NIDCAP NIDCAP

Dr Jila MirlashariDr Jila MirlashariTehran University of Medical SciencesTehran University of Medical Sciences

Nursing and Midwifery FacultyNursing and Midwifery Faculty

• The Emory team tracked babies born between 36 and 37 weeks as they moved into the first grade to see how they performed on their Criterion-Reference Competency Tests.

• They found late preterm children were 19 percent more likely to fail the math section of the exam than their full term peers.

NIDCAP is about observing the baby

NICU should be dark and quiet

Turn off the lights

It is a quiet zone

Ear Muff

Ear Muff

It is about KMC

Skin to skin holding

It is about KFC

It is about KFC

It about appropriate position and bedding and using the nest

ZAKY

Baby needs a better nest with more support and a little more flexion

Appropriate nesting

nest

Zaky

Nest

Nesting and position

Individualized bedding

position

Nesting

Appropriate handling

It is about supportive healers hands

Non nutritive sucking

It is about FCC

It is about FCC

Listen- look and learnThe baby is your best teacher

• That little yawn, suddenly opened hand, frown, leg extension, or grimace.

• To an astute neonatal intensive care nurse, these are all subtle communications from their tiniest patients that may mean I need a short break, I am worried, I need something to brace my feet on, or I am uncomfortable

Listen, Look, LearnListen, Look, Learn

Some avoidance cues :Some avoidance cues :• include yawning, • hiccups, • sneezing, • facial grimacing• squirming movements• the ‘salute’ (fingers over face),• looking away, • jerky movements, • finger splaying, • tremors • clenched fists

positive ‘coping’ cues or behaviorspositive ‘coping’ cues or behaviors• Hand to mouth,• hands together, sucking, • smooth movements (as opposed

to jerky) and • grasping/holding.

• These are examples of inborn These are examples of inborn behavioral patterns that help behavioral patterns that help your baby to stay calm, pay your baby to stay calm, pay attention and remain controlled.attention and remain controlled.

What does it mean

Sit on air/ Airplane

Sit on air

Finger Splay

Open face ready to communicate

Hand to mouth

Clasp hands

Taking care of brain

m

Rey‑Osterrieth complex figure. The figure represents sample drawings from 2 study children, 1 from the Control group, a 9 year 3 month old born at 31 w 1 d GA; and 1 from the Experimental group, a 8 year 4 month old born at 31 w 4 d GA. The conditions displayed are from left to right: Copy, Immediate Recall, and Delayed Recall

Thank you Thank you