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 Vol. 10 No. 3, March 2009
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NeoReviews Vol.10 No.3 2009 e113
© 2009 American Academy of Pediatrics

Developmental Interventions in the NICU

What are the Developmental Benefits?

Brenda Hussey-Gardner, PhD, MPH*
Mobolaji Famuyide, MD, MPH{dagger}

* Department of Pediatrics, Division of Neonatology, University of Maryland School of Medicine, Baltimore, Md
{dagger} Department of Pediatrics, Division of Newborn Medicine, University of Mississippi Medical Center, Jackson, Miss

Both the rates of prematurity and survival of preterm infants have increased in the United States over the past 10 years. Preterm infants are at great risk for medical complications and future developmental disabilities. This article reviews the developmental outcomes of studies implementing developmental interventions in the NICU. Interventions include the newborn individualized care and assessment program, massage, oral-motor stimulation, positioning, skin-to-skin care, music, visual stimuli, light, and multimodal stimulation. Results of eight blinded, randomized, controlled trials included in this review demonstrate an effect that consistently favors the intervention group.

Abbreviations: APIB: Assessment of Preterm Infant Behavior • IQ: intelligence quotient • MDI: Mental Developmental Index • NBAS: Neonatal Behavioral Assessment Scale • NICU: neonatal intensive care unit • NIDCAP: Newborn Individualized Developmental Care and Assessment Program • PDI: Psychomotor Developmental Index • RCT: randomized, controlled trial • VLBW: very low birthweight


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