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Updated: Aug 4, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
A coordinated attempt for prevention of child abuse at the antenatal care level
Insights
This study introduces an integrated prenatal and postnatal care approach for child abuse prevention. Early intervention by obstetrics and child psychiatry teams reduced prematurity and improved care integration.
Area of Science:
- Pediatrics
- Psychiatry
- Public Health
Background:
- Child abuse syndrome prevention requires innovative strategies.
- Current care models may not adequately address psychosocial risk factors during pregnancy.
Observation:
- An integrated obstetrics and child psychiatry team provided prenatal and postnatal care to 91 patients.
- Therapeutic plans were developed for 72 patients, with direct intervention for 19 high-risk cases.
- Psychotherapeutic interventions focused on alleviating family crisis and stress.
Findings:
- The integrated approach led to a reduction in the expected prematurity rate.
- Out-patient and in-patient care were better integrated.
- Healthcare staff showed improved adaptation to complex psychosocial situations.
Implications:
- This model demonstrates the effectiveness of multidisciplinary collaboration in preventing child abuse.
- Early, targeted interventions can mitigate stress and improve maternal-infant outcomes.
- Further research can validate this integrated care model in diverse populations.
Abstract:
The authors report the preliminary result of an integrated approach to the primary prevention of the child abuse syndrome. The problem has been approached through a new concept of prenatal and postnatal care, the obstetrical team working in close cooperation with the child psychiatrist of the department of pediatrics. The obstetrical team followed 91 patients during their pregnancy; they were all discussed at supervisory sessions. This permitted a gynaecologist and a social nurse to develop a therapeutic plan for 72 patients. For the 19 more problematic cases, the child psychiatrist intervened immediately in the surroundings of the antenatal clinic. Short, specific psychotherapeutic interventions based on the alleviation of a family crisis have remedied important stress situations. The favourable influence of this new methodology has led to: (1) reduction of a potentially high expected prematurity rate; (2) improved integration of out-patient and in-patient care; (3) improved adaptation of the health staff to this type of situation. A case example to illustrate the functioning of both teams is given.
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