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Neonatology pp 357-363 | Cite as

Environment and Early Developmental Care for Newborns

  • Dominique Haumont
Reference work entry

Abstract

Preterm infants are exposed in the neonatal intensive care unit (NICU) to an environment of important and often chaotic neurosensory stimulation. There is substantial scientific evidence to support the negative effects of pain and stress, prolonged periods of intense light and noise, sleep disturbances, and difficulties of parenting. It is against this background that early developmental care (EDC) has been proposed. The important elements of early developmental care are parental physical and emotional closeness, fine-tuning of care according to appropriate assessment of the preterm infant behavior, strategies to reduce stress, and a NICU design adapted to provide this type of care.

Among the different strategies of EDC, restoring the mother-infant dyad (couplet care) and the Neonatal Individualized Developmental Care and Assessment Program (NIDCAP) are the most complex and holistic interventions.

Abbreviations

AS

Active sleep

EDC

Early developmental care

KMC

Kangaroo mother care

Nicu

Neonatal intensive care unit

NIDCAP

Neonatal individualized developmental care and assessment program

OS

Oxidative stress

QS

Quiet sleep

REM

Rapid eye movement

VLBW

Very low birth weight

References

  1. Als H, Lawhon G, Duffy FH et al (1994) Individualized developmental care for the very low – birth – weight preterm infant. Medical and neurofunctional effects. JAMA 272:853–858CrossRefGoogle Scholar
  2. American Academy of Pediatrics (2012) Breastfeeding and the use of human milk. Pediatrics 129:e827–e841CrossRefGoogle Scholar
  3. Amiel – Tison C (1995) Clinical assessment of the infant nervous system. In: Levene MI, Lilford RJ (eds) Fetal and neonatal neurology and neurosurgery. Churchill Livingstone, Edinburgh, pp 83–104Google Scholar
  4. Bauer K (2005) Effect of positioning and handling on preterm infants in the neonatal intensive care unit. In: Sizun J, Browne JV (eds) Research on early developmental care for preterm neonates. John Libbey, Paris, pp 39–44Google Scholar
  5. Boundy EO, Dastjerdi R, Spiegelman D et al (2016) Kangaroo mother care and neonatal outcome: a meta-analysis. Pediatrics 137(1):1–16CrossRefGoogle Scholar
  6. Carbajal R, Rousset A, Danan C et al (2008) Epidemiology and treatment of painful procedures in neonates in intensive care units. JAMA 300:60–70CrossRefGoogle Scholar
  7. Caskey M, Stephens B, Tucker R et al (2014) Adult talk in the NICU with preterm infants and developmental outcomes. Pediatrics 133(3):e578–e584.  https://doi.org/10.1542/peds.2013-0104CrossRefPubMedGoogle Scholar
  8. Charpak N, Ruiz JG, Zupan J et al (2005) Kangaroo mother care: 25 years after. Acta Paediatr 94:514–522CrossRefGoogle Scholar
  9. Cignacco E, Hamers JP, Stoffel L et al (2007) The efficacy of non – pharmacological interventions in the management of procedural pain in preterm and term neonates. A systematic literature review. Eur J Pain 11:139–152CrossRefGoogle Scholar
  10. Condie J, Caldarelli L, Tarr L et al (2012) Have the boundaries of the “grey zone” of perinatal resuscitation changed for extremely preterm infants over 20 years? Acta Paediatr.  https://doi.org/10.1111/apa.12119CrossRefGoogle Scholar
  11. Constable RT, Ment LR, Vohr BR et al (2008) Prematurely born children demonstrate white matter miscrostructural differences at 12 years of age, relative to term control subjects: an investigation of group and gender effect. Pediatrics 121:e306–e316CrossRefGoogle Scholar
  12. Curley JP, Jensen CL, Mashoodh R et al (2011) Social influences on neurobiology and behavior: epigenetic effects during development. Psychoneuroendocrinology 36(3):352–371CrossRefGoogle Scholar
  13. Davis L, Edwards H, Mohay H et al (2003) The impact of very premature birth on the psychological health of mothers. Earl Hum Dev 73(1–2):61–70CrossRefGoogle Scholar
  14. Domanico R, Davis DK, Coleman F et al (2011) Documenting the NICU design dilemma: comparative patient progress in open-ward and single family rooms units. J Perinatol 31(4):281–288CrossRefGoogle Scholar
  15. Dreyfus – Brisac C (1968) Sleep ontogenesis in early human prematurity from 24 to 27 weeks of conceptual age. Dev Psychobiol 1:162–169CrossRefGoogle Scholar
  16. EFCNI rights of parents and newborns. www.efcni.org
  17. Fanaroff AA, Kennell JH, Klaus MH (1972) Follow – up of low birth weight infants – the predictive value of maternal visiting patterns. Pediatrics 49(2):287–290PubMedGoogle Scholar
