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Updated: Jun 17, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Developmental screening of preterms at an early stage postpartum]
C J Huppertz-Kessler1, H Als, L Koch
1Zentrum für Kinder- und Jugendmedizin, Universitätsklinikum Heidelberg, Klinik Neonatologie, Heidelberg, Germany. christina.huppertz@med.uni-heidelberg.de
Insights
Preterm infants face significant neurological risks. The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) offers early developmental and behavioral screening for these vulnerable infants.
Area of Science:
- Neonatal neurology
- Developmental pediatrics
- Neurodevelopmental disorders
Context:
- Preterm infants exhibit elevated risks for neurological disorders.
- Comprehensive follow-up is crucial for early detection of developmental and behavioral issues.
- Existing screening methods require enhancement for early identification.
Purpose:
- To introduce the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) as an early screening tool.
- To highlight NIDCAP's utility in assessing neurodevelopment in preterm infants.
- To advocate for NIDCAP's integration into neonatal follow-up protocols.
Summary:
- NIDCAP utilizes standardized observation protocols to assess infant behavior and brain development.
- This method allows for direct assessment shortly after birth.
- NIDCAP serves as a powerful early screening instrument for neurological risks.
Impact:
- Facilitates early detection of major/minor developmental disorders in preterm infants.
- Enables timely intervention for behavioral problems.
- Improves long-term neurological outcomes for high-risk neonates.
Abstract:
Preterm infants are at high risk to develop neurological disorders. Therefore extensive follow-up programs with a combination of various instruments are needed for early detection of infants with major or minor developmental disorders and behavioral problems. The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is based on standardized observation protocols and provides a powerful method to assess behavior and brain development directly after birth, so can be used as an early screening instrument.
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