Developmental care and very preterm infants : neonatal, neurological, growth and developmental outcomes

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Developmental care and very preterm infants : neonatal, neurological, growth and developmental outcomes

Type: Doctoral thesis
Title: Developmental care and very preterm infants : neonatal, neurological, growth and developmental outcomes
Author: Maguire, Celeste M.
Publisher: Department of Pediatrics, Division of Neonatology, Faculty of Medicine, Leiden University Medical Center (LUMC), Leiden University
Issue Date: 2008-04-17
Keywords: Infant
Premature
Developmental care
NIDCAP
Development
Growth
Randomized controlled trial
Intensive care
Abstract: This thesis examines the effect of developmental care in a tertiary NICU in 2 locations in the Netherlands on preterm infants born < 32 weeks gestational age. Following a pilot study with 22 preterm infants and their parents, two consecutive randomized controlled trials (n=179, n=164) in which first basic developmental care (use of incubator covers and positioning aids), and then the comprehensive Newborn Individualized Developmental Care and Assessment Program (NIDCAP), an individual approach in which caregiving is based on the behavior of the infant, was studied in preterm infants born < 32 weeks GA. Basic developmental care had no effect on short-term physical and neurological outcomes; a positive effect on psychomotor development at 1 CA, but no effect on neurological and mental development or growth at 1 and 2 years. NIDCAP showed no effect on short-term physical and neurological outcomes as well as no effect on growth, neurological, mental and psychomotor development at 1 and 2 years CA in infants born < 32 weeks, as compared to basic developmental care. Future research should include not only the effect of developmental care in the neonatal centers but also the effect of continuing the intervention once infants are transferred to regional hospitals.
Description: Promotores : F.J. Walther, J.M. Wit Co-promotor: S. Veen
With Summary in Dutch
Faculty: LUMC
Citation: Maguire, C.M., 2008, Doctoral Thesis, Leiden University
ISBN: 9789090228563
Handle: http://hdl.handle.net/1887/12703
 

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