Patrizio Sannino1, Maria Lorella Giannì2, Giovanna De Bon3, Camilla Fontana4, Odoardo Picciolini5, Laura Plevani6, Monica Fumagalli7, Dario Consonni8, Fabio Mosca9. 1. Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, S.I.T.R.A. Basic Education Sector, Milano, Italy. Electronic address: patrizio.sannino@unimi.it. 2. NICU, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Via Della Commenda 12, 20122 Milano, Italy. Electronic address: maria.gianni@unimi.it. 3. NICU, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Via Della Commenda 12, 20122 Milano, Italy. Electronic address: giovanna.debon@mangiagalli.it. 4. NICU, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Via Della Commenda 12, 20122 Milano, Italy. Electronic address: camilla.fontana@mangiagalli.it. 5. NICU, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Via Della Commenda 12, 20122 Milano, Italy. Electronic address: odoardo.picciolini@mangiagalli.it. 6. NICU, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Via Della Commenda 12, 20122 Milano, Italy. Electronic address: laura.plevani@mangiagalli.it. 7. NICU, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Via Della Commenda 12, 20122 Milano, Italy. Electronic address: monica.fumagalli@mangiagalli.it. 8. Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Epidemiology Unit, Department of Preventive Medicine, Via San Barnaba 8, 20122 Milan, Italy. Electronic address: dario.consonni@unimi.it. 9. NICU, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Via Della Commenda 12, 20122 Milano, Italy. Electronic address: fabio.mosca@mangiagalli.it.
Abstract
BACKGROUND: The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is based on preterm infant's observation during hospitalization and considers infant's behavior as the key to evaluate the level of neurobehavioral maturation. OBJECTIVES: To evaluate the effectiveness of NIDCAP program on mother's support and infant development. STUDY DESIGN: Non-randomized controlled study, including 43 infants of 32 weeks gestation receiving either aStandard Care (SC) or NIDCAP assessment. The Nurse Parent Support Tool (NPST) was given to mothers before discharge to evaluate the support given by NICU staff. Infants' motor, visual and auditory development was investigated by a neurofunctional assessment (NFA) at term and at 3 months. The effect of NIDCAP assessment on length of hospital stay and feeding status at discharge were also evaluated. RESULTS: Mothers in the NIDCAP group awarded higher scores in the majority of the NPST items than mothers in the SC group. NFA at term resulted to be normal in a significant higher percentage of infants that underwent NIDCAP, while no difference could be detected at 3 months. CONCLUSIONS:NIDCAP is an effective program to promote mothers' involvement in infants' care, that, in turn, could endorse infants' neurofunctional development in the short term.
RCT Entities:
BACKGROUND: The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is based on preterm infant's observation during hospitalization and considers infant's behavior as the key to evaluate the level of neurobehavioral maturation. OBJECTIVES: To evaluate the effectiveness of NIDCAP program on mother's support and infant development. STUDY DESIGN: Non-randomized controlled study, including 43 infants of 32 weeks gestation receiving either a Standard Care (SC) or NIDCAP assessment. The Nurse Parent Support Tool (NPST) was given to mothers before discharge to evaluate the support given by NICU staff. Infants' motor, visual and auditory development was investigated by a neurofunctional assessment (NFA) at term and at 3 months. The effect of NIDCAP assessment on length of hospital stay and feeding status at discharge were also evaluated. RESULTS: Mothers in the NIDCAP group awarded higher scores in the majority of the NPST items than mothers in the SC group. NFA at term resulted to be normal in a significant higher percentage of infants that underwent NIDCAP, while no difference could be detected at 3 months. CONCLUSIONS:NIDCAP is an effective program to promote mothers' involvement in infants' care, that, in turn, could endorse infants' neurofunctional development in the short term.
Authors: Thomas A Miller; Amy J Lisanti; Madolin K Witte; Justin J Elhoff; William T Mahle; Karen C Uzark; Nneka Alexander; Samantha C Butler Journal: J Pediatr Date: 2020-03-05 Impact factor: 4.406
Authors: Sagrario Gómez-Cantarino; Inmaculada García-Valdivieso; Eva Moncunill-Martínez; Benito Yáñez-Araque; M Idoia Ugarte Gurrutxaga Journal: Int J Environ Res Public Health Date: 2020-10-01 Impact factor: 3.390