Individualised developmental care for babies and parents in the NICU: Evidence-based best practice guideline

Nadine Griffiths1, Kaye Spence2, Alison Loughran-Fowlds3

  • 1Grace Centre for Newborn Intensive Care, The Sydney Children's Hospital Network, Westmead, Australia; The Australasian NIDCAP Training Centre at Grace Centre for Newborn Intensive Care, Westmead, Australia.

Early Human Development
|August 26, 2019
PubMed

Insights

Neonatal care advances improve survival, but learning and behavioral issues persist. This paper guides NICU professionals in applying evidence-based, developmentally supportive care to enhance neurodevelopmental outcomes in infants.

Area of Science:

  • Neonatal Medicine
  • Developmental Neuroscience
  • Pediatric Neurodevelopmental Disorders

Background:

  • Neonatal care advancements have increased survival rates for premature and critically ill infants.
  • While some neurodevelopmental issues like cerebral palsy have improved, learning and behavioral difficulties remain significant challenges.
  • There is a growing emphasis on improving developmental care within the Neonatal Intensive Care Unit (NICU) to leverage early brain plasticity.

Purpose of the Study:

  • To provide evidence-based guidance for implementing neuroprotective, developmentally supportive care in the NICU.
  • To address the persistent challenges of long-term neurodevelopmental morbidity in infant survivors.
  • To optimize developmental care strategies during the critical period of early brain development.

Main Methods:

  • Systematic review of evidence-based practices in developmental care.
  • Incorporation of systematic reviews to guide clinical application.
  • Focus on interventions within the NICU setting.

Main Results:

  • Evidence-based systematic reviews guide clinicians in applying developmentally supportive interventions.
  • A systematic approach is crucial for effective implementation of neuroprotective care.
  • The paper synthesizes findings to support improved clinical practice.

Conclusions:

  • Implementing systematic, evidence-based developmental care in the NICU is essential for improving long-term neurodevelopmental outcomes.
  • Targeting early brain plasticity within the NICU can mitigate persistent learning and behavioral difficulties.
  • Clinicians are guided by systematic reviews to apply neuroprotective, developmentally supportive interventions effectively.

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