Newborn clinical outcomes of the awhonn late preterm infant research-based practice project

Barbara Medoff Cooper, Diane Holditch-Davis, M. Terese Verklan, Debbie Fraser-Askin, Jane Lamp, Anne Santa-Donato, Brea Onokpise, Karen L. Soeken, Debra Bingham

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective: To describe the neonatal health risks (hypothermia, hypoglycemia, hyperbilirubinemia, respiratory distress, the need for a septic workup, and feeding difficulties) experienced by late preterm infants (LPIs) from a large multisite study and determine how these risks were affected by gestational age at birth. Design: Descriptive analysis of prospective data obtained as part of the AWHONN Late Preterm Infant Research-Based Practice Project. Setting: Fourteen hospitals located through the United States and Canada. Participants: Late preterm infants (802) born at gestational ages between 34 0/7 and 36 6/7 weeks. Methods: Nurses at each site obtained consent from the mother of the infant. The data about the infant were gathered from the infant's medical record. Results: Thirty-six percent of LPIs were initially cared for in a special care nursery; approximately one half of these infants were eventually transferred to a well-baby nursery. Of the 64% of LPIs initially cared for in a routine nursery, 10% were transferred to a special care unit or neonatal intensive care unit (NICU). More than one half of LPIs experienced hypothermia, hypoglycemia, feeding difficulties, hyperbilirubinemia, and respiratory distress and/or needed a septic workup. The risk for these problems was higher in infants of younger gestational ages. Thirty-two percent of the infants were bathed during the first 2 hours of life, and by 4 hours, more than two thirds had had their first bath. Fifty-two percent received kangaroo care during the first 48 hours of life. Conclusion: These findings support those of smaller studies indicating that LPIs are at high risk for developing health problems during their neonatal hospitalization. Nurses may be able to ameliorate some of these health problems through early identification of problems and simple, inexpensive interventions such as avoiding early bathing and promoting kangaroo care.

Original languageEnglish (US)
Pages (from-to)774-785
Number of pages12
JournalJOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
Volume41
Issue number6
DOIs
StatePublished - Nov 2012
Externally publishedYes

Fingerprint

Premature Infants
Newborn Infant
Nurseries
Research
Gestational Age
Macropodidae
Hyperbilirubinemia
Hypothermia
Hypoglycemia
Nurses
Neonatal Intensive Care Units
Health
Baths
Canada
Medical Records
Hospitalization
Mothers
Parturition

Keywords

  • Feeding
  • Hyperbilirubinemia
  • Hypoglycemia
  • Hypothermia
  • Kangaroo care
  • Late preterm infants
  • Respiratory distress
  • Sepsis

ASJC Scopus subject areas

  • Maternity and Midwifery
  • Pediatrics
  • Critical Care

Cite this

Medoff Cooper, B., Holditch-Davis, D., Verklan, M. T., Fraser-Askin, D., Lamp, J., Santa-Donato, A., ... Bingham, D. (2012). Newborn clinical outcomes of the awhonn late preterm infant research-based practice project. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(6), 774-785. https://doi.org/10.1111/j.1552-6909.2012.01401.x

Newborn clinical outcomes of the awhonn late preterm infant research-based practice project. / Medoff Cooper, Barbara; Holditch-Davis, Diane; Verklan, M. Terese; Fraser-Askin, Debbie; Lamp, Jane; Santa-Donato, Anne; Onokpise, Brea; Soeken, Karen L.; Bingham, Debra.

In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, Vol. 41, No. 6, 11.2012, p. 774-785.

Research output: Contribution to journalArticle

Medoff Cooper, B, Holditch-Davis, D, Verklan, MT, Fraser-Askin, D, Lamp, J, Santa-Donato, A, Onokpise, B, Soeken, KL & Bingham, D 2012, 'Newborn clinical outcomes of the awhonn late preterm infant research-based practice project', JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, vol. 41, no. 6, pp. 774-785. https://doi.org/10.1111/j.1552-6909.2012.01401.x
Medoff Cooper, Barbara ; Holditch-Davis, Diane ; Verklan, M. Terese ; Fraser-Askin, Debbie ; Lamp, Jane ; Santa-Donato, Anne ; Onokpise, Brea ; Soeken, Karen L. ; Bingham, Debra. / Newborn clinical outcomes of the awhonn late preterm infant research-based practice project. In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2012 ; Vol. 41, No. 6. pp. 774-785.
@article{ef171e07e3544a228064577148809fa3,
title = "Newborn clinical outcomes of the awhonn late preterm infant research-based practice project",
abstract = "Objective: To describe the neonatal health risks (hypothermia, hypoglycemia, hyperbilirubinemia, respiratory distress, the need for a septic workup, and feeding difficulties) experienced by late preterm infants (LPIs) from a large multisite study and determine how these risks were affected by gestational age at birth. Design: Descriptive analysis of prospective data obtained as part of the AWHONN Late Preterm Infant Research-Based Practice Project. Setting: Fourteen hospitals located through the United States and Canada. Participants: Late preterm infants (802) born at gestational ages between 34 0/7 and 36 6/7 weeks. Methods: Nurses at each site obtained consent from the mother of the infant. The data about the infant were gathered from the infant's medical record. Results: Thirty-six percent of LPIs were initially cared for in a special care nursery; approximately one half of these infants were eventually transferred to a well-baby nursery. Of the 64{\%} of LPIs initially cared for in a routine nursery, 10{\%} were transferred to a special care unit or neonatal intensive care unit (NICU). More than one half of LPIs experienced hypothermia, hypoglycemia, feeding difficulties, hyperbilirubinemia, and respiratory distress and/or needed a septic workup. The risk for these problems was higher in infants of younger gestational ages. Thirty-two percent of the infants were bathed during the first 2 hours of life, and by 4 hours, more than two thirds had had their first bath. Fifty-two percent received kangaroo care during the first 48 hours of life. Conclusion: These findings support those of smaller studies indicating that LPIs are at high risk for developing health problems during their neonatal hospitalization. Nurses may be able to ameliorate some of these health problems through early identification of problems and simple, inexpensive interventions such as avoiding early bathing and promoting kangaroo care.",
keywords = "Feeding, Hyperbilirubinemia, Hypoglycemia, Hypothermia, Kangaroo care, Late preterm infants, Respiratory distress, Sepsis",
author = "{Medoff Cooper}, Barbara and Diane Holditch-Davis and Verklan, {M. Terese} and Debbie Fraser-Askin and Jane Lamp and Anne Santa-Donato and Brea Onokpise and Soeken, {Karen L.} and Debra Bingham",
year = "2012",
month = "11",
doi = "10.1111/j.1552-6909.2012.01401.x",
language = "English (US)",
volume = "41",
pages = "774--785",
journal = "JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing",
issn = "0884-2175",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Newborn clinical outcomes of the awhonn late preterm infant research-based practice project

