What about the baby? Infancy and parenting in the COVID-19 pandemic

This article reviews the evolution of a newborn through the first year of life and the potential impacts of COVID-19 on the infant, parent, and the parent-infant relationship. Babies grow in the context of relationships, and the quality of those relationships affects the physiological and psychological organization of the baby. Precisely because each baby is a being with unique biology, temperament, and ways of experiencing, feeling, and learning, much is to be discovered and understood about them. The baby's wordless communications require their parents to intuit, infer, hypothesize, and experiment as parents come to know the needs of their baby. As we walk alongside parents who struggle to come to know their infant-even as the infant is coming to know them-we are required to have conceptual knowledge of how a newborn becomes a fully awakened infant. Under typical conditions, the birth of a firstborn baby presents a caregiving challenge and developmental opportunity for the emerging parent. Environmental context can serve to support or interfere in the success of the adjustment. This paper will explore some theoretical underpinnings that contribute to infant and parent well-being and the possible impact of being born during the COVID-19 pandemic. Also considered will be the undue burden of families bearing the weight of economic inequities, oppression, and structurally supported racism. This article will explore the influence of parental perception, the development of attachment relationships, and how that is influenced by and influences infant communication. Finally, it will suggest ways that psychotherapists seeing individuals who are parents can hold the infant in mind as they work to understand and respond to their adult clients navigating the impacts of this pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Tiny hearts and hands: Nature sensory play promotes infant mental health

The field of infant mental health is growing exponentially and many practitioners from a range of professional disciplines are desiring to grow their expertise to work with infants and young children. In that, practitioners are searching for new therapy strategies to intervene with parents and infants. As the growing interest in nature-based therapies increases, many practitioners are thinking about how to incorporate nature approaches for the youngest of clients. After the crisis of the COVID-19 pandemic and the healing benefits of nature came more to the forefront of awareness, the association began to widen their definition and recognized that infant mental health was supported by connection to nature overall-beyond just the physical health benefits. At birth, infants have garnered millions of nerve connections that are chemically ready to encode sensory input. The chapter presents a case study that examines how nature can provide a rich growing experience for a mother-infant relationship where they can develop and optimize their wide-range sensory systems and coregulate interrelational experiences while also exploring the boundaries of autonomy, attunement, risk taking, and safety within a series of therapist directed nature-based play therapy interventions. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

First in-neonate use of non-invasive transcutaneous auricular vagus nerve stimulation: 18-month neurodevelopmental and sensory follow-up

Objective: Non-invasive transcutaneous auricular vagal nerve stimulation (taVNS) paired with oral feeding is a novel intervention for infants with feeding delays that may improve feeding and help avoid a gastrostomy tube (Gtube). However, the long-term impact of this neurostimulation on infant's development remains unknown. We investigated the neurodevelopmental and sensory outcomes of infants who received taVNS paired with bottle feeding. Method(s): Twenty-one of 35 toddlers who participated in the open label trial of taVNS paired with one or two feeds a day for 2-3 weeks, underwent comprehensive developmental assessments at 18 months of age using Cognitive Adaptive Test, Clinical Linguistics and Auditory Milestone, and Peabody gross motor scores. Twelve of those assessed achieved full oral feeds ('responders') and 9 had G-tube placed for feeds ('non-responders'). Before COVID, 12 toddlers (5 responders, 7 non-responders) were also assessed in the home using the Bayley-III and Sensory Profile (SP-2) assessments. Area deprivation index (ADI) was used to measure resource poor environments and relate to test scores. We used Fishers exact test and Pearson correlation coefficients to compare neurodevelopmental and sensory performance in responders versus non-responders. Result(s): taVNS responders showed significantly better general sensory processing in SP-2 than did non-responders (p =0.04). There were no significant differences in Bayley-III or CAT/CLAMS/ASQ scores in areas of cognition, receptive language, fine motor, and gross motor skills in this small sample size, but are similar to published scores for preterm infants who received G-tubes. ADI was not significantly associated with neurodevelopmental scores. Conclusion(s): These results suggest that taVNS paired with feeding may have a potential long-term positive neurodevelopmental effect on sensory processing in neonates with poor feeding. The current open-label results need testing in randomized controlled trials of taVNS paired with oral feeding in developmentally delayed infants failing oral feeds. Research Category and Technology and Methods Clinical Research: 12. Vagus Nerve Stimulation (VNS) Keywords: Neurodevelopment, taVNS, feeding, developmental delaysCopyright © 2023

