Abstract
Perinatal growth vulnerability (e.g., Small for Gestational Age, SGA) poses the goal to not overlook subtle developmental susceptibilities and their impact on the parent–infant relationship. In this case study, we examined the application of a video-feedback intervention program to support parenting, the Primary Care-Video Intervention Therapy (PC-VIT), specifically developed to fit pediatric care characteristics. The case presentation details the principal steps of the intervention with the family of an SGA infant from birth up to toddlerhood. Findings for this family highlighted initial worries about the infant’s growth. Along sessions, PC-VIT held maternal anxiety and sustained parents’ abilities to recognize and talk about the infant’s developmental skills and regulatory abilities. The PC-VIT shows the powerful opportunity to limit the impact of infant growth vulnerability on the parent–child relationship and socio-emotional development. Pediatricians can prevent vulnerable developmental milestones from clinical outcomes by implementing timely and effective strategies embracing mental health and parenting-related issues.
Highlights
Perinatal growth vulnerabilities expose child neurodevelopment and behavioral growth with potential consequences for parental attitudes and parenting behaviors [1]
Parenting is challenged by Small for Gestational Age (SGA) vulnerability increasing worries about physical growth that might influence the healthy development of a parent–child relationship
Video-feedback shows the powerful opportunity to limit the impact of SGA growth vulnerability on parent–child and socio-emotional development by sustaining parental engagement and mentalization
Summary
Perinatal growth vulnerabilities (i.e., prematurity, low birth weight, low-to-moderate perinatal risk) expose child neurodevelopment and behavioral growth with potential consequences for parental attitudes and parenting behaviors [1]. Studies on preterm samples observe that a scarcity of communicative signals on the infant side challenges parents’ understanding of infant behaviors and make them activate compensatory responses [3,4]. Such compensatory behaviors, like excessive scaffolding, can be highly adaptive supporting infant initiatives, but can eventually result into intrusive and non-attuned parenting behaviors [5]. Small for Gestational Age (SGA) is a birth outcome classification describing newborns delivered at a birth weight below the tenth percentile for gestational age in their normal distribution reference curve. Being born SGA constitutes a risk factor for developmental impairments (i.e., cognitive and motor), emotional behavioral problems, and later health diseases [6]
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