The effect of mothers’ empowerment program on premature infants’ weight gain and duration of hospitalization

Fatemeh Mohammaddoost, Ziba Mosayebi, Hamid Peyrovi, Minoo-Mitra Chehrzad, Abbas Mehran



Background: The readiness of mothers to take care for infants at discharge is a critical issue. Poor readiness of mothers in taking care of premature infants at the time of discharge is associated with potential adverse consequences. This study examined the effect of implementing mothers’ empowerment program on the weight gain and duration of hospitalization in premature infants.

Materials and Methods: This study was a quasi-experimental before–after study with a control group, in which 80 mothers with premature infants who were hospitalized in NICU Level II of two hospitals were recruited in the study. Mothers’ empowerment program was implemented as a three-stage training program for the intervention group. Mothers’ readiness questionnaire was
completed by the mothers before the intervention and at the discharge time. The changes in mean of mothers’ readiness scores were compared in both the groups.

Results: The mean of daily weight gain in infants of the intervention group (3.95 g) was significantly higher than that of the infants in the control group (−0.9 g) (P = 0.003). The average duration of hospitalization for infants in the intervention and control groups was 15.45 days and 20.95 days, respectively, showing a statistically significant difference (P = 0.003).

Conclusions: Providing training to the mothers regarding how to care for premature infants can be a useful and effective method in the process of weight gain of premature and low-birth newborns, and may shorten the duration of infants’ hospitalization.

Key words: Duration of hospitalization, empowerment, empowerment program, hospital stay, infant, intensive care unit, neonatal, premature, premature infant, weight gain



Duration of hospitalization; empowerment; empowerment program; hospital stay; infant;intensive care unit; neonatal; premature; premature infant; weight gain

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Michele C, Walsh, Avroy A. Epidemiology for neonatologists. In: Fanaroff AA, Walsh MC, editors. Fanaroff and Martin’s Neonatal‑Perinatal Medicine: Diseases of the Fetus and Infant. 9th ed. St. Louis, Mo.:: Elsevier Health Sciences; 2011. p. 20‑ 21.

Hummel P. Discharge planning and transition to home care. In: Verklan MT, Walden M, editors. Core Curriculum for Neonatal Intensive Care Nursing. 4th ed. St. Louis, Mo.: Saunders Elsevier; 2010. p. 383‑93.

Pyhala R, Raikkonen K, Pesonen AK, Heinonen K, Hovi P, Eriksson JG, et al. Behavioral inhibition and behavioral approach in young adults with very low birth weight ‑ The Helsinki study of very low birth weight adults. Pers Indiv Differ 2009;46:106‑10.

Melnyk BM, Crean HF, Feinstein NF, Fairbanks E. Maternal anxiety and depression after a premature infant’s discharge from the neonatal intensive care unit: Explanatory effects of the creating opportunities for parent empowerment program. Nurs Res 2008;57:383‑94.

De Rouck S, Leys M. Information needs of parents of children admitted to a neonatal intensive care unit: A review of the literature (1990‑2008). Patient Educ Couns 2009;76:159‑73.

Als H. New born individualized developmental care and assessment program (NIDCAP): New frontier for neonataland perinatal medicine. J Neonatal‑Perinatal Medicine 2009;2:135‑47.

Mok E, Leung SF. Nurses as providers of support for mot hers of premature infants. J Clin Nurs 2006;15:726‑34.

Gooding JS, Cooper LG, Blaine AI, Franck LS, Howse JL, Berns SD. Family support and family‑centered care in the neonatal intensive care unit: Origins, advances, impact. Semin Perinatol 2011;35:20‑8.

Smith VC, Steelfisher GK, Salhi C, Shen LY. Coping with the neonatal intensive care unit experience: Parents’ strategies and views of staff support. J Perinat Neonatal Nurs 2012;26:343‑52.

Evans T, Whittingham K, Boyd R. What helps the mother of a preterm infant become securely attached, responsive and well‑adjusted? Infant Behav Dev 2012;35:1‑11.

Yu JW, Buka SL, McCormick MC, Fitzmaurice GM, Indurkhya A. Behavioral problems and the effects of early intervention on eight‑year‑old children with learning disabilities. Matern Child

Health J 2006;10:329‑38.

Brett J, StanIszewska S, Newburn M, Jones N, Taylor L. A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants. BMJ Open 2011;1:e000023.

Melnyk BM, Feinstein NF, Alpert‑Gillis L, Fairbanks E, Crean HF, Sinkin RA, et al. Reducing premature infants’ length of stay and improving parents’ mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: A randomized, controlled trial. Pediatrics 2006;118:e1414‑27.

Liu CH, Chao YH, Huang CM, Wei FC, Chien LY. Effectiveness of applying empowerment strategies when establishing a support group for parents of preterm infants. J Clin Nurs 2010;19:1729‑37.

Borimnejad L, Mehrnush N, Seyed‑Fatemi N, Haghani H. The effect of Empowerment Program on mother‑infant interaction and weight gain in preterm infants. Zahedan J Res Med Sci 2012;14:19‑23.

Ferber SG, Kuint J, Weller A, Feldman R, Dollberg S, Arbel E, et al. Massage therapy by mothers and trained professionals enhances weight gain in preterm infants. Early Hum Dev 2002;67:37‑45.

Beheshtipoor N, Shaker Z, Edraki M, Razavi M, Zare N. The Effect of family‑based empowerment program on the weight and length of hospital stay of preterm infants in the neonatal intensive care unit. Galen med J 2013;2:114‑9.

Lee HK. The effects of infant massage on weight, height, and mother‑infant interaction. Taehan Kanho Hakhoe Chi 2006;36:1331‑9.

Ortenstrand A, Westrup B, Broström EB, Sarman I, Akerström S, Brune T, et al. The stockholm neonatal family centered care study: Effects on length of stay and infant morbidity. Pediatrics 2010;125:e278‑85.

Karami K, Rostami SH. The effect of educational and supportive programs on stress level of mothers with premature and length of stay. Yafte 2009;11:71‑7.


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