Risk of Global Developmental Delay in Infants Born from Mothers with COVID-19: A Cross-Sectional Study.

Purpose: To investigate the risk of global developmental delay in infants born from mothers with COVID-19. Patients and Methods: A cross-sectional study was conducted between March and November 2021, with 54 infants of both sexes aged between 1 and 12 months. Twenty-seven infants born from mothers diagnosed with COVID-19 during pregnancy composed the COVID-19 group, whereas infants born from mothers not exposed to COVID-19 composed the control group. Medical records and child health booklets provided neonatal and prenatal data. The Survey of Wellbeing of Young Children screened the risk of global developmental delay during a phone interview or home visit. Chi-squared, Mann-Whitney test, and binary logistic regression were applied. Results: The risk of motor developmental delay was identified in 15 infants (12 in the COVID-19 group), while 36 were at risk of behavioral alteration (22 in the COVID-19 group). The COVID-19 group presented a 6.3-fold risk of motor developmental delay. Motor developmental delay was also significantly associated with socioemotional alterations (odds ratio = 6.4, p = 0.01). Regarding families of infants in the COVID-19 group, 63% of the mothers presented risk of depression, 51.9% risk of substance abuse, 40.7% risk of food insecurity, and 7.4% risk of domestic violence. The inflexibility subscale of the survey was a statistically relevant variable for the socioemotional domain. Conclusion: Infants born from mothers with COVID-19 were at high risk of motor developmental delay and socioemotional alterations. Although, this study fills an important gap in the literature regarding the influence of maternal exposure to COVID-19 on infant development, new studies screening families with infants at risk of developmental delay may significantly impact maternal and child health-related indicators, such as physical health, emotional development and social behavior.

Poster Presentation: AB No: 96: Impact of COVID-19 on pregnant mothers and its effect on Infant's Development -Literature Review

Purpose: To review and understand the impact of COVID-19 on Pregnant mothers and its effect on Infant's development. Relevance: Postpartum health of the mother is affected in terms of their mental well-being, separation period and stress which may lead to indirect effect on infant's brain development. Therefore an appropriate developmental screening must be done to these infants so that early intervention plan can be done if required. Participants: Studies reporting about pregnant women infected with COVID-19 and their infant were included and women not tested positive for COVID-19 were excluded. Methodology: Comprehensive literature search was performed using the search engines PubMed, Google scholar. Search strategy was devised, articles were selected based on the Inclusion and Exclusion criteria. Analysis: 81 articles were screened and 8 were included in the review. 2 were Observational Studies, 4 were reviews,1 was cohort study and other was longitudinal study. Results: Majority of the studies reported delivery occurred in isolation room with 14 days separation period, Postpartum practices like breastfeeding, KMC are safe to be practiced with appropriate precautions. Longitudinal study in China found negative association after evaluating the impact of COVID-19 on mother's psychological status and infant's early development, by using ASQ Questionnaire upto 3 months. Conclusion: Many articles spoke about the postpartum health of the mother being affected following COVID-19, not much emphasis was given on infant's development. Implications: Since adversity and stress during prenatal period are associated with later impairments in the infant, long term impact of COVID-19 during pregnancy on infant's development is an important area for further studies.

Parental Postnatal Depression in the Time of the COVID-19 Pandemic: A Systematic Review of Its Effects on the Parent-Child Relationship and the Child's Developmental Outcomes.

