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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Developmental and Interprofessional Care of the Preterm Infant: Neonatal Intensive Care Unit Through High-Risk Infant

Hildy S Lipner1, Randye F Huron2

  • 1Pediatric Speech Pathology, Institute for Child Development, Joseph M. Sanzari Children's Hospital, Hackensack University Medical Center, 30 Prospect Avenue, Hackensack, NJ 07601, USA.

Pediatric Clinics of North America
|November 28, 2017
PubMed

Insights

Minimizing infant stress in the neonatal intensive care unit (NICU) and providing early intervention services are crucial. A continuum of care model from NICU to outpatient settings may optimize developmental outcomes for premature infants.

Area of Science:

  • Neonatal care
  • Developmental pediatrics
  • Early intervention

Background:

  • Neonatal intensive care unit (NICU) practices impact infant development.
  • Premature infants benefit from proactive surveillance and early intervention.
  • A coordinated care model is needed for optimal infant outcomes.

Purpose of the Study:

  • To explore a continuum of care model for premature infants.
  • To emphasize infant development from NICU to outpatient settings.
  • To hypothesize the impact of this model on developmental outcomes.

Main Methods:

  • This study proposes a theoretical model.
  • It emphasizes proactive developmental surveillance.
  • It integrates NICU care with outpatient early intervention.

Main Results:

  • Practices reducing infant stress positively influence development.
  • Early intervention services improve outcomes for premature infants.
  • A continuum of care model is hypothesized to support optimal outcomes.

Conclusions:

  • NICU care should prioritize infant stress reduction and behavioral cue response.
  • Proactive developmental surveillance and early intervention are key for premature infants.
  • A comprehensive care model transitioning from NICU to outpatient services is recommended.

Keywords:
Developmental careDevelopmental monitoringEarly interventionNeonatal intensive care unit environmentNeurodevelopmentOral feedingPreterm infants

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