The Effect of a Neonatologist's Standardized Guidance Intervention on Preterm Infants With Relational Withdrawal.
Social Withdrawal of Childhood or Adolescence, Preterm Infant

About this trial
This is an interventional treatment trial for Social Withdrawal of Childhood or Adolescence focused on measuring ADBB, social withdrawal behavior, preterm, posttraumatic stress, postpartum depression, early detection, interactional guidance, synchronization within parent infant interaction
Eligibility Criteria
Inclusion Criteria:
- 32 to 36+6 week preterm chilean newborn. Gestational age assigned by neonatologist at birth.
- Spanish speaking parents.
- Parents with stable cohabiting and both of them responsible for the care of the infant
- Double or single pregnancy (monochorionic or bichorionic).
- Born and hospitalized within the first 48 hours of life or with a stay of at least 48 hours at Clínica Alemana de Santiago or at Hospital San José.
- Signed informed consent.
Exclusion Criteria:
- Mother with antecedents or confirmed exposure to cocaine, marihuana or cocaine crack during pregnancy
- Neurological disease that impairs the infant's development confirmed at birth.
- Major congenital malformations or genetic diseases suspected or confirmed antenatally or at birth.
- Perinatal asphyxia: <3 Apgar score at 1 minute or < 5 at 5 minutes and/or cord pH <7.0
Sites / Locations
- Clinica Alemana de Santiago
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Experimental group
Control group
Verbal interventions made on infants (accompanied by their mothers) who presents sustained social withdrawal detected on the child consultations (at 2, 6 and 12 months of corrected gestational age), made by neonatologists certifieds in the assess of Alarm Distress Baby Scale. Theintervention is described in a guide for "Promotion of verbal interventions for interaction" , and will be supplemented with a written guideline for parents.
Control group: infants will assist at child consultations (at 2, 6 and 12 months of corrected gestational age) whit non trained neonatologists. However, these group will receive a development stimulation guide adapted of the ministerial guides for the stimulation of development of the Ministry of Health of Chile.