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Updated: Nov 22, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Developmentally Supportive Positioning Policy for Preterm Low Birth Weight Infants in a Tertiary Care Neonatal Unit:

Jaya Upadhyay1, Poonam Singh1, Kanhu Charan Digal1

  • 1Department of Neonatology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand.

Indian Pediatrics
|January 7, 2021
PubMed

Insights

Improving infant positioning in neonatal intensive care units (NICUs) is crucial. Low-cost interventions and caregiver training significantly enhanced optimal positioning for premature infants.

Area of Science:

  • Neonatal care
  • Developmental pediatrics
  • Evidence-based practice

Background:

  • Developmentally supportive positioning is vital for neonates weighing less than 1800 grams.
  • Optimal positioning practices in neonatal intensive care units (NICUs) require improvement.

Purpose of the Study:

  • To enhance developmentally supportive positioning practices by 50% in neonates weighing <1800 g within a 6-month period.
  • To assess the impact of targeted interventions on infant positioning in the NICU.

Main Methods:

  • Utilized the Infant Position Assessment Tool (IPAT) to measure ideal infant positioning.
  • Implemented interventions including educational sessions, positioning audits, low-cost nesting aids, and mother training through Plan-Do-Study-Act (PDSA) cycles.
  • Measured the proportion of neonates with IPAT scores ≥8 and the improvement in average IPAT scores.

Main Results:

  • Baseline optimal positioning was 16.6%.
  • Mean IPAT scores improved significantly from 3.4 (1.4) to 9.2 (2.8) over 6 months.
  • Optimal positioning was sustained in 83.3% of neonates during the sustenance phase.

Conclusions:

  • Low-cost interventions are effective in improving infant positioning.
  • Increased awareness of optimal positioning standards and primary caregiver involvement are key to successful implementation.
  • These findings support the integration of enhanced positioning practices in NICU care.
Abstract

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