Assessing Infant-oriented Care with Developmental Support Approach in Iranian NICUs.

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

PubMedID: 28508672

Razavi Nejad M, Eskandary Z, Heidarzadeh M, Afjeh A, Almasi-Hashiani A, Akrami F. Assessing Infant-oriented Care with Developmental Support Approach in Iranian NICUs. J Matern Fetal Neonatal Med. 2017;1-15.
INTRODUCTION
Developmental care program is a comprehensive program to reduce secondary effects of NICU and special care on brain development in premature infants. This study aimed to assess neonatal care situation in Iranian NICUs based on developmental approach to design and provide clinical guidelines for daily care for the care givers and the infant's family.

METHODS
This was a cross-sectional study conducted in NICUS in Iran. A total of 23 NICUs of 9 Universities of Medical Sciences were investigated. The checklist contains 30 items in 6 domains. Data were analyzed using STATA software, version 13.

RESULTS
The total mean score obtained from all six domains was 31.29 of 100 and in all domains; the mean scores calculated were not above 50. In "supporting infant", "developmental caregiving activities", "Supporting the Infants' State Organization", "providing neonatal pain management", "developmental care approaches in documentation" and "developmental care approaches in NICU staffing" the total mean score were 34.76, 21.6, 20, 30.18, 31.30 and 50, respectively.

CONCLUSION
The low mean score of infant-centered developmental care implies health staff's focus on neonatal care with at least the quality of care and its impact on development in preterm infants, and inadequate attention to the infant as an active member in care.