Nurses’ Role in Strengthening Sensory Inputs of Preemies in NICU
DOI:
https://doi.org/10.26463/rjns.13_2_16Keywords:
Sensory inputs, Preemies, NICU, Preterm newborn, Nurses’ roleAbstract
Infants born prematurely are deprived of the prenatal sensory stimulation necessary for their proper development, and the harsh environment in neonatal intensive care unit (NICU) severely impacts their growth. This paper aims to strengthen the mother-newborn interaction to promote healthy growth and development by implementing evidenced-based sensory care in NICU and thus reducing the newborn mortality rate. This paper is focused on the initiation of positive sensory inputs for the preemies in the NICU based on evidence-based care to promote in-utero experience to the preterm newborn. The main sensory inputs include Octopus therapy, therapeutic positioning and nesting and multisensory stimulation including auditory, tactile, vestibular, and visual stimulations. The research studies have shown the benefits of sensory stimulation of preterm newborns in NICU in terms of growth of the child, neuromotor development, physiological stability, improvement in sleep, and improved mother-newborn interaction promoting adjustment of the newborn to the extrauterine life. Nurses play a very important role in initiating this sensory stimulation for the preemies admitted to NICU with maternal participation in care.
References
1. UNICEF. Levels and trends in child mortality: United Nations Inter-Agency Group for Child Mortality Estimation (UN IGME) report;2021. Available from https://data.unicef.org/resources/ levels-and-trends-in-child-mortality/
2. World Health Organization. Newborn care: second edition of Essential Newborn Care Course for field testing[Internet].Geneva: World Health Organization; 2022 [cited 2022 Oct 9]. Available from: https://www.who.int/news/item/11-04-2022- who-launches-the-second-edition-of-essential-newborn-care-course-(interim-version)-for-field-testing
3. American Academy of Pediatrics. Caring for your baby and young child: birth to age 5. 6th Edition. Bantam; 2015. Available at: https://www. healthychildren.org/English/ages-stages/baby/ preemie/Pages/Caring-For-A-Premature-Baby
4. Preterm birth [Internet]. World Health Organization; 2018 [cited 2023 Jul 3]. Available from: https:// www.who.int/news-room/fact-sheets/detail/ preterm-birth
5. Chen IL, Hung CH, Huang HC. Smoflipid is better than lipofundin for long-term neurodevelopmental outcomes in preterm infants. Nutrients 2021;13(8):2548.
6. Aita M, De Clifford Faugère G, Lavallée A, Feeley N, Stremler R, Rioux É, et al. Effectiveness of interventions on early neurodevelopment of preterm infants: a systematic review and meta-analysis. BMC Pediatr 2021;21(1):210.
7. Graven SN, Browne JV. Sensory Development in the fetus, neonate, and infant: introduction and overview. Newborn Infant Nurs Rev 2008;8(4): 169–72.
8. Pineda R, Bender J, Hall B, Shabosky L, Annecca A, Smith J. Parent participation in the neonatal intensive care unit: Predictors and relationships to neurobehavior and developmental outcomes. Early Hum Dev 2018;117:32–8.
9. Vitale FM, Chirico G, Lentini C. Sensory stimulation in the NICU environment: devices, systems, and procedures to protect and stimulate premature babies. Children (Basel) 2021;8(5):334.
10. Gatewood J. Crocheted octopi comfort preemies in hospital NICU. CNN Health News. Feb 201. Available from: https://www.cnn.com/2017/02/27/ health/premature-babies-crochet-octopus-nicu
11. Sengupta A. Octopus therapy for preemies in NICU, Development and Supportive care (DSC) Foundation for Newborn & Children. New Delhi, India; 2021. p. 23-25.
12. King C, Norton D. Does therapeutic positioning of preterm infants impact upon optimal health outcomes? A literature review. J Neonatal Nurs 2017;23(5):218–22.
13. Zarem C, Crapnell T, Tiltges L, Madlinger L, Reynolds L, Lukas K, et al. Neonatal nurses’ and therapists’ perceptions of positioning for preterm infants in the neonatal intensive care unit. Neonatal Netw 2013;32(2):110–6.
14. Ryckman J, Hilton C, Rogers C, Pineda R. Sensory processing disorder in preterm infants during early childhood and relationships to early neurobehavior. Early Hum Dev 2017;113:18–22.
15. Kara OK, Şahin S, Kara K, Arslan M. Neuromotor and sensory development in preterm infants: prospective study. Turk Pediatri Ars 2020;55(1): 46-53.
16. Maitre NL, Key A, Slaughter J et al. Neonatal Multisensory Processing in Preterm and Term Infants Predicts Sensory Reactivity and Internalizing Tendencies in Early Childhood. Brain Topogr 2020;33:586–599.
17. Huberman AD, Feller MB, Chapman B. mechanisms underlying development of visual maps and receptive fields. Annu Rev Neurosci 2008;31(1):479–509.
18. Ryckman J, Hilton C, Rogers C, Pineda R. Sensory processing disorder in preterm infants during early childhood and relationships to early neurobehavior. Early Hum Dev 2017;113:18–22.
19. Crenshaw JT. Healthy birth practice #6: keep mother and baby together-it’s best for mother, baby, and breastfeeding. J Perinat Educ 2014;23(4):211–7.
20. Lester R, Kwong A, Spittle A. Multisensory early intervention can improve visual function in preterm infants at term equivalent age. Acta Paediatrica 2021;110(6):1969–70.
21. Dionne-Dostie E, Paquette N, Lassonde M, Gallagher A. Multisensory integration and child neurodevelopment. Brain Sci 2015;5(1):32–57.
22. Murray MM, Lewkowicz DJ, Amedi A, Wallace MT. Multisensory processes: a balancing act across the lifespan. Trends Neurosci 2016;39(8):567–79.
23. Schaefer M, Hatcher RP, Barglow PD. Prematurity and infant stimulation: A review of research. Child Psych Hum Dev 1980;10(4):199–212.
