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Updated: May 31, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Neonatal intensive care practices harmful to the developing brain.

Sudha Chaudhari¹

¹Division of Neonatology, Department of Pediatrics, KEM Hospital, Pune 411 011, India. kemhrc@vsnl.com

Indian Pediatrics

|July 12, 2011

Summary

Survival of extremely low birth weight infants is increasing, but NICU stays are long. Developmental care strategies are crucial to minimize neurodevelopmental impairment in these vulnerable newborns.

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Area of Science:

Neonatal care
Neurodevelopmental pediatrics
Perinatology

Background:

Increasing survival rates for extremely low birth weight (ELBW) infants present challenges in NICU care.
The NICU environment differs drastically from the womb, potentially impacting infant brain development.
Neurodevelopmental impairment is a significant concern for ELBW infants.

Purpose of the Study:

To highlight the importance of developmental support for ELBW infants.
To identify environmental and medical factors in the NICU that negatively affect infant neurodevelopment.
To advocate for humanized care to improve developmental outcomes.

Main Methods:

Review of existing literature on ELBW infant development and NICU environments.
Analysis of sensory, procedural, and medical factors impacting neurodevelopment.

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Application of an Amplitude-integrated EEG Monitor (Cerebral Function Monitor) to Neonates

Application of an Amplitude-integrated EEG Monitor (Cerebral Function Monitor) to Neonates

Published on: September 6, 2017

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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats

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Synthesis of evidence supporting developmentally supportive care strategies.

Main Results:

The NICU environment (noise, light, procedures) can adversely affect infant development.
Radiation exposure (X-rays, CT scans) and certain medications (steroids, aminoglycosides, frusemide) pose risks to brain and hearing.
Developmental care is essential for mitigating negative impacts.

Conclusions:

Humanized, developmentally supportive care is vital for enhancing neurodevelopmental outcomes in ELBW infants.
Minimizing environmental stressors and iatrogenic risks is crucial.
Proactive developmental support can improve long-term health for ELBW survivors.