AU - Medoff Cooper, Barbara

AU - Holditch-Davis, Diane

AU - Verklan, M. Terese

AU - Fraser-Askin, Debbie

AU - Lamp, Jane

AU - Santa-Donato, Anne

AU - Onokpise, Brea

AU - Soeken, Karen L.

AU - Bingham, Debra

PY - 2012/11

Y1 - 2012/11

N2 - Objective: To describe the neonatal health risks (hypothermia, hypoglycemia, hyperbilirubinemia, respiratory distress, the need for a septic workup, and feeding difficulties) experienced by late preterm infants (LPIs) from a large multisite study and determine how these risks were affected by gestational age at birth. Design: Descriptive analysis of prospective data obtained as part of the AWHONN Late Preterm Infant Research-Based Practice Project. Setting: Fourteen hospitals located through the United States and Canada. Participants: Late preterm infants (802) born at gestational ages between 34 0/7 and 36 6/7 weeks. Methods: Nurses at each site obtained consent from the mother of the infant. The data about the infant were gathered from the infant's medical record. Results: Thirty-six percent of LPIs were initially cared for in a special care nursery; approximately one half of these infants were eventually transferred to a well-baby nursery. Of the 64% of LPIs initially cared for in a routine nursery, 10% were transferred to a special care unit or neonatal intensive care unit (NICU). More than one half of LPIs experienced hypothermia, hypoglycemia, feeding difficulties, hyperbilirubinemia, and respiratory distress and/or needed a septic workup. The risk for these problems was higher in infants of younger gestational ages. Thirty-two percent of the infants were bathed during the first 2 hours of life, and by 4 hours, more than two thirds had had their first bath. Fifty-two percent received kangaroo care during the first 48 hours of life. Conclusion: These findings support those of smaller studies indicating that LPIs are at high risk for developing health problems during their neonatal hospitalization. Nurses may be able to ameliorate some of these health problems through early identification of problems and simple, inexpensive interventions such as avoiding early bathing and promoting kangaroo care.

AB - Objective: To describe the neonatal health risks (hypothermia, hypoglycemia, hyperbilirubinemia, respiratory distress, the need for a septic workup, and feeding difficulties) experienced by late preterm infants (LPIs) from a large multisite study and determine how these risks were affected by gestational age at birth. Design: Descriptive analysis of prospective data obtained as part of the AWHONN Late Preterm Infant Research-Based Practice Project. Setting: Fourteen hospitals located through the United States and Canada. Participants: Late preterm infants (802) born at gestational ages between 34 0/7 and 36 6/7 weeks. Methods: Nurses at each site obtained consent from the mother of the infant. The data about the infant were gathered from the infant's medical record. Results: Thirty-six percent of LPIs were initially cared for in a special care nursery; approximately one half of these infants were eventually transferred to a well-baby nursery. Of the 64% of LPIs initially cared for in a routine nursery, 10% were transferred to a special care unit or neonatal intensive care unit (NICU). More than one half of LPIs experienced hypothermia, hypoglycemia, feeding difficulties, hyperbilirubinemia, and respiratory distress and/or needed a septic workup. The risk for these problems was higher in infants of younger gestational ages. Thirty-two percent of the infants were bathed during the first 2 hours of life, and by 4 hours, more than two thirds had had their first bath. Fifty-two percent received kangaroo care during the first 48 hours of life. Conclusion: These findings support those of smaller studies indicating that LPIs are at high risk for developing health problems during their neonatal hospitalization. Nurses may be able to ameliorate some of these health problems through early identification of problems and simple, inexpensive interventions such as avoiding early bathing and promoting kangaroo care.

KW - Feeding

KW - Hyperbilirubinemia

KW - Hypoglycemia

KW - Hypothermia

KW - Kangaroo care

KW - Late preterm infants

KW - Respiratory distress

KW - Sepsis

UR - http://www.scopus.com/inward/record.url?scp=84870294000&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84870294000&partnerID=8YFLogxK

U2 - 10.1111/j.1552-6909.2012.01401.x

DO - 10.1111/j.1552-6909.2012.01401.x

M3 - Article

VL - 41

SP - 774

EP - 785

JO - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

JF - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

SN - 0884-2175

IS - 6

ER -