The international literature has shown that maternal and paternal postnatal depression (PND) is one of the most common mental illnesses in the perinatal period, with significant consequences for parent-infant relationships and infant development. The COVID-19 pandemic has increased the rates of prevalence of PND, exacerbating the mental health risk for new families. This systematic review aims to examine the effect of maternal and paternal PND on parent-infant relationships and children's development in the first 36 months after childbirth during the COVID-19 outbreak. Eligible studies were identified using the following databases: Medline, CINAHL, SCOPUS, PsycINFO, PsycARTICLES, ScienceDirect, and Web of Science. Of the 1252 studies considered, 10 studies met the inclusion criteria. Results showed that maternal PND significantly affected the quality of the early mother-infant relationship and the infant's motor, self-regulation, and socio-emotional development. In addition, the detrimental impact of maternal PND on the quality of early mother-infant relationships seems to become stronger as COVID-19 concerns increase. No studies included fathers. These findings strengthened the importance of planning targeted prevention and treatment strategies to prevent PND and its short- and long-term consequences, especially in the case of stressful and traumatic events. They also suggested the urgent need for further exploration of fathers.

Social communication skill attainment in babies born during the COVID-19 pandemic: a birth cohort study.

INTRODUCTION: The SARS-CoV-2 (COVID-19) pandemic was managed with sustained mass lockdowns to prevent spread of COVID-19 infection. Babies born during the early stages of the pandemic missed the opportunity of meeting a normal social circle of people outside the family home. METHODS: We compared 10 parentally reported developmental milestones at 12-month assessment in a cohort of 309 babies born at the onset of the pandemic (CORAL cohort) and 1629 babies from a historical birth cohort (BASELINE cohort recruited between 2008 and 2011). RESULTS: Compared with a historical cohort, babies born into lockdown appeared to have some deficits in social communication. Fewer infants in the pandemic cohort had one definite and meaningful word (76.6% vs 89.3%), could point (83.8% vs 92.8%) or wave bye-bye (87.7% vs 94.4%) at 12-month assessment. Adjusted log-binomial regression analyses demonstrated significant differences in social communication in the CORAL cohort compared with the BASELINE cohort: one definite and meaningful word (relative risk (RR): 0.86 (95% CI: 0.80 to 0.92)), pointing (RR: 0.91 (95% CI: 0.86 to 0.96)) and waving bye-bye (RR: 0.94 (95% CI: 0.90 to 0.99)). DISCUSSION: Parentally reported developmental outcomes in a birth cohort of babies born into lockdown during the COVID-19 pandemic may indicate some potential deficits in early life social communication. It must be noted that milestones are parentally reported and comparison is with a historical cohort with associated limitations. Further studies with standardised testing is required to validate these findings. CONCLUSION: Pandemic-associated social isolation may have impacted on the social communication skills in babies born during the pandemic compared with a historical cohort. Babies are resilient and inquisitive by nature, and it is hoped that with societal re-emergence and increase in social circles, their social communication skills will improve.

Neurodevelopment in infants with antenatal or early neonatal exposure to SARS-CoV-2.

