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Review
. 2022 Apr 4:40:e2020416.
doi: 10.1590/1984-0462/2022/40/2020416. eCollection 2022.

Care with child development and André Bullinger's special look at prematurity

[Article in English, Portuguese]
Mônica Regina da Silva Raiol  1 , Sylvie Viaux Savelon  2 , Marcia Maria Dos Santos de Moraes  3
Affiliations
Review

Care with child development and André Bullinger's special look at prematurity

[Article in English, Portuguese]
Mônica Regina da Silva Raiol et al. Rev Paul Pediatr. .

Abstract
in English, Portuguese

Objective: To assess different ways of caring for preterm infants' development and for their families in neonatal units, with emphasis on the studies by André Bullinger.

Data source: A review of the literature in the databases PubMed, SciELO, and the Cairn.info portal, which publishes reviews in human sciences in French. Also, the books and articles of André Bullinger, available only in French, were reviewed.

Data synthesis: This review includes the Kangaroo Method, which is based on skin to skin contact and the encouragement of breastfeeding; the Newborn Individualized Developmental Care and Assessment Program (NIDCAP), based on the Synaptic Developmental Theory and aiming to positively change the neonatal environment, having the preterm newborn as the actor of their own development and the mother as a regulator; and the Bullinger Approach, which uses a sensory-motor perspective to approach child development, including preterm infants' development.

Conclusions: The Kangaroo Method has changed child developmental care in countries with limited financial resources. NIDCAP was shown to be efficient, although only a few long-term studies have been conducted on the subject. The Bullinger Approach is well diffused in European neonatal units, with promising results for the prevention of neurodevelopmental disabilities, especially those related to orality.

Objetivo: Abordar diferentes formas de cuidado em relação ao desenvolvimento de crianças prematuras e suas famílias nas unidades neonatais, com ênfase nos estudos de André Bullinger.

Fontes de dados: Revisão da literatura nas bases de dados PubMed e Biblioteca Eletrônica Científica Online (SciELO), no portal Cairn.info, que publica revisões em ciências humanas e sociais de língua francesa, e nas obras de André Bullinger, disponíveis somente na língua francesa.

Síntese dos dados: Esta revisão contempla o Método Canguru, que é centrado no contato pele a pele e no incentivo ao aleitamento materno; o Newborn Individualized Developmental Care and Assessment Program (NIDCAP), que se baseia na teoria sináptica do desenvolvimento e visa modificar positivamente o ambiente neonatal, sendo o prematuro ator do seu próprio desenvolvimento e sua mãe a reguladora; e a Abordagem Bullinger, que tem um olhar para o desenvolvimento da criança numa perspectiva sensório-motora, com trabalhos dedicados à prematuridade.

Conclusões: O Método Canguru transformou os cuidados com o desenvolvimento infantil em países com recursos financeiros limitados. O NIDCAP tem se mostrado eficaz, apesar de poucos estudos em longo prazo. A Abordagem Bullinger, muito difundida e mais utilizada nas unidades neonatais da Europa, tem resultados promissores na prevenção de patologias do neurodesenvolvimento, especialmente no que tange aos distúrbios da oralidade.

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Conflict of interest statement

Conflict of interest

The authors declare no conflict of interest.

Figures

Figure 1.
Figure 1.. Right and left asymmetrical positions described by André Bullinger.
Figure 2.
Figure 2.. Spontaneous symmetric posture and asymmetric postures described by Martinet.
See this image and copyright information in PMC

References

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