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Updated: Jan 6, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Need for improvements in neonatal care]
Mats Eriksson1, Karl Rombo2, Silke Mader3
1Örebro universitet - Institutionen för hälsovetenskaper Örebro, Sweden Örebro University Örebro Life Science Center - School of Health Sciences Orebro, Sweden.
Insights
Parental involvement in neonatal care has significantly increased, allowing parents to be primary caregivers for preterm infants. Further improvements are needed in both neonatal care and managing complicated pregnancies.
Area of Science:
- Neonatal medicine
- Perinatal care
- Parental involvement in healthcare
Background:
- Neonatal care for preterm infants has advanced significantly.
- Parental presence in neonatal units has evolved from limited visiting hours to primary caregiver roles.
- Swedish neonatal units increasingly support parents as primary caregivers throughout hospitalization.
Purpose of the Study:
- To highlight advancements in neonatal care for preterm infants.
- To discuss the evolving role of parents in neonatal units.
- To identify areas for further improvement in neonatal care and pregnancy management.
Main Methods:
- Observational analysis of care practices in Swedish neonatal units.
- Review of historical changes in parental involvement policies.
- Qualitative assessment of parental caregiving roles.
Main Results:
- Parental involvement in preterm infant care has transitioned to a primary caregiver model.
- Most Swedish neonatal units now facilitate continuous parental presence.
- Significant progress has been made in integrating parents into daily neonatal care.
Conclusions:
- The shift towards parental primary caregiving in neonatal units represents a major advancement.
- Ongoing improvements are necessary in both neonatal care and the management of complicated pregnancies.
- Further research should focus on optimizing the collaborative care model between healthcare professionals and parents.
Abstract:
The medical and nursing care of preterm infants has improved over the last decades, including the involvement of parents in the daily care. Previously parents could only visit a few scheduled hours per day but today most neonatal units in Sweden strive to let the parents be the primary caregivers, with the right to stay at the unit during the entire hospitalization period. Despite this development, there is still need for a number of improvements, not only in the neonatal care but also during the complicated pregnancy.
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