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Updated: Aug 26, 2026
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Follow-up network for newborns with a handicap risk: experience of the Pays-de-la-Loire network]
J-C Rozé1, S N'Guyen, V Bureau-Rouger
1Service de Néonatalogie, Hôpital Mère-Enfant, CHU de Nantes.
Insights
Establishing an integrated inpatient-outpatient network improves high-risk infant follow-up care. This coordinated approach enhances surveillance and reduces neurosensorial sequelae in newborns.
Area of Science:
- Neonatal care and healthcare network organization.
Context:
- Post-natal follow-up for newborns is often disorganized, leading to challenges for parents of high-risk infants.
- Lack of appropriate surveillance and efficient care can exacerbate infant health issues.
Purpose:
- To evaluate the impact of a regional inpatient-outpatient healthcare network on the follow-up of high-risk infants.
- To improve the coordination and efficiency of neonatal care and reduce neurosensorial sequelae.
Summary:
- An inpatient-outpatient healthcare network was implemented in the Pays de Loire region, France, in 2003.
- Within six months, 500 of 1000 included infants received follow-up care through this network.
- Pediatricians provided care in either outpatient (40%) or inpatient (60%) settings.
Impact:
- The network aims to correct over-centralization of neonatal care and improve follow-up coordination.
- Early intervention through this network can mitigate the consequences of neurosensorial sequelae.
- This model allows for the evaluation of regional perinatal care effectiveness.
Abstract:
Newborns are given attentive perinatal care but the organization of further follow-up can be haphazard. The main consequences are the difficulties parents have in finding appropriate medical assistance for caring for high-risk infants and the absence of appropriate surveillance or efficient care. An inpatient-outpatient healthcare network enables early care of these infants and can reduce the consequences of neurosensorial sequelae. The overall impact of the regional perinatal care can also be evaluated. Such a network has been implemented in the Pays de Loire region in France since early 2003. In six months, among 1000 initially included infants, 500 were followed by pediatricians working in an outpatient (40%) or inpatient (60%) setting. This organization enables correction of over-centralization of neonatal care and the absence of coordination for follow up.
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