Individualized Developmental Care for Very-Low-Birth-Weight Premature Infants

Author:

Fleisher Barry E.1,VandenBerg Kathleen1,Constantinou Janet1,Heller Cherrie1,Benitz William E.1,Johnson Ann1,Rosenthal Alan2,Stevenson David K.1

Affiliation:

1. Department of Pediatrics Stanford University School of Medicine, Stanford, California

2. Department of Psychiatry, Stanford University School of Medicine, Stanford, California, Children's Health Council, Palo Alto, California

Abstract

Forty very-low-birth-weight neonatal intensive care unit (NICU) infants with birth weights ≤1,250 g were randomly assigned to treatment or control groups. Behavior of the treatment infants was systematically evaluated, and individualized developmentally oriented care plans were implemented to enhance stability. Treatment babies required fewer days of intermittent mandatory ventilation and continuous positive airway pressure and achieved full enteral feedings sooner. Length of hospital stay and hospital charges were less for treatment than control infants. There were favorable effects on treatment infants' behavioral performance at 42 weeks' postconceptional age. These results support the hypothesis that behaviorally sensitive, developmentally oriented care improves medical and neurodevelopmental outcome in the NICU.

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology, and Child Health

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