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Updated: Jun 9, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Insights
This article explains trauma, adverse childhood experiences, and social determinants of health for perinatal and NICU families. It introduces trauma-informed care to enhance support for these vulnerable populations.
Area of Science:
- Neonatal Intensive Care Unit (NICU) care
- Perinatal health
- Public health
Background:
- Trauma and adverse childhood experiences (ACEs) significantly impact perinatal and NICU populations.
- Social determinants of health (SDOH) are critical factors influencing family well-being in these settings.
- Understanding these elements is crucial for effective family-centered care.
Purpose of the Study:
- To define trauma, ACE scoring, and SDOH in the context of perinatal and NICU care.
- To establish a foundation for understanding the relationship between these factors and family outcomes.
- To identify and define a trauma-informed care (TIC) approach for NICU families.
Main Methods:
- Literature review and conceptual analysis.
- Definition of key terms: trauma, ACEs, SDOH.
- Application of concepts to the NICU environment.
Main Results:
- Established clear definitions of trauma, ACEs, and SDOH relevant to NICU patients and families.
- Highlighted the interconnectedness of trauma, ACEs, and SDOH.
- Outlined the principles and application of trauma-informed care in the NICU.
Conclusions:
- Trauma-informed care is essential for improving the care of families in the NICU.
- Integrating an understanding of trauma, ACEs, and SDOH can lead to more sensitive and effective family support.
- A trauma-informed approach promotes healing and resilience for NICU families.
Abstract:
This article will define the basics of trauma, adverse childhood event scoring, and social determinants of health and how they relate to the perinatal and NICU populations. It will then apply that foundation to identify and define a trauma-informed care approach to provide improved care to the families supported in the NICU.
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