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Updated: May 5, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Optimal presence: enhancing parent integration to maximize neurodevelopmental outcomes in preterm infants
Paul C Mann1, Brian K Stansfield2
1Department of Pediatrics, Augusta University, Augusta, GA, USA.
Insights
Parental presence in the neonatal intensive care unit (NICU) is crucial for preterm infant neurodevelopment. Overcoming barriers to parent engagement improves bonding and infant outcomes.
Area of Science:
- Neonatal care
- Developmental psychology
- Perinatal medicine
Background:
- Preterm birth significantly alters typical parent-infant bonding.
- The neonatal intensive care unit (NICU) environment presents unique challenges for parental involvement.
- Clinical teams often assume parental responsibilities for preterm infants.
Purpose of the Study:
- To review the impact of parental presence on preterm infant neurodevelopmental outcomes.
- To identify barriers and facilitators to parental engagement in the NICU.
- To emphasize the importance of parent-infant bonding in preterm care.
Main Methods:
- Literature review on parental presence and preterm infant neurodevelopment.
- Analysis of factors influencing parent-infant interaction in the NICU.
- Synthesis of research on barriers and facilitators to bedside presence.
Main Results:
- Parental presence positively influences neurodevelopmental outcomes in preterm infants.
- NICU environment and practices can create significant barriers to parental involvement.
- Facilitating parent engagement is essential for mitigating stress and improving infant care.
Conclusions:
- Active parental participation is critical for optimizing preterm infant neurodevelopment.
- Addressing barriers to parent presence can enhance the parent-infant relationship.
- Integrating parents into care plans benefits both the infant and the family unit.
Abstract:
Preterm birth disrupts the natural progression of events in the parent-infant relationship and bestows many of the typical parent responsibilities to the clinical care team. In turn, the neonatal intensive care environment (NICU) introduces obstacles to parents that would not otherwise be encountered and forces parents to adapt to this artificial environment as they seek to bond with and care for their newborn. Facilitating parent presence at the bedside and incorporating them into the care of their preterm infant is critical for lessening the immediate burden to both the parent and offspring while also ensuring the best possible outcome for preterm infants. In this review, we explore the impact that parents exert on the neurodevelopmental outcome of preterm infants and identify several barriers and facilitators to parent presence.
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