title: [Developmental centered care. Situation in Spanish neonatal units].
abstract: BACKGROUND
  Developmental centered care (DC) is focused on sensorineural and emotional development of the newborns. In Spain we have had information on the application of DC since 1999, but the extent of actual implementation is unknown.
  
  
  OBJECTIVE
  To determine the level of implementation of DC in Spanish neonatal units where more than 50 infants weighing under 1500g were cared for in 2012. A comparison was made with previous data published in 2006.
  
  
  METHODS
  A descriptive observational cross-sectional study was performed using a survey with seven questions as in the 2006 questionnaire.
  
  
  RESULTS
  The survey was sent to 27 units. The response rate was 81% in 2012 versus 96% in 2006. Noise control measures were introduced in 73% of units in 2012 versus 11% in 2006 (P<.01). The use of saccharose was 50% in 2012 versus 46% in 2006 (P=.6). Parents free entry was 82% in 2012 versus 11% in 2006 (P<.01). Kangaroo care was used without restriction by 82% in 2012 compared to 31% in 2006 (P<.01).
  
  
  CONCLUSIONS
  The implementation of the DC in Spain has improved. There is still room for improvement in areas, such as the use of saccharose or noise control. However, it is important to highlight the positive change that has occurred in relation to unrestricted parental visits.
authors.affiliation: Servicio de Neonatología, Hospital 12 de Octubre, Madrid, España; Red de Salud Materno Infantil y del Desarrollo (RED SAMID). Electronic address: mariamaestro@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: López Maestro
authors.affiliation: Servicio de Neonatología, Hospital 12 de Octubre, Madrid, España.
authors.forename: A
authors.initials: A
authors.lastname: Melgar Bonis
authors.affiliation: Departamento de Epidemiología e Investigación clínica, Hospital 12 de Octubre, Madrid, España.
authors.forename: J
authors.initials: J
authors.lastname: de la Cruz-Bertolo
authors.affiliation: Red de Salud Materno Infantil y del Desarrollo (RED SAMID); Servicio de Neonatología, Hospital Vall d'Hebrón, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Perapoch López
authors.affiliation: Servicio de Neonatología, Hospital 12 de Octubre, Madrid, España.
authors.forename: R
authors.initials: R
authors.lastname: Mosqueda Peña
authors.affiliation: Servicio de Neonatología, Hospital 12 de Octubre, Madrid, España; Red de Salud Materno Infantil y del Desarrollo (RED SAMID).
authors.forename: C
authors.initials: C
authors.lastname: Pallás Alonso
mesh_terms: D002657:Child Development; D003430:Cross-Sectional Studies; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D015931:Intensive Care, Neonatal / Q000458:organization & administration / Q000592:standards*; D013030:Spain; D011795:Surveys and Questionnaires
keywords: Analgesia no farmacológica; Breastfeeding; Dolor; Kangaroo care; Lactancia materna; Método canguro; NIDCAP; Neurodesarrollo; Neurodevelopmental; Non-pharmacological analgesia; Pain