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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

The very low birth weight transport goes home: impact on the family

M C McCormick, M M Stemmler, J C Bernbaum

    Journal of Developmental and Behavioral Pediatrics : JDBP
    |August 1, 1986
    PubMed

    Insights

    Children born with very low birth weight (VLBW) experience ongoing health issues, impacting daily activities and increasing healthcare needs. Families face significant challenges, particularly those with fewer financial resources.

    Area of Science:

    • Pediatrics
    • Neonatology
    • Family Medicine

    Background:

    • Very low birth weight (VLBW) infants face increased health challenges post-hospital discharge.
    • The impact of these health problems on medical care demands and family well-being requires further investigation.

    Purpose of the Study:

    • To assess the ongoing health problems of VLBW children.
    • To evaluate the demand for medical care services by these children.
    • To understand the impact of these health issues on family coping mechanisms and vulnerability.

    Main Methods:

    • Survey conducted on families of 132 children (1-4 years old) born weighing less than 1750g.
    • Data collected on children's health status, daily activity limitations, and healthcare utilization.
    • Analysis of factors predicting the perceived impact on families.

    Main Results:

    • 35% of VLBW children experienced limitations in daily activities.
    • Significant healthcare utilization: 17% hospitalized in the prior year, 54% visited a doctor in the prior month.
    • Key predictors of family impact: number of activity limitations, child's age, and family financial resources.

    Conclusions:

    • VLBW children continue to have significant health problems and require substantial healthcare services.
    • Family vulnerability is associated with the severity of the child's health limitations and socioeconomic factors.
    • Findings help identify families most at risk for coping difficulties with VLBW infant care.

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