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Updated: Jul 1, 2025

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
[WHO Recommendations for Care of the Preterm or Low-Birth-Weight Infant]
Dominic Ledinger1, Barbara Nußbaumer-Streit1, Gerald Gartlehner1,2
1Department für Evidenzbasierte Medizin und Evaluation, Universität für Weiterbildung Krems, Krems, Austria.
Insights
Updated guidelines offer comprehensive care strategies for premature infants and low-birth-weight infants, addressing survival, growth, and developmental needs. These recommendations focus on prevention, complication management, and family support for improved neonatal outcomes.
Area of Science:
- Neonatal care
- Pediatric guidelines
- Developmental pediatrics
Context:
- Premature infants (gestation age < 37 weeks) and low-birth-weight infants (< 2.5 kg) require specialized, complex care.
- These infants face heightened risks for developmental disorders, infections, and challenges in nutrition and thermoregulation.
- Effective care is critical for ensuring survival, promoting growth, and supporting neurological development.
Purpose:
- To enhance the care of premature and low-birth-weight infants through updated, evidence-based recommendations.
- To provide a framework for healthcare professionals to implement best practices in neonatal care.
- To align with World Health Organization (WHO) guideline development standards.
Summary:
- The guideline presents 11 strong and 14 conditional recommendations.
- Recommendations cover preventive and promotive care (16), management of complications (6), and family involvement/support (3).
- Includes one statement of good practice to guide clinical decision-making.
Impact:
- Aims to improve survival rates and long-term health outcomes for vulnerable neonates.
- Facilitates standardized, high-quality care for premature and low-birth-weight infants globally.
- Supports families by integrating them into the care process, enhancing the overall neonatal care experience.
Background:
Premature infants (gestation age<37 weeks) and low-birth-weight infants (< 2.5 kg) require complex care to ensure their survival, growth and neurological development. Increased risk for developmental disorders, infections, and challenges with nutrition and body temperature regulation require comprehensive measures in care.
Aim:
The aim of this guideline was to improve the care of premature and low-birth-weight infants through updated recommendations.
Methods:
The recommendations of the World Health Organization (WHO) have been implemented in this guideline in accordance with the WHO handbook for guideline development. This publication has been translated into German by staff members of the WHO Collaborating Centre at the Danube University Krems (Austria).
Results/Conclusions:
This guideline includes 11 strong and 14 conditional recommendations, of which 16 describe preventive and promotive care, 6 recommendations about care for complications and 3 for family involvement and support, as well as one statement of good practice.
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