NRS 434 Describe the effect of extremely low birth weight babies on the family and community

Sample Answer for NRS 434 Describe the effect of extremely low birth weight babies on the family and community Included After Question

Topic 1 DQ 1

Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity. Explain how disparities relative to ethnic and cultural groups may contribute to low birth weight babies. Identify one support service within your community to assist with preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post.

A Sample Answer For the Assignment: NRS 434 Describe the effect of extremely low birth weight babies on the family and community

Title: NRS 434 Describe the effect of extremely low birth weight babies on the family and community

Low birth weight(LBW) babies have a weight of less than 2500g but extremely low birth weight babies (ELBW) have a birth weight of less than 1000g. The survival even in developed countries with sophisticated neonatal intensive care units is 68% when birth weight is <699g(Kanitkar, 1999). Women in developing countries and in poor communities are less likely to receive prenatal care and proper prenatal nutrition. Preterm birth is a significant contributor to racial disparities in infant mortality. African Americans have the highest infant mortality rate of any racial or ethnic group in the United States, and higher rates of preterm births explain more than half of the difference, relative to non-Hispanic white women(Taylor et al., 2019).

Extremely premature infants are at high risk of complications such as intraventricular hemorrhage (IVH), retinopathy of prematurity (ROP), and chronic lung disease including bronchopulmonary dysplasia (BPD), which often result in mortality or long-term disabilities(Mowitz et al., 2022). Parents of ELBW babies can be faced with higher levels of parental distress, stress, depression and anxiety, greater family burden, and poorer family functioning(Treyvaud et al, 2014). ELBW can be related to prematurity, a delay or non-compliance in prenatal care, drug or medication abuse, or inadequate prenatal nutrition. Many of these reasons can bring about distress to not just the parents but to the entire family.

A couple’s marital relationship can be heavily impacted as now most of the time is spent caring for a very acute baby. An ELBW infant will likely be in a NICU for some time which can separate families and disrupt a family’s normal function. The family’s economic status will most likely be affected as the infant will need a high level of medical care and may need specialized supplies and equipment. As the infant develops and grows ongoing care will be needed to assess for developmental and physical delays, proper nutrition, and overall health. The family may be faced with a child that does present with a neurological condition such as cerebral palsy that will require medical care and physical therapy for most of their life.

In Santa Barbara, CA there is a program called the Santa Barbara Opioid Safety Coalition which can help with treatment for pregnant and post-partum women using opioids. https://opioidsafetysb.org/resources-for-parents-and-families/

References:

Kanitkar M., Mrs (1999). EXTREMELY LOW BIRTH WEIGHT BABIES: (A report of two cases). Medical journal, Armed Forces India, 55(4), 364–366. https://doi.org/10.1016/S0377-1237(17)30377-5

Mowitz, M. E., Gao, W., Sipsma, H., Zuckerman, P., Wong, H., Ayyagari, R., & Sarda, S. P. (2022). Burden of Comorbidities and Healthcare Resource Utilization Among Medicaid-Enrolled Extremely Premature Infants. Journal of health economics and outcomes research, 9(2), 147–155. https://doi.org/10.36469/001c.38847

Taylor, J., Novoa, C., Hamm, K., & Phadke, S. (2019, May 2). Eliminating Racial Disparities in Maternal and Infant Mortality A Comprehensive Policy Blueprint. CAP. Retrieved June 7, 2023, from https://www.americanprogress.org/article/eliminating-racial-disparities-maternal-infant-mortality/

Treyvaud, K., Lee, K. J., Doyle, L. W., & Anderson, P. J. (2014). Very preterm birth influences parental mental health and family outcomes seven years after birth. The Journal of pediatrics, 164(3), 515–521. https://doi.org/10.1016/j.jpeds.2013.11.001

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A Sample Answer 2 For the Assignment: NRS 434 Describe the effect of extremely low birth weight babies on the family and community

Title: NRS 434 Describe the effect of extremely low birth weight babies on the family and community

It is very unfortunate that such services need to exist. However, it is a great thing that these women can get the resources that they need. It is so easy to judge a persons situation however the reality is that people come from all walks of life and we may never understand what provoked them to choose the path they’re on. After some research, I have found a similar resource in my community called Sally’s Place, located in Phoenix, AZ. This facility is a supportive housing program for women that are addicted to drugs and pregnant. They provide many resources during pregnancy as well as continued support for mom and baby after delivery and beyond. I am happy to learn that these services are offered for those in need.

References

Sally’s Place-Arizona’s Women’s Recovery Center

A Sample Answer 3 For the Assignment: NRS 434 Describe the effect of extremely low birth weight babies on the family and community

Title: NRS 434 Describe the effect of extremely low birth weight babies on the family and community

Maternal exposures to environmental hazards may result in abortion, fetal death, low-birth weight, prematurity, or congenital anomalies (American College of Obstetricians and Gynecologists, 2013; Stotland et al., 2014). These prenatal exposures have lifelong implications, contributing to later development of disease (Green & Marsit, 2015).