BACKGROUND: Antenatal and neonatal viral exposure may put the developing brain at risk for abnormal neurodevelopment. A clinical program at Children's National Hospital provides detailed follow-up of infants with in utero or neonatal SARS-CoV-2 exposure. AIMS: To determine impact of early SARS-CoV-2 exposure on neurodevelopment. STUDY DESIGN: We performed a prospective observational study of infant evaluations between 3/2020 and 11/2021. Demographics, pregnancy and birth details, SARS-CoV-2 data, specialty consultations, and NICU records were extracted from infants' medical records. Infants had neurologic exams and developmental screening with Ages and Stages Questionnaire (ASQ). Correlations between SARS-CoV-2 exposure type and neurodevelopmental outcomes were analyzed. SUBJECTS: Thirty-four infants evaluated in the SARS-CoV-2 follow-up program. OUTCOME MEASURES: Abnormal neurologic exams or ASQ scores near or below suggested cut-offs. RESULTS: Infants received up to three evaluations. Most (28/34; 82 %) were exposed in utero - 16 to symptomatic mothers (IU-S) and 12 to asymptomatic mothers (IU-A). Six were exposed only as a neonate. IU-S had abnormal neurologic exams at mean (SD) age 112 (24) days and ASQ scores near or below cut-offs for all domains more frequently than IU-A or neonatally exposed infants. IU-S were more likely to score below any ASQ cutoff compared to IU-A (P = .04); differences were significant for Fine Motor (P = .01) and Personal-Social (P = .02) domains. CONCLUSIONS: Early SARS-CoV-2 exposure may impact neurodevelopment, especially among infants exposed in utero to symptomatic gestational parents. Vaccination and other precautions to reduce early-in-life infection may protect against neurodevelopmental delays. Children with early SARS-CoV-2 exposure should have additional longitudinal screening for neurodevelopmental delays.

Barriers and Facilitators in Clinical Trial Enrollment and Assessments of Infants Born Extremely Preterm During the COVID-19 Pandemic

Background and Objective(s): Although the overall rates of preterm birth decreased, the proportion of infants born preterm was high among Black, Indigenous, and other People of Color (BIPOC) during the COVID pandemic. This study aims to identify barriers/facilitators to study enrollment and assessment completion. Study Design: Cohort study. Study Participants & Setting: Fifty-seven very preterm infants (<29 weeks gestation) enrolled in the Supporting Play, Exploration, and Early Development Intervention trial while in a participating Neonatal Intensive Care Unit (NICU). Comparisons of two time periods for enrollment and 2 for assessments were compared;pre-COVID (Before 03/12/20), COVID (03/13/20 -03/ 12/21), and late-COVID (after 03/12/21). Materials/Methods: The proportion of eligible infants that enrolled and completed planned assessment visit was extracted from detailed enrollment and visit completion notes. A combination of assessments including the General Movement Assessment, Test of Infant Motor Performance (TIMP), Bayley Scales of Infant and Toddler Development 3rd edition (BSID), Gross Motor Function Measure (GMFM), Hammersmith Infant Neurological Exam (HINE), 5-minute observation of Parent-child interaction, and Assessment of Problem Solving in Play (APSP) were completed based on age at 5 visits over 24 months. The GMFM, APSP, and the parent child observations were completed via telemedicine (after contactless drop off of manipulatives to the family). The assessment protocols were modified to facilitate completion of as much of the assessment as possible via telemedicine. During the end of the COVID period hybrid visits, with only the BSID completed in person were included if the in-person contact was less than 60 minutes. All analysis are descriptive due to small samples. Result(s): Eligibility and enrollment was impacted by COVID with 48% and 60% of eligible infants enrolling pre-COVID decreasing to 33% and 46% during COVID. The proportion of infant that enrolled who were non-White changed, decreasing from 70 to 60% in an urban hospital and increasing from 12 to 20% in a rural hospital. The rate of in-person assessments during COVID (59%) was lower than pre-COVID (100%) or late-COVID (96%) period. Conclusions/Significance: Caregiver engagement while in the NICU and persistent study coordinators making multiple phone calls to provide ample opportunities for enrollment helps to maintain a high level of enrollment during the COVID periods. NICU visitation restrictions, children at home, and role of essential workers, who are more likely to be BIPOC, may have impacted enrollment. Quick adaptation of assessors to telehealth via training sessions and standardized protocols were identified as facilitators to enrollment and assessment completion. The GMA, APSP, Parent child observation and GMFM were performed in person as well as through telehealth with additional planning and parent engagement required. Whereas BSID, TIMP, and HINE could be performed only in-person resulting in missing data. The impact of the pandemic on research is important to understand.

COVID-19 Pandemic-Related Restrictions: Factors That May Affect Perinatal Maternal Mental Health and Implications for Infant Development.

