Effects of an educational intervention program on positional cranial deformity in premature infants

Mosca-Hayler, Alexandra; López-Schmidt, Daniela; Curotto-Noce, Romina; Cuevas-Aburto, Jorge; Vásquez-Gómez, Jaime; Durán-Agüero, Samuel; Borja González, Juana; Diaz-Martínez, Ximena; Zapata-Lamana, Rafael; Parra-Rizo, Maria A.; Cigarroa, Igor

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dc.contributor.author	Mosca-Hayler, Alexandra
dc.contributor.author	López-Schmidt, Daniela
dc.contributor.author	Curotto-Noce, Romina
dc.contributor.author	Cuevas-Aburto, Jorge
dc.contributor.author	Vásquez-Gómez, Jaime
dc.contributor.author	Durán-Agüero, Samuel
dc.contributor.author	Borja González, Juana
dc.contributor.author	Diaz-Martínez, Ximena
dc.contributor.author	Zapata-Lamana, Rafael
dc.contributor.author	Parra-Rizo, Maria A.
dc.contributor.author	Cigarroa, Igor
dc.date.accessioned	2024-04-23T15:59:59Z
dc.date.available	2024-04-23T15:59:59Z
dc.date.issued	2024
dc.identifier.uri	http://repositorio.ucm.cl/handle/ucm/5351
dc.description.abstract	Positional cranial deformities are associated with prematurity evolving during the first 2 years of life due to the malleable characteristics of the skull, the first year being the main/primary therapeutic window for intervention. The objectives were (a) to describe health characteristics, peri- and postnatal pathologies, and positional cranial deformities in infants enrolled in an early intervention program and (b) to analyze the effects of a parent education-based intervention program on positional cranial deformity in premature infants. A quantitative, analytical, longitudinal study was conducted. It included 103 premature infants enrolled in an early intervention program (EIP) during the year 2017, all under 4 months of corrected age, to whom a parent education-based intervention program was applied. Cranial circumference, cranial width, diagonals, and anteroposterior diameter were measured, and the cranial asymmetry index (CAI) and cephalic index (CI) were calculated at baseline and during two subsequent evaluations separated by a 3-month period. The main results showed that 75.7% of the infants belonged to a very premature gestational age category, and 57.3% had an adequate weight for gestational age. The most frequent pathologies were premature jaundice, premature anemia, and hyaline membrane disease. The most frequent positional cranial deformity was plagiocephaly. The parent education-based intervention program resulted in (1) a significant decrease in the CAI and a significant increase in the IC, (2) plagiocephalies: an increase in the mild category and a decrease in the moderate + severe categories, (3) brachycephalies: a decrease in the absence category and an increase in the moderate + severe category, and (4) dolichocephalies: an increase in the absence category and a decrease in the mild category. In conclusion, the recommended first line of intervention was not enough for this population, and future studies should support the development of national clinical guidelines, where education is complemented with other therapeutic measures.	es_CL
dc.language.iso	en	es_CL
dc.rights	Atribución-NoComercial-SinDerivadas 3.0 Chile	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/cl/	*
dc.source	Children, 11(3), 302	es_CL
dc.subject	Skull	es_CL
dc.subject	Abnormality	es_CL
dc.subject	Cephalometry	es_CL
dc.subject	Plagiocephaly	es_CL
dc.subject	Prematurity	es_CL
dc.subject	Intervention	es_CL
dc.title	Effects of an educational intervention program on positional cranial deformity in premature infants	es_CL
dc.type	Article	es_CL
dc.ucm.indexacion	Scopus	es_CL
dc.ucm.indexacion	Isi	es_CL
dc.ucm.uri	mdpi.com/2227-9067/11/3/302#:~:text=Based%20on%20the%20results%20obtained,infants%20enrolled%20in%20an%20EIP.	es_CL
dc.ucm.doi	doi.org/10.3390/children11030302	es_CL