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Showing 2 results for Newborn
Samaneh Nik-Chehreh, Mona Alinejad Naeini,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. The purpose of this review article is to introduce the phenomenon of patent ductus arteriosus (PDA) to health care providers of the neonatal intensive care unit, particularly nurses working in the neonatal intensive care unit.
Background. The patent ductus arteriosus is among the developmental diseases of the heart. The ductus arteriosus is the pathway that connects the left pulmonary artery to the descending aorta during fetal life. This duct closes in neonates within a few minutes to a few days after birth. Familiarity with this phenomenon may help health care providers in taking care of babies experiencing this condition. The transition from intrauterine to extrauterine life requires coordinated and complex biochemical, physiological, and anatomical changes that takes an extended period of time in premature infants and those with congenital conditions. Rapid and timely assessment and intervention by the health care team can help at this vital stage of life.
Method. This literature review was conducted through a systematic and targeted search of articles and texts published from 2008 to 2024 in PubMed/, Web of Science, Google Scholar, and Scopus using the keywords Patent ductus arteriosus, Infant, Nursing care, Treatment, and their Persian equivalents.
Findings. Twelve articles and one book were found and the findings were organized as definition and pathophysiology of patent ductus arteriosus, diagnoses. treatment options, and nursing care.
Conclusion. The transition of the fetus from the womb to extrauterine life is one of the dynamic and vital adaptations in the life of neonates, especially premature neonates. With comprehensive monitoring and skillful clinical assessment, patent ductus arteriosus in neonates can be better managed.
Zahra Jafari, Atefeh Shamsi,
Volume 14, Issue 1 (3-2025)
Abstract
Abstract
Aim. The aim of this review is to summarize the available evidence on the impact of different components of developmental care on physiological, nutritional, behavioral, and family outcomes of infants with heart disease and to identify the challenges of implementing this care in cardiac intensive care units.
Background. Congenital heart disease is the most common congenital anomaly in newborns, and affected infants, especially those undergoing open-heart surgery and prolonged hospitalization in the cardiac intensive care unit, are at significant risk of neurodevelopmental delays. Developmental care has been proposed as a family-centered approach to reduce environmental stress and support infant brain development in this high-risk population, but its implementation in neonatal cardiac unit remains challenging and limited.
Method. In this narrative review, 15 research and review articles published between 2016 and 2025 that directly addressed developmental care, neurobehavioral outcomes, and family involvement in infants with heart disease were screened and analyzed.
Findings. Findings were categorized into four main areas: 1) the role of developmental care in hemodynamic stability and reduction of mechanical ventilation duration, 2) the effectiveness of interventions on feeding patterns and weight gain, 3) the role of parental involvement and Kangaroo care in reducing stress and improving behavioral scores, and 4) barriers to implementing developmental care in cardiac intensive care units, including lack of training, resources, and competing clinical priorities.
Conclusion. The available evidence, although mainly derived from observational and qualitative studies with limited sample sizes, fairly uniformly supports the positive impact of developmental care on short-term outcomes in infants with heart disease. The development of standard clinical guidelines, training of nursing staff, and active family participation are among the main priorities for improving this care in the future.
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