This review aims to discuss the factors that may affect maternal mental health and infant development in COVID-19 pandemic condition. Toward this direction, the two objectives of this review are the following: (a) to discuss possible factors that may have affected negatively perinatal mental health through the pandemic-related restrictions; and (b) to present the implications of adversely affected maternal emotional wellbeing on infant development. We conclude that the pandemic may has affected maternal mental health with possible detrimental effects for the infants of the COVID-19 generation. We highlight the need for evidence-based interventions to be integrated within the health system for prenatal and postpartum care in an effort to promote maternal mental health and infant development.

DELAYED NEURODEVELOPMENTAL ALTERATIONS IN INFANTS EXPOSED TO ZIKA VIRUS IN UTERO

It is well established that in utero exposure to Zika Virus causes a range of devastating adverse neurological outcomes1. Many of these are present at birth however early evidence suggests that there may be long term neurodevelopmental impacts even among children apparently not impacted at birth. The aim of this scoping review was to examine delayed neurodevelopmental outcomes in children exposed prenatally to Zika Virus but born without congenital Zika Virus symptoms. The review structure was guided by the Arksey and O'Malley methodology and the search process by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review (PRISMA-ScR) checklist2. A total of 9 studies were included. The studies used a variety of assessment tools, the most common being the Bayley Scales for Infant and Toddler Development III (cognition, language, and motor performance) for neurodevelopmental testing. Infants and toddlers in the age range of 9 weeks to 3.5 years were included. All but one report found a significant increase in adverse neurodevelopmental outcomes in children who were asymptomatic at birth but exposed to Zika Virus in utero. Prenatal exposure to Zika Virus appears to have long term adverse impacts on the central nervous system regardless of birth outcomes. Neurodevelopmental assessments of children exposed in utero should continue into childhood. These findings may be relevant to other viruses such as SARS-CoV-2 where research is limited.

Antenatal Classes in the Context of Prenatal Anxiety and Depression during the COVID-19 Pandemic.

Perinatal maternal anxiety and depression negatively affect intrauterine fetal development, birth outcome, breastfeeding initiation, duration, and milk composition. Antenatal classes potentially reduce the anxiety of pregnant women and may thus contribute to healthy infant development. The study investigates the relationship between participation in online or in-person antenatal classes and levels of anxiety and depression in Polish women during the COVID-19 pandemic. The study group included 1774 adult, non-smoking pregnant women. We compared the state anxiety (STAI-State) and depression levels (EPDS) in women who (i) attended antenatal classes in-person, (ii) attended online classes, and (iii) did not attend any of them. The statistical analyses included a GLM model and trend analysis, while controlling for maternal trait anxiety, age, pregnancy complications, trimester of pregnancy, previous pregnancies, and COVID-19 infections. We observed statistically significant differences in the level of anxiety (and depression). Women who did attend antenatal classes in person had the lowest levels of anxiety and depression. Considering the importance of maternal mental well-being on fetal development, birth outcome, and breastfeeding, in-person participation in antenatal classes should be recommended to pregnant women.

Neural entrainment to continuous speech and language processing in the early years of life

