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Introduction: Social withdrawal is a sign of organic and emotional infant distress associated, among other factors, with prematurity. Objective: The present study aims to analyze the psychometric properties of the Alarm Distress Baby Scale (ADBB), and evaluate the social withdrawal in infants in a Kangaroo Mother Program. It also pursues to find out if there is a relationship between infant social withdrawal and maternal depression, and to investigate possible differences based on having had intrusive medical interventions. Materials and methods: 34 infants and their mothers were evaluated during the consultation of the Kangaroo Mother Program. Social withdrawal was assessed using the ADBB scale and postpartum depression using the Edinburgh Postpartum Depression Questionnaire. Results: The ADBB scale showed good reliability indices and inter-rater agreement. 61.8% of the infants reported signs of social withdrawal. No relationship was found between infant withdrawal and maternal depression. Greater withdrawal was observed in infants who required admission to the Neonatal Intensive Care Unit (NICU) or oxygen support. Discussion and conclusion: This study provides data on the validity of the ADBB scale for its use in Colombia. The high levels of social withdrawal observed highlight the need to identify this alarm sign in infants with a stay in the NICU or respiratory support. [ABSTRACT FROM AUTHOR]

This study was aimed to assess the intensity of pain in newborns against nursing treatments, which were performed during care and treatment. This was sustained from the humanist view of Jean Watson. Method: A cross-sectional descriptive-correlational study, whose population consisted of newborns hospitalized at the Neonatology Unit of the Herminda Martin Clinical Hospital of Chillán, Chile, in the period between June and September, 2015. In order to assess pain, Susan Givens Bell Assessment Scale was applied, as well as a semi-structured Questionnaire of sociodemographic variables. Results: The sample consisted of 52 newborns in an equal percentage of men and women. The greatest number of procedures was the nasogastric tube insetion, venipuncture and arterial puncture, being the latter the cause of moderate pain in newborns. The level of pain presented by the sample was 42.3% intense pain, 23.1% moderate pain and in 34.6% no pain was presented. The instrument presented reliability with a Cronbach's alpha of 0.802. Conclusions: Premature infants under 37 weeks felt greater pain than full-term newborns. Regarding Barth weight, it was observed that the greater the weight, the grater the pain. Birth APGAR in the study indicated that there is a direct but weak relation and the higher APGAR at birth, the greater the pain. [ABSTRACT FROM AUTHOR]

Objective To assess the availability of resources that support the provision of basic neonatal care in eight first-referral level (district) hospitals in Kenya. Methods We selected two hospitals each from four of Kenya’s eight provinces with the aim of representing the diversity of this part of the health system in Kenya. We created a checklist of 53 indicator items necessary for providing essential basic care to newborns and assessed their availability at each of the eight hospitals by direct observation, and then compared our observations with the opinions of health workers providing care to newborns on recent availability for some items, using a self-administered structured questionnaire. Results The hospitals surveyed were often unable to maintain a safe hygienic environment for patients and health care workers; staffing was insufficient and sometimes poorly organised to support the provision of care; some key equipment, laboratory tests, drugs and consumables were not available while patient management guidelines were missing in all sites. Conclusion Hospitals appear relatively poorly prepared to fill their proposed role in ensuring newborn survival. More effective interventions are needed to improve them to meet the special needs of this at-risk group. [ABSTRACT FROM AUTHOR]