Individualized Developmental Care in the NICU

Macho, Patricia Navas

doi:10.1097/anc.0000000000000374

Cited by 26 publications

(29 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An important component of the care for ill newborns, especially those born prematurely, is the developmental team, whose members include disciplines such as OT, PT, and ST with involvement from social work, and lactation consultants [32,33]. Overall, 43% of responding NICUs reported decreases in at least one area of these support services.…”

Section: Discussionmentioning

confidence: 99%

Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019

et al. 2020

View full text Add to dashboard Cite

Objectives To determine the relationship between the emergence of COVID-19 and neonatal intensive care unit (NICU) family presence as well as how NICU design affects these changes. Study design A cross-sectional survey from April 21 to 30, 2020. We queried sites regarding NICU demographics, NICU restrictions on parental presence, and changes in ancillary staff availability. Results Globally, 277 facilities responded to the survey. NICU policies preserving 24/7 parental presence decreased (83-53%, p < 0.001) and of preserving full parental participation in rounds fell (71-32%, p < 0.001). Single-family room design NICUs best preserved 24/7 parental presence after the emergence of COVID-19 (single-family room 65%, hybriddesign 57%, open bay design 45%, p = 0.018). In all, 120 (43%) NICUs reported reductions in therapy services, lactation medicine, and/or social work support. Conclusions Hospital restrictions have significantly limited parental presence for NICU admitted infants, although singlefamily room design may attenuate this effect.

show abstract

Section: Discussionmentioning

confidence: 99%

Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Neuro-protective developmental interventions encourage sensitive caregiving in the context of the parent-infant relationship (52,53). In the NBO, the clinician demonstrates handling and caregiving techniques that parents can use in the home (48).…”

Section: Family-based Nicu Interventionsmentioning

confidence: 99%

NICU Hospitalization: Long-Term Implications on Parenting and Child Behaviors

Lean

Rogers

Paul

et al. 2018

Curr Treat Options Peds

View full text Add to dashboard Cite

Opinion statement Purpose of review Parents of infants admitted to the Neonatal Intensive Care Unit (NICU) experience psychological distress, loss of the parenting role, and disruptions to parent-infant bonding. The inclusion of evidence-based practices to address these challenges in the NICU has largely been based upon short-term improvements in parent and infant functioning. However, less is known regarding the extent to which family-based interventions may also be associated with longer-term parenting behaviors and children’s neurobehavioral outcomes. Recent findings Comprehensive family-based NICU interventions demonstrate consistent links with later parental mental wellbeing, sensitive parenting behaviors, and children’s cognitive and socioemotional development. Dyadic co-regulation activities implemented inconsistently and/or in isolation to other components of NICU interventions show mixed associations with outcomes, highlighting the need for multifaceted wrap-around care. Further research is needed to delineate associations between NICU interventions and children’s neurological and language development, with follow-up beyond very early childhood in larger samples. Summary Long-term associations may reflect the stability of early parental responses to NICU interventions and the extent to which parents continue to implement mental health and sensitive parenting techniques in the home. However, the transition of parental psychiatric care from hospital to community-based services upon NICU discharge remains a pertinent need for high-risk families. Remaining issues also concern the extent to which NICU interventions incorporate sociodemographic differences across families, and whether interventions are generalizable or feasible across hospitals. Despite variation across interventions and NICUs; supporting, educating, and partnering with parents is crucial to strengthen longer-term family functioning and alter the developmental trajectories of high-risk infants.

show abstract

“…For each of these three categories, there are evidence-based beneficial interventions available as presented earlier (Figure 5). Proficiency can be used as an estimate of infants' nutritive sucking ability when fatigue is minimal, while rate of milk transfer can be used as an estimate of infants' endurance as a function of their clinical status, behavioral organization/state, and/or stress (95)(96)(97)(98)(99). Thus, considering all the factors that may impact preterm infants' ability in attaining independent oral feeding, Figures 5, 6 are proposed targeted interventions and general guidelines that may be considered in the management plans of individual NICU infants.…”

Section: What Can We Do? Flexible Individualized Management Guidelinesmentioning

confidence: 99%

To Individualize the Management Care of High-Risk Infants With Oral Feeding Challenges: What Do We Know? What Can We Do?

Lau

2020

Front. Pediatr.

View full text Add to dashboard Cite

The increase in preterm infants' survival over the last 30 years has shed light over their inability to feed by mouth safely and efficiently. With adverse events such as increased risks for oxygen desaturation, bradycardia, penetration/aspiration, infants' hospitalization in neonatal intensive care units (NICUs) are understandably prolonged. Unfortunately, this leads to delayed mother-infant reunion, maternal stress, breastfeeding obstacles, and increased medical costs. Such impediments have stimulated clinicians and researchers to better understand the underlying causes and develop evidence-based solutions to assist these infants. However, it is notable that the research-to-practice translation of this knowledge has been limited as there are still no validated guidelines or protocols as how to best diagnose and care for these infants. This report revisits the immature physiologic functions at the root of these infants' oral feeding difficulties, the current practices, and the recent availability of evidence-based efficacious tools and interventions. Taking advantage of the latter, it presents a renewed perspective of how management strategies can be tailored to the specific needs of individual patients.

show abstract

Individualized Developmental Care in the NICU

Abstract: Further research into short- and long-term outcomes of IDC is needed. Research into whether IDC is being implemented by NICUs is also needed.

Cited by 26 publications

References 44 publications

Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019

Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019

NICU Hospitalization: Long-Term Implications on Parenting and Child Behaviors

To Individualize the Management Care of High-Risk Infants With Oral Feeding Challenges: What Do We Know? What Can We Do?

Contact Info

Product

Resources

About