| Infant neurobehavioral development. | |
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MedLine Citation:
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PMID: 21255702 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The trend toward single-room neonatal intensive care units (NICUs) is increasing; however scientific evidence is, at this point, mostly anecdotal. This is a critical time to assess the impact of the single-room NICU on improving medical and neurobehavioral outcomes of the preterm infant. We have developed a theoretical model that may be useful in studying how the change from an open-bay NICU to a single-room NICU could affect infant medical and neurobehavioral outcome. The model identifies mediating factors that are likely to accompany the change to a single-room NICU. These mediating factors include family centered care, developmental care, parenting and family factors, staff behavior and attitudes, and medical practices. Medical outcomes that plan to be measured are sepsis, length of stay, gestational age at discharge, weight gain, illness severity, gestational age at enteral feeding, and necrotizing enterocolitis (NEC). Neurobehavioral outcomes include the NICU Network Neurobehavioral Scale (NNNS) scores, sleep state organization and sleep physiology, infant mother feeding interaction scores, and pain scores. Preliminary findings on the sample of 150 patients in the open-bay NICU showed a "baseline" of effects of family centered care, developmental care, parent satisfaction, maternal depression, and parenting stress on the neurobehavioral outcomes of the newborn. The single-room NICU has the potential to improve the neurobehavioral status of the infant at discharge. Neurobehavioral assessment can assist with early detection and therefore preventative intervention to maximize developmental outcome. We also present an epigenetic model of the potential effects of maternal care on improving infant neurobehavioral status. |
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Authors:
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Barry M Lester; Robin J Miller; Katheleen Hawes; Amy Salisbury; Rosemarie Bigsby; Mary C Sullivan; James F Padbury |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Seminars in perinatology Volume: 35 ISSN: 1558-075X ISO Abbreviation: Semin. Perinatol. Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-24 Completed Date: 2011-05-12 Revised Date: 2013-05-27 |
Medline Journal Info:
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Nlm Unique ID: 7801132 Medline TA: Semin Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 8-19 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Brown Center for Study of Children at Risk, Providence, RI 02905, USA. Blester@wihri.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel Child Development* Depression, Postpartum Family Female Gestational Age Humans Infant Care / methods Infant, Newborn Infant, Premature / growth & development*, psychology* Intensive Care Units, Neonatal* / trends Length of Stay Nervous System / growth & development* Patient Discharge Patients' Rooms Weight Gain |
| Grant Support | |
ID/Acronym/Agency:
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R01 MH078033-03/MH/NIMH NIH HHS; R01 MH078033-05/MH/NIMH NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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