This thesis aimed to explore the neural mechanisms of language processing in infants under 12 months of age by using EEG measures of speech processing. More specifically, I wanted to investigate if infants are able to engage in the auditory neural tracking of continuous speech and how this processing can be modulated by infant attention and different linguistic environments. Limited research has investigated this phenomenon of neural tracking in infants and the potential effects that this may have on later language development.Experiment 1 set the groundwork for the thesis by establishing a reliable method to measure cortical entrainment by 36 infants to the amplitude envelope of continuous speech. The results demonstrated that infants have entrainment to speech much like has been found in adults. Additionally, infants show a reliable elicitation of the Acoustic Change Complex (ACC). Follow up language assessments were conducted with these infants approximately two years later;however, no significant predictors of coherence on later language outcomes were found.The aim of Experiment 2 was to discover how neural entrainment can be modulated by infant attention. Twenty infants were measured on their ability to selectively attend to a target speaker while in the presence of a distractor of matching acoustic intensity. Coherence values were found for the target, the distractor and for the dual signal (both target and distractor together). Thus, it seems that infant attention may be fluctuating between the two speech signals leading to them entraining to both simultaneously. However, the results were not clear.Thus, Experiment 3 expanded on from Experiment 2. However, now EEG was recorded from 30 infants who listened to speech with no acoustic interference and speech-in-noise with a signal-to-noise ratio of 10dB. Additionally, it was investigated whether bilingualism has any potential effects on this process. Similar coherence values were observed when infants listened to speech in both conditions (quiet and noise), suggesting that infants successfully inhibited the disruptive effects of the masker. No effects of bilingualism on neural entrainment were present.For the fourth study we wanted to continue investigating infant auditory- neural entrainment when exposed to more varying levels of background noise. However, due to the COVID-19 pandemic all testing was moved online. Thus, for Experiment 4 we developed a piece of online software (the memory card game) that could be used remotely. Seventy three children ranging from 4 to 12 years old participated in the online experiment in order to explore how the demands of a speech recognition task interact with masker type and language and how this changes with age during childhood. Results showed that performance on the memory card game improved with age but was not affected by masker type or language background. This improvement with age is most likely a result of improved speech perception capabilities.Overall, this thesis provides a reliable methodology for measuring neural entrainment in infants and a greater understanding of the mechanisms of speech processing in infancy and beyond. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

The Impact of Maternal Anxiety on Early Child Development During the COVID-19 Pandemic.

Background: Maternal prenatal anxiety is among important public health issues as it may affect child development. However, there are not enough studies to examine the impact of a mother's anxiety on the child's early development, especially up to 1 year. Objective: The present prospective cohort study aimed to examine whether maternal trait anxiety, perceived social support, and COVID-19 related fear impacted speech-language, sensory-motor, and socio-emotional development in 12 months old Serbian infants during the COVID-19 pandemic. Methods: This follow-up study included 142 pregnant women (Time 1) and their children at 12 months (Time 2). Antenatal maternal anxiety and children's development were examined. Maternal anxiety was assessed using the State-Trait Anxiety Inventory (STAI). Child speech-language, sensory-motor, and socio-emotional development were assessed using the developmental scale in the form of an online questionnaire that examined the early psychophysiological child development. Information on socioeconomic factors, child and maternal demographics, clinical factors, and perceived fear of COVID-19 viral infection were collected. Multivariable General Linear Model analysis was conducted, adjusted for demographic, clinical, and coronavirus prenatal experiences, maternal prenatal anxiety levels, perceived social support, speech-language, motor skills, and cognitive and socio-emotional development at the infants' age of 12 months. Results: The study revealed the influence of the COVID-19 pandemic on maternal trait anxiety. The association between selected independent factors and infants' development was found in a demographically unified sample except for employment and the number of children. There was a correlation between all observed developmental functions. Univariate General Linear model statistical analysis indicated that linear models with selected independent factors and covariates could account for 30.9% (Cognition) up to 40.6% (Speech-language) of variability in developmental functions. It turned out that two-way and three-way interactions had a dominant role on models, and STAI-T Level and COVID-19 related fear were present in all interaction terms. Conclusion: Our findings reveal important determinants of child developmental outcomes and underline the impact of maternal anxiety on early child development. These findings lay the groundwork for the following interdisciplinary research on pregnancy and child development to facilitate and achieve positive developmental outcomes and maternal mental health.

Tracking Infant Development With a Smartphone: A Practical Guide to the Experience Sampling Method.

