Main Article Content

Abstract

The interaction of mother and infant is a fundamental basis for the development of the infant. It can also determine the success of the baby in the future. About 4 out of 10 infants experience problems interacting with their parents. The NBO system was created to sensitize parents on their infant's competencies to help them understand their infant's behavior, and promote positive interactions between parents and their new infant. This study aimed to evaluate the effectiveness of the NBO system to improve mother-infant interactions and find out the mothers' knowledge about their infant's behavior when participating in this observation. This study was a cross-sectional study consisting of all the newborns and their mothers admitted to the Dr. Soetomo General Academic Hospital Surabaya from May 2019 to January 2020 who met the inclusion criteria. Mothers and infants participated in the NBO within 1-3 days after delivering their infants and one month postpartum for the second NBO. The NBO was carried out with 35 mothers and infants. The mothers' age was on average 28.5±5.98 years old, multiparous mothers accounted for 71.4%, most infants were male (65.7%), the median gestational age was 38 weeks with the median birth weight 2900 grams. The median score of mothers' knowledge about their infants before the NBO session was 2 (1-6). After the session, these median scores increased to 7 (5–10) significantly (p<0.001). The NBO system was significant to strengthen mother-infant interaction and increased the mothers' knowledge about their infants' behavior.

Keywords

NBO mother infant mother-infant interactions

Article Details

How to Cite
Windarti, S. W., & Suryawan, A. (2021). Effectiveness of The Newborn Behavioral Observation (NBO) System in Improving Mother and Infant Interaction. Folia Medica Indonesiana, 57(2), 90–94. https://doi.org/10.20473/fmi.v57i2.21558

References

  1. Cheetham NB, Hanssen TA, Tove A (2014). The neonatal behavioral observation system: A tool to enhance the transition to motherhood. Nordic J Nurs Research 4, 48-52.
  2. Chiu S, Cranston G (2009). Effect of early skin-to-skin contact on mother-preterm infant interaction through 18 months: Randomized controlled trial. Intern J Nurs Stud 46, 1168-180.
  3. Fishman J, Vele-Tabaddor E, Blanchard Y, et al (2007). The effect of the NBO on caregiver relationships. Ab Initio Intern Onl J. Available from http://www.brazelton- institute.com/abinitio2007summer/art2.html. Accessed March 11, 2019.
  4. Gibbs DP (2015). Supporting the parent-infant relationship: using the neonatal behavioural observation in the neonatal intensive care unit. APCP J 6, 26-34.
  5. Guimaraes MAP, Alves CRL, Cardoso AA, et al (2017). Clinical application of the Newborn Behavioral Observation (NBO) system to characterize the behavioral pattern of newborns at biological and social risk. J Pediatr 94, 1-8.
  6. Hawthorne J, Savage E (2013). Newborn behavioural observation: Helping new fathers and their babies. Available from https://www.nct.org.uk/sites. Accessed October 18, 2018
  7. Kashiwabara E (2013). Effectiveness of the NBO with Japanese parents with breastfeeding difficulties. Ab Initio Intern. Available from: http://www.childrenshospital.org/centers-and-services/ab-initio-international-program/effectiveness-of-the-nbo-with-japanese-parents with-breastfeeding-difficulties. Accessed July 21, 2019
  8. McManus BM (2015). Integration of the newborn behavioral observation (NBO) system into care settings for high-risk newborns. Zero Three 36, 11-20.
  9. Mcmanus BM, Nugent JK (2012). A neurobehavioral intervention incorporated into a state early intervention program is associated with higher perceived quality of care among parents of high-risk newborns. J Behav Health Serv Res 41, 1-8.
  10. Moullin S, Waldfogel J, Washbrook E (2014). Baby bonds parenting, attachment and a secure base for children. Available from https://scholar.princeton.edu/ smoullin/publications/baby-bonds-parenting-attachment-and-secure-base-children. Accessed October 18, 2018.
  11. Nugent JK, Bartlett JD, Valim C (2014). Effects of infant-focosed relationship-based hospital and home visiting intervention on reducing symptoms of postpartum maternal depression. Inf Young Child 4, 92-304.
  12. Nugent JK, Keefer HC, Minear S, et al (2016). Understanding newborn behavior and early relationship: the newborn behavioral observations (NBO) system handbook: 7th ed, Baltimore, Brookes Publishing Co.
  13. Sanders LW, Buckner EB (2006). The newborn behavioral observations system as a nursing intervention to enhance engagement in first-time mothers: feasibility and desirability. Pediatr Nurs 32, 455-9.
  14. Wendland-carro J, Piccinini CA, Millar WS (1999). The role of an early intervention on enhancing the quality of mother-infant interaction. Child Develop 70, 713-21.