Improving Outcomes of Extremely Premature Infants through Infant-Driven Care

Jenn Gonya, Ph.D., Nicole Cistone, Amy Baughcum, Ph.D., Jennifer Hofherr, Leslie Thomas, Rebecca Romero, Amee Szyperski
Nationwide Children’s Hospital Neonatal Intensive Care Small Baby Program, Columbus, Ohio, US

Series: Neonatology Research Developments
BISAC: MED070000



Volume 10

Issue 1

Volume 2

Volume 3

Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick


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Extremely preterm infants (gestational age ≤ 27 completed weeks) represent one of the highest risk categories for death and neurodevelopmental impairment. Purposeful, evidence-based health management and developmentally appropriate care practices make a significant difference in the outcomes of these patients. This book describes a set of guidelines that have been established for the specific care of extremely premature infants and discusses the ways in which the implementation of these guidelines in the neonatal intensive care unit setting ensures an approach that addresses both the medical and developmental needs of this highly vulnerable population.

Content includes management of respiratory, skin, cardiovascular, fluids/nutrition, and neurological issues as well as appropriate methodologies for pain control, laboratory studies, and infection control. Special emphasis is also placed on the role of the family, the practices of skin-to-skin care and breastfeeding, and nursing care based on infant cues. The evidence and rationale behind each guideline is provided as well as specific information to assist in care planning.


Chapter 1. The World of the Extremely Premature Infant

Chapter 2. An Integrated Model of Infant-Driven Care

Chapter 3. Care of the Family

Chapter 4. Care of the Body

Chapter 5. Care of the Mind

Chapter 6. Outcomes and Future Directions


Keywords: Extreme prematurity, interdisciplinary care, care guidelines, developmental care

The book is written for professionals who work with extremely premature infants in the neonatal intensive care unit.

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