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Individualized Developmental Care for Very-Low-Birth-Weight Premature Infants

Department of Pediatrics Stanford University School of Medicine, Stanford, California

Kathleen VandenBerg, M.A.

Department of Pediatrics Stanford University School of Medicine, Stanford, California

Janet Constantinou, M.A.

Department of Pediatrics Stanford University School of Medicine, Stanford, California

Cherrie Heller, B.A.

Department of Pediatrics Stanford University School of Medicine, Stanford, California

William E. Benitz, M.D.

Department of Pediatrics Stanford University School of Medicine, Stanford, California

Ann Johnson, M.D.

Department of Pediatrics Stanford University School of Medicine, Stanford, California

Alan Rosenthal, M.D.

Department of Psychiatry, Stanford University School of Medicine, Stanford, California, Children's Health Council, Palo Alto, California

David K. Stevenson, M.D.

Department of Pediatrics Stanford University School of Medicine, Stanford, California

Forty very-low-birth-weight neonatal intensive care unit (NICU) infants with birth weights 1,250 g were randomly assigned to treatment or control groups. Behavior of the treatment infants was systematically evaluated, and individualized developmentally oriented care plans were implemented to enhance stability. Treatment babies required fewer days of intermittent mandatory ventilation and continuous positive airway pressure and achieved full enteral feedings sooner. Length of hospital stay and hospital charges were less for treatment than control infants. There were favorable effects on treatment infants' behavioral performance at 42 weeks' postconceptional age. These results support the hypothesis that behaviorally sensitive, developmentally oriented care improves medical and neurodevelopmental outcome in the NICU.

Clinical Pediatrics, Vol. 34, No. 10, 523-529 (1995)
DOI: 10.1177/000992289503401003


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