The COVID-19 pandemic has forced developmental researchers to rethink their traditional research practices. The growing need to study infant development at a distance has shifted our research paradigm to online and digital monitoring of infants and families, using electronic devices, such as smartphones. In this practical guide, we introduce the Experience Sampling Method (ESM) - a research method to collect data, in the moment, on multiple occasions over time - for examining infant development at a distance. ESM is highly suited for assessing dynamic processes of infant development and family dynamics, such as parent-infant interactions and parenting practices. It can also be used to track highly fluctuating family dynamics (e.g., infant and parental mood or behavior) and routines (e.g., activity levels and feeding practices). The aim of the current paper was to provide an overview by explaining what ESM is and for what types of research ESM is best suited. Next, we provide a brief step-by-step guide on how to start and run an ESM study, including preregistration, development of a questionnaire, using wearables and other hardware, planning and design considerations, and examples of possible analysis techniques. Finally, we discuss common pitfalls of ESM research and how to avoid them.

Infants' and toddlers' digital media use and mothers' mental health: A comparative study before and during the COVID-19 pandemic.

This study compared children's and mothers' digital media use and mothers' mental health in two samples: one accessed before (Group 1; N = 257; M = 33.18 years; SD = 4.79) and the other accessed during (Group 2; N = 256; M = 33.51 years; SD = 4.96) the COVID-19 pandemic in Brazil. Mothers of children up to 3 years old (Group 1: M = 17.95 months, SD = 9.85; Group 2: M = 16.48 months, SD = 10.15) answered an online survey. Bivariate analysis, factorial ANOVA tests, and multiple linear regression were performed. Results suggest that mothers' and children's media use duration was higher during the pandemic only among children over 12 months. Mothers' media use duration (ß = .18) and mothers' intention to offer media (ß = .23) contributed to the explanation of children's media use duration (F(4, 474) = 16.81; p < .001; R2  = .12; R2 adjusted = .117). Higher mothers' common mental disorders symptoms were also positively correlated to mothers' intention to offer media to children both before and during the pandemic. Results suggest that interventions focusing on infants and toddlers screen time reduction should target maternal aspects such as mental health, maternal screen time, and intention to offer media, taking into account the mothers' needs when planning these actions.

Este estudio comparó el uso de los medios digitales por parte de los niños y las madres con la salud mental de las madres en dos grupos muestra: uno al cual se tuvo acceso antes (Grupo 1: N = 257; M = 33.18 años; SD = 4.79) y el otro al cual se tuvo acceso durante (Grupo 2; N = 256; M = 33.51 años; SD = 4.96) la pandemia del COVID-19 en Brasil. Las madres de niños de hasta tres años (Grupo 1: M = 17.95 meses, SD = 9.85; Grupo 2: M = 16.48 meses, SD = 10.15) respondieron una encuesta electrónica. Los análisis bivariados los exámenes factoriales ANOVA, así como múltiples regresiones lineales se llevaron a cabo. Los resultados indican que la duración de uso de los medios por parte de las madres y los niños fue más alta durante la pandemia sólo entre niños de más de 12 meses. La duración de uso de los medios por parte de las madres (ß = 0.18) y la intención de las madres de ofrecer los medios (ß = 0.23) contribuyeron a explicar la duración de uso de los medios por parte de los niños (F(4,474) = 16,81; p < .001; R2 = .12; R2 ajustado = .117). Más altos síntomas de trastornos mentales comunes en las madres se correlacionaron también positivamente con la intención de las madres de ofrecer los medios a los niños tanto antes como durante la pandemia. Los resultados indican que las intervenciones enfocadas en reducir el tiempo frente a la pantalla de infantes y niños pequeñitos deben dirigirse a los aspectos maternos como la salud mental, el tiempo de la madre frente a la pantalla, así como la intención de ofrecer los medios, tomando en cuenta las necesidades de las madres cuando se planeen estas acciones.

