Abstract
There is growing evidence that the neurosensory and social environment of the Neonatal Intensive Care Unit (NICU) has lasting effects on the neurodevelopment of the high-risk hospitalized infant. Thus, many NICUs are transitioning from traditional, medical healing approaches to enhanced family-centered developmental care approaches with the aim of improving infant outcomes and parental mental health. This commentary describes a transdisciplinary neurodevelopmental program based on key principles and recommendations from current and evolving evidence-based care practice guidelines. This clinical initiative, known as the Growth and Development Unit (GDU), was developed within the context of a 66-bed level III NICU. The process of program inception, key elements of program development, as well as program strengths and challenges are discussed.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Bouyssi-Kobar M, du Plessis AJ, McCarter R, Brossard-Racine M, Murnick J, Tinkleman L, et al. Third trimester brain growth in preterm infants compared with in utero healthy fetuses. Pediatrics. 2016;138:e20161640.
Tierney AL, Nelson CA III. Brain development and the role of experience in the early years. Zero Three. 2009;30:9.
Committee OH, Institute FP, Family-Centered CA. Patient-and family-centered care and the pediatrician’s role. Pediatrics. 2012;129:394.
Craig JW, Glick C, Phillips R, Hall SL, Smith J, Browne J. Recommendations for involving the family in developmental care of the NICU baby. J Perinatol. 2015;35:S5.
Hall SL, Hynan MT, Phillips R, Lassen S, Craig JW, Goyer E, et al. The neonatal intensive parenting unit: an introduction. J Perinatol. 2017;37:1259.
Davidson JE, Aslakson RA, Long AC, Puntillo KA, Kross EK, Hart J, et al. Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Crit Care Med. 2017;45:103–28.
Örtenstrand A, Westrup B, Broström EB, Sarman I, Åkerström S, Brune T, et al. The Stockholm Neonatal Family Centered Care Study: effects on length of stay and infant morbidity. Pediatrics. 2010;125:e278–85.
Pineda R, Durant P, Mathur A, Inder T, Wallendorf M, Schlaggar BL. Auditory exposure in the neonatal intensive care unit: room type and other predictors. J Pediatr. 2017;183:56–66.
Pineda RG, Neil J, Dierker D, Smyser CD, Wallendorf M, Kidokoro H, et al. Alterations in brain structure and neurodevelopmental outcome in preterm infants hospitalized in different neonatal intensive care unit environments. J Pediatr. 2014;164:52–60.
Weber A, Harrison TM, Steward D, Ludington-Hoe S. Paid family leave to enhance the health outcomes of preterm infants. Policy, Politics, Nurs Pract. 2018;19:11–28.
Woodward LJ, Bora S, Clark CA, Montgomery-Hönger A, Pritchard VE, Spencer C, et al. Very preterm birth: maternal experiences of the neonatal intensive care environment. J Perinatol. 2014;34:555.
Maitre NL, Key AP, Chorna OD, Slaughter JC, Matusz PJ, Wallace MT, et al. The dual nature of early-life experience on somatosensory processing in the human infant brain. Curr Biol. 2017;27:1048–54.
Pineda R, Raney M, Smith J. Supporting and enhancing NICU sensory experiences (SENSE): defining developmentally-appropriate sensory exposures for high-risk infants. Early Hum Dev. 2019;133:29–35.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Erdei, C., Inder, T.E., Dodrill, P. et al. The Growth and Development Unit. A proposed approach for enhancing infant neurodevelopment and family-centered care in the Neonatal Intensive Care Unit. J Perinatol 39, 1684–1687 (2019). https://doi.org/10.1038/s41372-019-0514-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41372-019-0514-7
This article is cited by
-
Neuroprotective therapies in the NICU in preterm infants: present and future (Neonatal Neurocritical Care Series)
Pediatric Research (2024)
-
A unit’s experience with hybrid NICU design: description of care model and implications for patients, families, and professionals
Journal of Perinatology (2023)
-
Perinatal and early childhood biomarkers of psychosocial stress and adverse experiences
Pediatric Research (2022)
-
Do small baby units improve extremely premature infant outcomes?
Journal of Perinatology (2022)
-
Development of a small baby unit to improve outcomes for the extremely premature infant
Journal of Perinatology (2022)