Perspectives on developing and sustaining a small baby program

Leeann R Pavlek1, Clifford Mueller2, Maria R Jebbia2

  • 1Small Baby ICU, Division of Neonatology, Nationwide Children's Hospital, Columbus, OH, United States; Center for Perinatal Research, The Abigail Wexner Research Institute at Nationwide Children's Hospital, 575 Children's Crossroad, Columbus, OH 43205, United States.

Seminars in Perinatology
|December 13, 2021
PubMed

Insights

The Small Baby Program improved outcomes for extremely preterm infants through standardized care, multidisciplinary support, and family-centered practices. This approach enhanced survival rates and long-term neurodevelopmental results.

Area of Science:

  • Neonatal Medicine
  • Pediatric Critical Care
  • Developmental Pediatrics

Background:

  • Established in 2004, the Small Baby Program addressed critical care needs for extremely preterm infants.
  • Significant medical and technological advancements have occurred alongside program development.

Purpose of the Study:

  • To review the Small Baby Program's key areas of focus and processes.
  • To highlight factors contributing to improved outcomes in extremely preterm infants.

Main Methods:

  • Standardization of care protocols.
  • Implementation of multidisciplinary support and robust research.
  • Integration of kangaroo care and family-centered care principles.

Main Results:

  • Improved survival rates for extremely preterm infants.
  • Reduced incidence of specific morbidities.
  • Enhanced long-term neurodevelopmental outcomes.

Conclusions:

  • The Small Baby Program's integrated approach has successfully improved outcomes for extremely preterm infants.
  • Continued refinement of respiratory, neurodevelopmental, and nutritional care is crucial.
  • Family-centered and kangaroo care are vital components of successful neonatal intensive care.

Related Concept Videos

Socioemotional Development during Infancy01:30

Socioemotional Development during Infancy

Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
183
Introduction to Developmental Psychology01:27

Introduction to Developmental Psychology

Developmental psychology explores the changes and continuities in human abilities throughout life, encompassing physical, cognitive, linguistic, and social dimensions. Human development is not restricted to growth, but includes aspects of decline, particularly in physical abilities as individuals age. Developmental psychologists seek to understand how people change as they age and how their mental and social skills evolve.Developmental MilestonesA key concept in developmental psychology is...
706
The Nativist Approach01:21

The Nativist Approach

The nativist approach to infant cognitive development proposes that infants are born with inherent knowledge structures that allow them to interpret the world almost immediately. This perspective contrasts with earlier developmental theories, such as those proposed by Jean Piaget, which emphasized a more gradual acquisition of cognitive abilities through interaction with the environment. One key concept in this approach is object permanence — the understanding that objects continue to...
185
Parental Care00:55

Parental Care

Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
12.0K
Parenting Styles01:27

Parenting Styles

Diana Baumrind's four parenting styles — authoritarian, authoritative, neglectful, and permissive — each influence children's socio-emotional development differently.
Authoritarian Parenting
This style is strict and controlling, with little room for open dialogue. Authoritarian parents demand obedience and often enforce rules with minimal warmth. Children raised this way may lack social skills and initiative, usually comparing themselves to others unfavorably.
Authoritative...
201
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
110