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Updated: Dec 29, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

87.3K

Sociodemographic and medical influences on neurobehavioral patterns in preterm infants: A multi-center study

Elisabeth C McGowan1, Julie A Hofheimer2, T Michael O'Shea2

  • 1Department of Pediatrics, Brown Alpert Medical School, Women and Infants Hospital, Providence, RI, United States.

Early Human Development
|February 3, 2020
PubMed

Insights

Neonatal neurobehavioral patterns in preterm infants are linked to demographic and medical factors. An atypical profile at NICU discharge indicates potential early developmental influences.

Area of Science:

  • Neonatal development
  • Neurobehavioral pediatrics
  • Perinatal medicine

Background:

  • Preterm infant neurodevelopment is influenced by medical and sociodemographic factors.
  • Limited understanding exists regarding the impact of these factors on neonatal neurobehavioral patterns.

Purpose of the Study:

  • To investigate associations between demographic, psychosocial, and medical risk factors and neonatal neurobehavior in very preterm infants.

Main Methods:

  • A multi-center observational study (Neonatal Neurobehavior and Outcomes in Very Preterm Infants - NOVI Study) enrolled infants born <30 weeks.
  • Maternal and infant variables were collected; risk indices were developed.
  • Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) assessed neurobehavior at NICU discharge.

Main Results:

  • Six NNNS behavioral profiles were identified in 679 infants.
  • Atypical Profile 6 (7% of infants) showed poor attention, self-regulation, movement quality, hypertonia, and increased stress.
  • Profile 6 was associated with smaller head circumference, higher rates of late sepsis, and greater prenatal demographic risk.

Conclusions:

  • NNNS profiles can identify atypical neonatal behavioral patterns.
  • These patterns are associated with early demographic and medical influences.
  • Such behavioral patterns are observable as early as NICU discharge.
Abstract

Keywords:
NICU network neurobehavioral scale (NNNS)NeurobehaviorPrematurity

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