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The Growth and Development Unit. A proposed approach for enhancing infant neurodevelopment and family-centered care in the Neonatal Intensive Care Unit

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.

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References

  1. 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.

    Article  Google Scholar 

  2. Tierney AL, Nelson CA III. Brain development and the role of experience in the early years. Zero Three. 2009;30:9.

    PubMed  PubMed Central  Google Scholar 

  3. Committee OH, Institute FP, Family-Centered CA. Patient-and family-centered care and the pediatrician’s role. Pediatrics. 2012;129:394.

    Article  Google Scholar 

  4. 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.

    Article  Google Scholar 

  5. 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.

    Article  CAS  Google Scholar 

  6. 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.

    Article  Google Scholar 

  7. 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.

    Article  Google Scholar 

  8. 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.

    Article  Google Scholar 

  9. 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.

    Article  Google Scholar 

  10. 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.

    Article  Google Scholar 

  11. 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.

    Article  CAS  Google Scholar 

  12. 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.

    Article  CAS  Google Scholar 

  13. 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.

    Article  Google Scholar 

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Correspondence to Carmina Erdei.

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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

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