Use of neonatal boundaries to improve outcomes

Technological advances have dramatically improved survival rates for the high-risk infant, yet developmental delays are common due to complications resulting from immature organ systems. The neonatal intensive care unit environment itself may pose barriers to optimal development of these infants. The purpose of this study was to investigate the effects of an oval-shaped cloth nest to make the environment less stressful and enhance neonatal development. Specifically, the study hypothesized that infants who were placed in the cloth nest would gain more weight and would have shorter lengths of hospital stay than would infants receiving routine care. A total of 102 healthy infants ranging from 26 to 31 weeks of gestation were recruited into the study. No significant differences were found in the groups on amount of weight gained. Infants who were placed in the cloth nest actually had longer hospital stays than did infants receiving routine care. Perhaps infants who received routine care received more touch than did nested infants, and the touch may have facilitated development as measured by length of stay.