Document Detail


A case presentation of early intervention with dolichocephaly in the NICU: collaboration between the primary nursing team and the developmental care specialist.
MedLine Citation:
PMID:  18807411     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dolichocephaly, narrow width and long anterior-posterior cranial distance, is more commonly seen in preterm than in term infants. It seems to persist after NJCU discharge and may be a marker for adverse neurodevelopment. This article reports a case of cranial molding in one extremely low birth weight infant. He was placed on a viscoelastic mattress and a twice weekly developmental care program. Cranial molding was measured using the cranial index (CI), a ratio of width to length. Initially, the patient presented with dolichocephaly (CI=72 percent). y week 2, CI measurements approached normal limits (CI=75 percent). When placed on continuous positive airway pressure, the infant presented with substantial dolichocephaly (CI=66.7 percent). Following position changes to midline, CI measurements continued to improve and remained within normal limits until discharge. This dual-element program was feasible, acceptable to parents and staff and may be effective for identifying and managing dolichocephaly.
Authors:
Beth M McManus; Philip S Capistran
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neonatal network : NN     Volume:  27     ISSN:  0730-0832     ISO Abbreviation:  Neonatal Netw     Publication Date:    2008 Sep-Oct
Date Detail:
Created Date:  2008-09-23     Completed Date:  2008-12-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503921     Medline TA:  Neonatal Netw     Country:  United States    
Other Details:
Languages:  eng     Pagination:  307-15     Citation Subset:  N    
Affiliation:
NICU, Brigham and Women's Hospital, Boston, MA, USA. bmcmanus@hsph.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Beds*
Cephalometry
Developmental Disabilities / prevention & control*
Feasibility Studies
Humans
Infant, Extremely Low Birth Weight*
Infant, Newborn
Intensive Care Units, Neonatal
Male
Parenting
Plagiocephaly, Nonsynostotic / diagnosis,  nursing,  therapy*
Posture*
Psychomotor Disorders / prevention & control

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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