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The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) with Kangaroo Mother Care (KMC):
Heidelise Als1, Gloria B McAnulty1
1Department of Psychiatry, Harvard Medical School, and Neurobehavioral Infant and Child Studies, Department of Psychiatry (Psychology) Children's Hospital Boston.
Current Women'S Health Reviews
|December 5, 2014
Summary
Newborn Intensive Care Units (NICUs) can harm infant development. The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) promotes better outcomes by supporting infant regulation and the parent-child bond.
Area of Science:
- Neonatal care
- Developmental pediatrics
- Neuroscience
Background:
- Newborn Intensive Care Units (NICUs) are vital for high-risk infant survival but can have negative developmental consequences.
- The long-term effects of intensive care on infant development and the crucial role of parental involvement are not fully understood.
- Transitioning from the womb to the NICU environment during critical brain development can lead to lasting physical and mental health issues.
Purpose of the Study:
- To introduce the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) as a method to mitigate iatrogenic harm from intensive care.
- To emphasize the importance of maintaining the parent-infant connection, exemplified by Kangaroo Mother Care.
- To highlight NIDCAP's role in preserving infant personhood and neurodevelopment within the NICU.
Main Methods:
- NIDCAP focuses on embedding the infant within the parent's caregiving environment.
- It aims to prevent overstimulation, stress, pain, and isolation.
- The program supports infant self-regulation, competence, and goal-directed behaviors.
Main Results:
- Research indicates NIDCAP improves infant brain development.
- NIDCAP enhances functional competence, overall health, and quality of life for infants.
- The program is demonstrated to be cost-effective, humane, and ethical.
Conclusions:
- NIDCAP offers a promising approach to prevent adverse outcomes associated with intensive neonatal care.
- It effectively supports the crucial bond between parents and their infants.
- NIDCAP has the potential to become the standard of care in all NICUs, prioritizing infant well-being and development.
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