Increase in survival for very low birth weight infants has been
observed, due to various improvements in perinatal care. However
neurodevelopmental outcome remains a major issue. The effect of
early environmental factors (during the hospital stay) and routine
NICU practices on neurobehavioral development is discussed.
Developmental care is an association of environmental and
behavioural strategies designed to decrease the stress of preterm
neonates. These interventions can be used alone or in association
into more complex programs as the Neonatal Individualised
Developmental Care and Assessment Program (NIDCAP). Despite growing
scientific literature, the medical impact of developmental care is
still controversial. Major differences in medical and nursing
practices are observed. This book reviews the theoretical framework
underlying developmental care and the research-based data in
different fields: neuroscience, developmental psychology, medicine
and nursing. Reflections on the impact on staff are included.
Recommendations for new research programs on this important aspect
of neonatal care are proposed.
General
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