The Effect of Individualized Developmental Care Practices in Preterm Infants
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Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
Dilek Küçük Alemdar1, Sevil İnal2
1Giresun University, Health Sciences Faculty, Department of Nursing, Giresun, Turkey, dilekkucuk@atauni.edu.tr.
Insights
Individualized developmental care, including maternal voice and breast milk odor, can support preterm infants. Breast milk odor specifically may help infants transition to breastfeeding more quickly.
Area of Science:
- Neonatal care
- Developmental pediatrics
- Infant physiology
Background:
- Preterm infants in neonatal intensive care units (NICUs) face environmental stressors like irregular noise, light, and odor.
- These infants require specialized care to optimize their development and well-being.
Purpose of the Study:
- To evaluate the impact of individualized developmental care interventions on preterm infants.
- To assess effects on physiological parameters, physical growth, and the transition to oral feeding.
Main Methods:
- A randomized controlled trial was conducted with preterm infants.
- Infants were assigned to four groups: maternal voice, breast milk odor (BMO), incubator cover (IC), and a control group.
Main Results:
- No significant differences in weight, height, or head circumference at discharge were observed across groups.
- The incubator cover (IC) group showed statistically higher mean oxygen saturation (SO2) values.
- The breast milk odor (BMO) group demonstrated the shortest duration for transition to total oral feeding.
Conclusions:
- Individualized developmental care strategies, informed by these interventions, can enhance the care of preterm infants.
- Exposure to breast milk odor may facilitate the transition to breastfeeding in preterm infants.
Background:
Preterm infants are vulnerable humans requiring much care and attention. They may be exposed to irregular noise, light, and odor in the neonatal intensive care unit for a period of several weeks or months. This study was carried out to determine the effect of individualized developmental care on physiological parameters, growth, and transition to oral feeding in preterm infants.
Methods:
The study was a randomized controlled trial. The sample comprised premature infants meeting the inclusion criteria. They were randomly assigned to four groups: the maternal voice group, the breast milk odor (BMO) group, the incubator cover (IC) group, and the control group.
Results:
No statistically significant difference was found between the groups in terms of weight, height, and head circumference at time of discharge. Mean SO2 values were statistically higher in the IC group than the other groups; however, the heart rate and respiratory rate were not statistically different in a significant sense between the groups. The briefest duration of transition to total oral feeding was seen in the BMO group.
Conclusion:
Individualized developmental care practices based on the results of these interventions are likely to support the care of preterm infants. Breast milk odor may ease the transition to breastfeeding.
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