Cette étude a comparé l'utilisation des médias numériques des enfants et des mères et la santé mentale des mères chez deux échantillons: l'un accédé avant la pandémie du Covid-19 (Groupe 1; N = 257; M = 33,18 ans; SD = 4,79) et l'autre accédé durant la pandémie du covid-19 (Groupe 2; N = 256; M = 33,51 ans; SD = 4,96) au Brésil. Les mères d'enfants jusqu'à l'âge de trois ans (Groupe 1: M = 17,95 mois, SD = 9,85; Groupe 2: M = 16,48 mois, SD = 10,15) ont répondu à un questionnaire en ligne. Une analyse à deux variables, des tests ANOVA factoriels, et une régression linéaire multiple ont été faits. Les résultats suggèrent que la durée de l'utilisation média des mères et des enfants a été plus élevée durant la pandémie uniquement pour les enfants de plus de 12 mois. La durée de l'utilisation média des mères (ß = 0,18) et l'intention des mères à offrir le média (ß = 0,23) a contribué à l'explication de la durée de l'utilisation média des enfants (F(4, 474) = 16,81; p <,001; R2 = ,12; R2 adjusté = ,117). Plus de symptômes communs de troubles mentaux des mères était aussi lié de manière positive à l'intention des mères d'offrir le média à la fois avant et durant la pandémie. Les résultats suggèrent que les interventions s'attachant à la réduction du temps d'écran des bébés et des petits enfants devraient cibler des aspects maternels comme la santé mentale, le temps d'écran maternel, et l'intention d'offrir le média, prenant en compte les besoins des mères en planifiant ces actions.

Early impact of the COVID-19 pandemic on promotion of infant activity, strength and communication: A qualitative exploration.

INTRODUCTION: Fostering physical activity, muscle strengthening and communication skills in diverse environments are vital to ensuring healthy infant development; however, promotion of these skills may be impacted by the COVID-19 pandemic. Therefore, the purpose of this study was to explore healthcare workers, parents and childcare providers' perceptions of the pandemic's influence on how they engage with infants to promote physical activity, muscle strength and communication. METHODS: 37 subjects (12 = parents; 12 = childcare providers, 13 = healthcare workers) participated in a semi-structured interview. Data were analyzed via an inductive content analysis. RESULTS: The majority of caregivers identified concerns related to: limitations in social interactions (especially masks impacting communication), lack of access to peer modeling, fewer opportunities for physical exploration, and a need for creative activities in diverse environments (e.g., home/childcare) for infant development during and after the pandemic. CONCLUSIONS: Caregivers are concerned about the role COVID-19 is having on infant development. Additional resources on how to promote infant physical activity, muscle strength and communication despite challenges associated with the COVID-19 pandemic are needed.

Agreement Between Parental Report and Clinician Observation of Infant Developmental Skills.

Understanding the convergence between parent report and clinician observation measures of development is important and became even more critical during the COVID-19 pandemic as clinician contact with families was significantly limited. Previous research points to inconsistencies in the degree of agreement between parents and clinicians and very little research has examined these associations for infants within the first year of life. This study investigated the association between parent report and clinician observation measures of social communication and motor skills in 27 young infants who were assessed at 9 and 12 months of age. Results suggest a strong relation between clinician and parent rated motor skills, but weak to moderate associations between clinician and parent rated communication skills. Infant temperament played a significant role in parent ratings of infant communication. Together, these results provide support for data collection via parent report or clinician observation of infant motor skills, but suggest that multiple measures of infant communication may be helpful to obtain high-quality, perhaps more accurate, assessment social-communication skills. Specifically, multiple parent report measures along with an observation of parent-infant interactions will likely provide a more rich and accurate characterization of infant social-communication abilities.

COVID-19 pandemic: Impacts on mothers' and infants' mental health during pregnancy and shortly thereafter.

The COVID-19 pandemic brought about a global crisis, with profound implications on public mental health. The current review focuses on the impact of the pandemic on the mental health of mothers and their infants during pregnancy and shortly after delivery. Literature shows that in similar disaster situations, mothers' stress reaction and mental health have a critical impact on infant development. Research data on perinatal mental health during the current COVID-19 pandemic is reviewed in conjunction with studies on the relationship between maternal stress, infant development, and psychopathology. Recommendations for perinatal mental health enhancement are discussed and topics for future research suggested.