Is the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) effective for preterm infants with intrauterine growth restriction?

Objective:This study investigates the effectiveness of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) on neurobehavioral and electrophysiological functioning of preterm infants with severe intrauterine growth restriction (IUGR).Study Design:Thirty IUGR infants, 28 to 3...

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Publicado en:Journal of Perinatology Vol. 31; no. 2; pp. 130 - 137
Autores principales: Als H, Duffy FH, McAnulty GB, Fischer CB, Kosta S, Butler SC, Parad RB, Blickman JG, Zurakowski D, Ringer SA
Formato: clinical trial research tables/charts Journal Article
Publicado: Springer Nature Feb2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2011
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      pub: Springer Nature
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        atl: Is the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) effective for preterm infants with intrauterine growth restriction?
      aug:
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          Als H
          Duffy FH
          McAnulty GB
          Fischer CB
          Kosta S
          Butler SC
          Parad RB
          Blickman JG
          Zurakowski D
          Ringer SA
        affil: Department of Psychiatry, Children's Hospital Boston, Boston, MA, USA
      sug:
        subj:
          Fetal Growth Retardation
          Hospital Programs
          Patient Care
          Human
          Funding Source
          Infant
          Intensive Care Units, Neonatal
          Child Development
          Clinical Trials
          Random Assignment
          Record Review
          Developmental Disabilities Risk Factors
          Data Analysis Software
          Multivariate Analysis of Variance
          Post Hoc Analysis
          Univariate Statistics
          Analysis of Variance
          Pearson's Correlation Coefficient
          Fisher's Exact Test
          Power Analysis
          Chi Square Test
          Infant: 1-23 months
      ab: Objective:This study investigates the effectiveness of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) on neurobehavioral and electrophysiological functioning of preterm infants with severe intrauterine growth restriction (IUGR).Study Design:Thirty IUGR infants, 28 to 33 weeks gestational age, randomized to standard care (control/C=18), or NIDCAP (experimental/E=12), were assessed at 2 weeks corrected age (2wCA) and 9 months corrected age (9mCA) in regard to health, anthropometrics, and neurobehavior, and additionally at 2wCA in regard to electrophysiology (EEG).Result:The two groups were comparable in health and anthropometrics at 2wCA and 9mCA. The E-group at 2wCA showed significantly better autonomic, motor, and self-regulation functioning, improved motility, intensity and response thresholds, and reduced EEG connectivity among several adjacent brain regions. At 9mCA, the E-group showed significantly better mental performance.Conclusion:This is the first study to show NIDCAP effectiveness for IUGR preterm infants.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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