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Management of Comprehensive Care of multiple-birth infants from fetal to infancy period: challenges, training, strategies

BACKGROUND: Prematurity escalates the crisis of the infants a susceptible group of the society. Multiple delivery further intensifies the susceptibility of both family and health system. A comprehensive care is, thus, necessary to ensure the optimal growth and development of such multiple-births. Ac...

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Autores principales: Changiz, Tahereh, Namnabati, Mahboobeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8005663/
https://www.ncbi.nlm.nih.gov/pubmed/33781214
http://dx.doi.org/10.1186/s12887-021-02613-3
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author Changiz, Tahereh
Namnabati, Mahboobeh
author_facet Changiz, Tahereh
Namnabati, Mahboobeh
author_sort Changiz, Tahereh
collection PubMed
description BACKGROUND: Prematurity escalates the crisis of the infants a susceptible group of the society. Multiple delivery further intensifies the susceptibility of both family and health system. A comprehensive care is, thus, necessary to ensure the optimal growth and development of such multiple-births. Accompanied by trainings, challenges, and strategies, the present study was conducted based on a two-year report of comprehensive care management experience on two sets of multiple infants. METHODS: A qualitative case study approach was used to survey these two sets of premature infants (quadruplet and quintuplet) and their families. The data were collected through medical files, interviews, questionnaire, field presence, phone call and WhatsApp application, and continued follow-ups. Content analysis was performed based on survey and interventions during a period of two years in Isfahan, Iran (2018–2020). RESULTS: Case presentation and comprehensive care management are the main areas resulted from this study. The results of the study were categorized in eight challenging areas (categories) and strategies including sterility and infertility period, transition from the intrauterine to neonatal intensive care unit (NICU), discharge process, physical and developmental status, home visit and home care, development of care plan, socio-economic support, and coronavirus nightmare. CONCLUSION: Based on challenges and strategies during these two years, the situation of the multiple-birth infants and their families’ needs should be identified as the first prerequisites in an inter-professional approach and in collaboration with the health providers. Isfahan University of Medical Sciences, Welfare Organization, and the charities were the parties involved with this process in our study. It was also found that developing a separate specific package of comprehensive care management plan for multiple-births is a necessity.
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spelling pubmed-80056632021-03-29 Management of Comprehensive Care of multiple-birth infants from fetal to infancy period: challenges, training, strategies Changiz, Tahereh Namnabati, Mahboobeh BMC Pediatr Research Article BACKGROUND: Prematurity escalates the crisis of the infants a susceptible group of the society. Multiple delivery further intensifies the susceptibility of both family and health system. A comprehensive care is, thus, necessary to ensure the optimal growth and development of such multiple-births. Accompanied by trainings, challenges, and strategies, the present study was conducted based on a two-year report of comprehensive care management experience on two sets of multiple infants. METHODS: A qualitative case study approach was used to survey these two sets of premature infants (quadruplet and quintuplet) and their families. The data were collected through medical files, interviews, questionnaire, field presence, phone call and WhatsApp application, and continued follow-ups. Content analysis was performed based on survey and interventions during a period of two years in Isfahan, Iran (2018–2020). RESULTS: Case presentation and comprehensive care management are the main areas resulted from this study. The results of the study were categorized in eight challenging areas (categories) and strategies including sterility and infertility period, transition from the intrauterine to neonatal intensive care unit (NICU), discharge process, physical and developmental status, home visit and home care, development of care plan, socio-economic support, and coronavirus nightmare. CONCLUSION: Based on challenges and strategies during these two years, the situation of the multiple-birth infants and their families’ needs should be identified as the first prerequisites in an inter-professional approach and in collaboration with the health providers. Isfahan University of Medical Sciences, Welfare Organization, and the charities were the parties involved with this process in our study. It was also found that developing a separate specific package of comprehensive care management plan for multiple-births is a necessity. BioMed Central 2021-03-29 /pmc/articles/PMC8005663/ /pubmed/33781214 http://dx.doi.org/10.1186/s12887-021-02613-3 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Changiz, Tahereh
Namnabati, Mahboobeh
Management of Comprehensive Care of multiple-birth infants from fetal to infancy period: challenges, training, strategies
title Management of Comprehensive Care of multiple-birth infants from fetal to infancy period: challenges, training, strategies
title_full Management of Comprehensive Care of multiple-birth infants from fetal to infancy period: challenges, training, strategies
title_fullStr Management of Comprehensive Care of multiple-birth infants from fetal to infancy period: challenges, training, strategies
title_full_unstemmed Management of Comprehensive Care of multiple-birth infants from fetal to infancy period: challenges, training, strategies
title_short Management of Comprehensive Care of multiple-birth infants from fetal to infancy period: challenges, training, strategies
title_sort management of comprehensive care of multiple-birth infants from fetal to infancy period: challenges, training, strategies
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8005663/
https://www.ncbi.nlm.nih.gov/pubmed/33781214
http://dx.doi.org/10.1186/s12887-021-02613-3
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