivity towards infant distress
Pearson, R. M., Lightman, S. L., & Evans, J. (2011) · Infant Behavior and Development · doi:10.1016/j.infbeh.2010.12.009 · Cited by 44 · see citing works
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Magnitude and risk factors for postpartum symptoms: A literature review
Norhayati, M. N., Nik Hazlina, N. H., Asrenee, A. R., & Wan Emilin, W. M. A. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.12.041 · Cited by 816 · see citing works
Mothers and Fathers in NICU: The Impact of Preterm Birth on Parental Distress
Ionio, C., Colombo, C., Brazzoduro, V., Mascheroni, E., Confalonieri, E., Castoldi, F., & Lista, G. (2016) · Europe’s Journal of Psychology · doi:10.5964/ejop.v12i4.1093 · Cited by 347 · see citing works
Deans, C. L. (2020) · Early Child Development and Care · doi:10.1080/03004430.2018.1465415 · Cited by 148 · see citing works
Scoping review of interventions to support families with preterm infants post-NICU discharge
Griffith, T., Singh, A., Naber, M., Hummel, P., Bartholomew, C., Amin, S., White-Traut, R., & Garfield, L. (2022) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2022.08.014 · Cited by 76 · see citing works
Kynø, N. M., Ravn, I. H., Lindemann, R., Smeby, N. A., Torgersen, A. M., & Gundersen, T. (2013) · BMC Nursing · doi:10.1186/1472-6955-12-28 · Cited by 49 · see citing works
Self-citationBreivold, K., Hjaelmhult, E., Sjöström‐Strand, A., & Hallström, I. K. (2019) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12656 · Cited by 46 · see citing works
Brelsford, G. M., Sastry, A., & Doheny, K. K. (2024) · Pastoral Psychology · doi:10.1007/s11089-023-01098-4 · Cited by 2 · see citing works
- 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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