Special Care

Providing special care for sick and premature babies

There have been many advances in the care of sick and premature babies, not just in technology and medicine, but also in meeting the special emotional and developmental needs of these babies. In the NICU, babies are often subjected to tests, procedures, noises, and lights--very different from the warm, dark, comfort of the mother's womb. Some babies are too sick to be held or have difficulty comforting themselves when not being held. Premature babies especially need a supportive environment to help them continue to mature and develop as they would in their mother's womb.

What is developmental care?

The practice of developmental care is used in many NICUs to meet babies' special needs. Developmental care involves many aspects: from meeting comfort needs and helping babies feel secure and develop normal sleep patterns, to decreasing stimulation from noise, lights, or procedures. Research into developmental care is finding many benefits for babies, especially for premature babies, including shorter hospital stays, fewer complications, improved weight gain, better feeding, and enhanced parent and infant bonding.

Developmental care includes changes in:

  • The overall physical environment--changing the physical surroundings to provide normal day/night cycles and decrease noise and stress.

  • The baby's immediate environment--providing cushions for supporting the baby's position and keeping the baby's arms and legs in proper arrangement to help with development and comfort.

  • The way care is provided--using signals from the baby to plan care at times when the baby is awake and least stressed rather than interrupting sleep patterns or performing procedures when the baby is at a high stress level.

What is Kangaroo Care?

Kangaroo Care is a practice that originated in Colombia in the late 1970s that has been adopted worldwide because of the advantages for premature babies. Kangaroo Care means holding an NICU baby skin-to-skin (against the parent's chest) for varying lengths of time. Premature and sick babies that "kangaroo" appear to relax and become content. Numerous studies have shown that Kangaroo Care has many health benefits that include the following:

  • Higher blood oxygen levels

  • Improved sleep

  • Improved breastfeeding

  • Improved weight gain

Kangaroo Care also helps parents feel close to their baby, and gives them confidence in their ability to meet their baby's needs. Mothers who "kangaroo" also show improved breast milk production.