  18. Ferrari F, Bertoncelli N, Gallo C et al (2007) Posture and movement in healthy preterm infants in supine position in and outside the nest. Arch Dis Child Fetal Neonatal Ed 92:F386–F390CrossRefGoogle Scholar
  19. Flacking R, Lehtonen L, Thomson G et al (2012) Closeness and separation in neonatal intensive care. Acta Paediatr 101(10):1032–1037CrossRefGoogle Scholar
  20. Frank M, Stryker M (2003) The role of sleep in the development of central visual pathways. In: Maquet P, Smith C, Stickgold R (eds) Sleep and brain plasticity. Oxford University Press, New York, pp 190–206Google Scholar
  21. Graven SN (2004) Early neurosensory visual development of the fetus and newborn. Clin Perinatol 31:199–216CrossRefGoogle Scholar
  22. Greisen G, Mirante N, Haumont D et al (2009) Parents, siblings and grandparents in the Neonatal Intensive Care Unit a survey of policies in eight European countries. Acta Paediatr 98:1744–1750CrossRefGoogle Scholar
  23. Haumont D (2014) NIDCAP and developmental care. J Pediatr Neonatal Individ Med 3(2):e030240Google Scholar
  24. Haumont D, Hansen V (2005) Neonatal development: effects of light. In: Sizun J, Browne JV (eds) Research on early developmental care for preterm neonates. John Libbey, Paris, pp 33–37Google Scholar
  25. Horbar JD, Badger GJ, Carpenter JH et al (2002) Trends in mortality and morbidity for very low birth weight infants, 1991–1999. Pediatrics 110:143–151CrossRefGoogle Scholar
  26. Kwon S, Vasung L, Ment L, Hüppi P (2014) The role of neuroimaging in predicting neurodevelopmental outcomes of preterm neonates. Clin Perinatol 41:257–283CrossRefGoogle Scholar
  27. Limperopoulos C, Gauvreau KK, O’Leary H et al (2008) Cerebral hemodynamic changes during intensive care of preterm infants. Pediatrics 122:e1006–e1013CrossRefGoogle Scholar
  28. Liu WF, Laudert S, Perkins B et al (2007) The development of potentially better practices to support the neurodevelopment of infants in the NICU. J Perinatol 27:S48–S74CrossRefGoogle Scholar
  29. Lubsen J, Vohr B, Myers E, Hampson M et al (2011) Microstructural and functional connectivity in the developing preterm brain. Semin Perinatol 35:34–43CrossRefGoogle Scholar
  30. Marlow N, Hennessy E, Bracewell M et al (2007) Motor and executive function at 6 years of age after extremely preterm birth. Pediatrics 120:793–804CrossRefGoogle Scholar
  31. Milgrom J, Newnham C, Anderson PJ et al (2010) Early sensitivity training for parents of preterm infants: impact on the developing brain. Pediatr Res 67(3):e330–e335CrossRefGoogle Scholar
  32. NIDCAP nursery assessment and certification. www.NIDCAP.org
  33. Örtenstrand A, Westrup B, Berggren Broström E et al (2010) The Stockholm Neonatal Family Centered Care Study: effects on length of stay and infant morbidity. Pediatrics 125(2):e278–e285CrossRefGoogle Scholar
  34. Penn AA, Shatz CJ (2002) Principles of endogenous and sensory activity – dependent brain development. The visual system. In: Lagercrantz H, Hanson M, Evrard P (eds) The newborn brain: neuroscience and clinical applications. Cambridge University Press, New York, pp 204–225Google Scholar
  35. Pineda RG, Neil J, Dierker D et al (2013) Alterations in brain structure and neurodevelopmental outcome in preterm infants hospitalized in different NICU environments. J Pediatr 164(1):52–60.e2CrossRefGoogle Scholar
  36. Rivkees SA, Hao H (2000) Developing circadian rhythmicity. Semin Perinatol 24:232–242CrossRefGoogle Scholar
  37. Saugstad OD (2005) Oxidative stress in the newborn-a 30 year perspective. Biol Neonate 88:228–236CrossRefGoogle Scholar
  38. Smith GC, Gutovich J, Smyser C et al (2011) Neonatal Intensive Care Unit stress is associated with brain development in preterm infants. Ann Neurol 70:e541–e549CrossRefGoogle Scholar
  39. van Sleuwen BE, Engelberts AC, Boere – Boonekamp MM et al (2007) Swaddling: a systematic review. Pediatrics 120:e1097–e1106CrossRefGoogle Scholar
  40. White R, Smith J, Shepley M et al (2013) Recommended standards for newborn ICU design. J Perinatol 33(Suppl 1):S2–S16CrossRefGoogle Scholar
  41. Zeitlin J, Mortensen L, Cuttini M et al (2015) Declines in stillbirth and neonatal mortality rates in Europe between 2004 and 2010: results from the Euro-Peristat project. J Epidemiol Community Health.  https://doi.org/10.1136/jech.207013CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeonatologySaint – Pierre University HospitalBrusselsBelgium

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