Curr Womens Health Rev. 2011 Aug;7(3):288-301. doi: 10.2174/157340411796355216.

The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) with Kangaroo Mother Care (KMC): Comprehensive Care for Preterm Infants.

Current women's health reviews

Heidelise Als, Gloria B McAnulty

PMID: 25473384 PMCID: PMC4248304 DOI: 10.2174/157340411796355216

Abstract

State-of-the-art Newborn Intensive Care Units (NICUs), instrumental in the survival of high-risk and ever-earlier-born preterm infants, often have costly human repercussions. The developmental sequelae of newborn intensive care are largely misunderstood. Developed countries eager to export their technologies must also transfer the knowledge-base that encompasses all high-risk and preterm infants' personhood as well as the neuro-essential importance of their parents. Without such understanding, the best medical care, while assuring survival jeopardizes infants' long-term potential and deprives parents of their critical role. Exchanging the womb for the NICU environment at a time of rapid brain growth compromises preterm infants' early development, which results in long-term physical and mental health problems and developmental disabilities. The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) aims to prevent the iatrogenic sequelae of intensive care and to maintain the intimate connection between parent and infant, one expression of which is Kangaroo Mother Care. NIDCAP embeds the infant in the natural parent niche, avoids over-stimulation, stress, pain, and isolation while it supports self-regulation, competence, and goal orientation. Research demonstrates that NIDCAP improves brain development, functional competence, health, and life quality. It is cost effective, humane, and ethical, and promises to become the standard for all NICU care.

Keywords: Kangaroo Mother Care; NICU; NIDCAP; developmental care; premature infant; prematurity

References

1. J Child Psychol Psychiatry. 1967 May;8(1):13-25 - PubMed
2. JAMA. 2005 Jul 20;294(3):318-25 - PubMed
3. J Neurophysiol. 1985 Feb;53(2):572-89 - PubMed
4. Pediatrics. 1995 Nov;96(5 Pt 1):923-32 - PubMed
5. Int J Epidemiol. 2010 Apr;39 Suppl 1:i144-54 - PubMed
6. Science. 1988 Feb 12;239(4841 Pt 1):766-8 - PubMed
7. Acta Paediatr. 2004 Oct;93(10):1363-71 - PubMed
8. Dev Med Child Neurol. 1999 Feb;41(2):83-6 - PubMed
9. J Pediatr. 1970 Jul;77(1):11-8 - PubMed
10. J Am Acad Child Psychiatry. 1980 Winter;19(1):1-21 - PubMed
11. Geburtshilfe Frauenheilkd. 1978 Aug;38(8):629-35 - PubMed
12. J Commun. 1977 Spring;27(2):66-73 - PubMed
13. Science. 1963 Mar 15;139(3559):1110-5 - PubMed
14. JAMA. 2006 Feb 8;295(6):667-75 - PubMed
15. Am J Orthopsychiatry. 1974 Jul;44(4):520-31 - PubMed
16. Child Dev. 1991 Oct;62(5):1184-99 - PubMed
17. Pediatrics. 2009 Apr;123(4):1246-7 - PubMed
18. J Comp Neurol. 1985 May 22;235(4):448-66 - PubMed
19. Brain Res Dev Brain Res. 1991 Feb 22;58(2):151-8 - PubMed
20. J Dev Behav Pediatr. 2009 Apr;30(2):122-30 - PubMed
21. Environ Health Perspect. 1991 Jan;90:159-64 - PubMed
22. Am J Orthopsychiatry. 1961 Apr;31:223-53 - PubMed
23. Acta Paediatr. 2005 May;94(5):514-22 - PubMed
24. JAMA. 1994 Sep 21;272(11):853-8 - PubMed
25. J Perinat Neonatal Nurs. 2000 Dec;14(3):78-91 - PubMed
26. Science. 1983 Jul 8;221(4606):178-80 - PubMed
27. Pediatrics. 2000 Feb;105(2):325-31 - PubMed
28. Pediatrics. 2000 Jun;105(6):1216-26 - PubMed
29. Sci Am. 1989 Jul;261(1):78-83 - PubMed
30. Pediatrics. 2009 Oct;124(4):1009-20 - PubMed
31. Clin Pediatr (Phila). 2010 Mar;49(3):258-70 - PubMed
32. Early Hum Dev. 2000 Dec;60(2):123-35 - PubMed
33. Biol Neonate. 2000 Feb;77(2):69-82 - PubMed
34. N Engl J Med. 1991 Sep 5;325(10):727-9 - PubMed
35. Pediatrics. 2007 Oct;120(4):793-804 - PubMed
36. Nurs Res. 2000 Jul-Aug;49(4):215-23 - PubMed
37. Acta Paediatr Scand. 1987 Nov;76(6):851-60 - PubMed
38. Transfus Med. 2008 Apr;18(2):77-82 - PubMed
39. Early Hum Dev. 2002 Jul;68(2):83-91 - PubMed
40. Pain. 2009 Dec 15;147(1-3):128-31 - PubMed
41. Pediatrics. 2000 Jan;105(1 Pt 1):66-72 - PubMed
42. J Nutr. 2003 May;133(5 Suppl 2):1632S-1639S - PubMed
43. Paediatr Perinat Epidemiol. 2001 Jul;15 Suppl 2:78-89 - PubMed
44. J Am Acad Child Psychiatry. 1981 Spring;20(2):239-63 - PubMed
45. Early Hum Dev. 1990 Mar;21(3):153-63 - PubMed
46. Nurs Econ. 1997 May-Jun;15(3):138-45, 150 - PubMed
47. Pediatrics. 2004 Apr;113(4):846-57 - PubMed
48. Neuropsychologia. 1998 Jun;36(6):531-4 - PubMed
49. N Engl J Med. 2002 Jan 17;346(3):149-57 - PubMed
50. Pediatrics. 2008 Nov;122(5):e1006-13 - PubMed
51. Acta Paediatr. 2010 Jun;99(6):812-9 - PubMed
52. Brain Res Mol Brain Res. 1993 May;18(3):195-200 - PubMed
53. Acta Paediatr. 2009 Dec;98(12):1920-6 - PubMed
54. Pediatrics. 2004 Apr;113(4):920-3 - PubMed
55. Clin Perinatol. 2004 Jun;31(2):261-85, vi-vii - PubMed
56. J Neurosci. 2010 Feb 17;30(7):2571-81 - PubMed
57. Acta Paediatr. 2010 Jun;99(6):820-6 - PubMed
58. Pediatr Neurol. 2006 Aug;35(2):85-92 - PubMed
59. Clin Pediatr (Phila). 1995 Oct;34(10):523-9 - PubMed
60. J Dev Behav Pediatr. 2003 Dec;24(6):399-408 - PubMed
61. Proc Natl Acad Sci U S A. 1989 Jun;86(11):4297-301 - PubMed
62. Pediatrics. 2010 Jan;125(1):4-15 - PubMed
63. Dev Med Child Neurol. 1997 May;39(5):343-6 - PubMed
64. Pediatrics. 2004 Jan;113(1 Pt 1):95-100 - PubMed
65. J Pediatr. 1999 May;134(5):631-4 - PubMed

Publication Types

• Journal Article

Grant support

• P30 HD018655/HD/NICHD NIH HHS/United States
• R01 HD038261/HD/NICHD NIH HHS/United States
• R01 HD046855/HD/NICHD NIH HHS/United States