It is estimated that half of the 10 million children under 5 years old, who die every year in the world (1000 child deaths per hour) are in Sub-Saharan Africa (SSA). Most of these children could have survived if they had access to basic services and to simple, inexpensive and easily implemented interventions.

The causes of high infant mortality rate (IMR) in SSA are well known. Some such as malaria disappeared from southern Europe only in the 1960s, while vaccine-preventable diseases (diphtheria, tetanus, whooping cough, polio or measles) disappeared later though not entirely. Children in underdeveloped countries are not decimated by exotic diseases but rather by common and frequent problems. Around 1.5 million children die from drinking unsafe water or the lack of access to water for personal hygiene and poor access to basic sanitation. This means that the improvement of some factors could reduce the IMR.

NRS 434 Describe the effect of extremely low birth weight babies on the family and community
NRS 434 Describe the effect of extremely low birth weight babies on the family and community

References

 UNICEF. State of the World’s Children 2008. Child Survival. Executive Summary. New York: Dec, 2007. [Accessed on 11/12/2010]. Available from: http://www.unicef.org/spanish/sowc08/docs/sowc08_execsummary-sp.pdf. [Google Scholar]

A Sample Answer 4 For the Assignment: NRS 434 Describe the effect of extremely low birth weight babies on the family and community

Title: NRS 434 Describe the effect of extremely low birth weight babies on the family and community

Jennifer – you bring up a strong point in regards to the affects of drug use in pregnancy and how it could be correlated to LBW. The use of opioids during pregnancy has been associated with the occurrence of low birth weight in newborns (CDC, 2018). In response to your mention of the Santa Barbara Opioid Safety Coalition, it is encouraging to learn about programs and resources aimed at supporting pregnant and postpartum women who are using opioids. Such initiatives can play a vital role in providing treatment, assistance, and guidance to individuals and families dealing with substance abuse issues during pregnancy and childbirth.

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A Sample Answer 5 For the Assignment: NRS 434 Describe the effect of extremely low birth weight babies on the family and community

Title: NRS 434 Describe the effect of extremely low birth weight babies on the family and community

Low birth weight represents a public health issue. According to the World Health Organization, 2018, any child born with a weight less than 2.5 kg is considered a low birth weight. Low birth weight is mostly associated with socioeconomic conditions such as poverty, lack of prenatal care, malnutrition. Another significant factor for low birth weight is health behaviors during pregnancy, women who smoke and drink alcohol can have premature babies. Low birth weight (LBW)can affect the dynamic of families due to increased risk of chronic illnesses such as asthma and hypertension which prone to recurrent hospitalizations as well as neurodevelopmental complications (Lakshmanan et al 2017). There are potential risks of cognitive deficits, motor delays, cerebral palsy, and other behavior and psychological problem as well as neonatal mortality associated with low birth babies (Anil et al., 2020).

Sims et al., 2008, health disparity contributes significantly to LBW, African Americans and Latinos have the higher rate of low-birth-weight babies. As noted, those minority groups live in harsh economic environments that contribute to unfavorable health conditions brought on by environmental stressors and the lack of access to quality healthcare (Sims et al., 2008). Low birth weight is recognized as of the primary factors contributing to racial/ethnic disparities as black babies are twice as likely as white babies to be born at low birth weight.

In my community, there are programs available to help families in needs. Danbury’s Promise for Children Partnership in conjunction the United Way of Western Connecticut provides many services like childcare, clothing, counseling, and food etc. And Family & Children’s Aid which a community-based nonprofit organization offering innovative and responsive program and services to heal and support children and families in crisis.

 References:

 Anil, K.C., Basel, P.L., Singh, S (2020). Low birth weight and its associated risk factors: Health facility-based case-control study. PLOS ONE 15(6): e0234907. doi: 10.1371/journal. pone0234907

 Danbury’s Promise for Children Partnership. www.uwwesternct.org/node/974

 Lakshmanan, A., Agni, M., Lieu, T., Fleegler, E., Kipke, M., Friedlich, P.S., McCormick, M.C., & Belfort, M.B. (2017). The impact of preterm birth < 37 weeks on parents and families: A cross-sectional study in the 2 years after discharge from the neonatal intensive care unit. Health and Quality of Life Outcomes 15(38). https://doi.org/10.1186/s12955-017-0602-3

 Moreira, A. L.M., Moreira de Sousa, P.R., & Sarno, F (2018). Low birth weight and its associated factors. Einstein (Sao Paulo)16(4): eAO4251. doi:10.3144/Einstein journal/2018AO4251

 Sims, M., Sims, T.L., & Bruce, M.A. (2008). Race, ethnicity, concentrated poverty, and low birth weight disparities. Journal National Black Nurses Association, 19(1): 12-18. www.ncbi.nlm.nih.gov/pmc/articles/PMC5014353