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Updated: Nov 1, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Transition to a Safe Home Sleep Environment for the NICU Patient.
Michael H Goodstein1,2, Dan L Stewart3, Erin L Keels4,5
1Division of Newborn Services, WellSpan Health, York, Pennsylvania mgoodstein@wellspan.org.
Creating safe sleep environments for infants in Neonatal Intensive Care Units (NICUs) is crucial. This report provides protocols to help NICU professionals transition vulnerable infants to safe sleep practices before hospital discharge.
Area of Science:
- Neonatal care
- Pediatric sleep safety
- Public health
Background:
- NICU admissions are increasing, affecting 10-15% of neonates annually.
- Low birth weight and preterm infants face higher risks of sleep-related death.
- Current NICU care often conflicts with safe infant sleep recommendations.
Purpose of the Study:
- To address the conflict between NICU care and safe sleep recommendations.
- To guide the development of NICU protocols for safe infant sleep.
- To ensure a consistent approach to safe sleep for all NICU infants.
Main Methods:
- This technical report outlines recommended NICU protocols.
- It focuses on transitioning infants to safe sleep environments.
- The goal is to implement practices before hospital discharge.
Main Results:
- NICU infants require specialized care that can be inconsistent with safe sleep guidelines.
- Conflicting needs create challenges for healthcare providers and families.
- Establishing clear protocols is essential for safe infant sleep transitions.
Conclusions:
- Consistent NICU protocols are needed to ensure safe infant sleep environments.
- Early implementation of safe sleep practices is vital for vulnerable infants.
- This report aims to reduce confusion and distress for families and providers.
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