Evidence map›Paper›PMID 42420649›Full record

ArticleIndian journal of pediatrics2026

Developmentally Supportive Positioning in Preterm Newborns: A Quality Improvement Initiative.

Aditya Hemendra Bhatt, Dipen Vasudev Patel, Somashekhar Marutirao Nimbalkar, Reshma Kushal Pujara, Smita Naishad Patel, Dipika Sunil Dave, Sangita Sanjay Patel, Jigna Minesh Joshi

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Article in Indian journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Aditya Hemendra BhattDepartment of Neonatology, Pramukhswami Medical College, Bhaikaka University, Gokalnagar, Karamsad, Anand, Gujarat, 388325, India.ORCID http://orcid.org/0000-0002-7284-2915
Dipen Vasudev PatelDepartment of Neonatology, Pramukhswami Medical College, Bhaikaka University, Gokalnagar, Karamsad, Anand, Gujarat, 388325, India. dipen_patel258@yahoo.co.in.ORCID http://orcid.org/0000-0003-0671-8462
Somashekhar Marutirao NimbalkarDepartment of Neonatology, Pramukhswami Medical College, Bhaikaka University, Gokalnagar, Karamsad, Anand, Gujarat, 388325, India.ORCID http://orcid.org/0000-0003-2825-2819
Reshma Kushal PujaraDepartment of Neonatology, Pramukhswami Medical College, Bhaikaka University, Gokalnagar, Karamsad, Anand, Gujarat, 388325, India.ORCID http://orcid.org/0000-0002-8487-376X
Smita Naishad PatelDepartment of Neonatology, Pramukhswami Medical College, Bhaikaka University, Gokalnagar, Karamsad, Anand, Gujarat, 388325, India.
Dipika Sunil DaveDepartment of Neonatology, Pramukhswami Medical College, Bhaikaka University, Gokalnagar, Karamsad, Anand, Gujarat, 388325, India.
Sangita Sanjay PatelDepartment of Neonatology, Pramukhswami Medical College, Bhaikaka University, Gokalnagar, Karamsad, Anand, Gujarat, 388325, India.
Jigna Minesh JoshiDepartment of Neonatology, Pramukhswami Medical College, Bhaikaka University, Gokalnagar, Karamsad, Anand, Gujarat, 388325, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo increase the proportion of preterm infants achieving acceptable positioning [Infant Positioning Assessment Tool (IPAT) Score ≥8] from baseline 6% to ≥75% within 6-9 mo.

methodsA quality improvement initiative was conducted in a tertiary teaching hospital's Neonatal Intensive Care Unit (NICU). Preterm infants (<37 wk) cared under radiant warmers/incubators were assessed daily using the validated IPAT Scoring (0-12) across six body domains. IPAT scoring was undertaken across shifts by trained "positioning champions" (senior residents and experienced nurses). Sequential PDSA cycles introduced staff training by Positioning Champions, IPAT cards, thicker nesting, a low-cost "Nest-in-Nest" bedsheet technique, onboard training, and supportive supervision.

resultsOf 210 infants [mean (SD) gestational age 32.78 (2.44) wk; mean (SD) birth weight 1.69 (0.55) kg], 1051 IPAT observations were collected. Acceptable positioning improved from 12/201 (6.0%) at baseline [median (IQR) IPAT 4 (2, 5)] to 88/302 (29.1%) after PDSA-1 [median (IQR) 6 (5, 8)], 194/301 (64.5%) after PDSA-2 [median (IQR) 8 (7, 9)], 56/71 (78.9%) after PDSA-3 [median (IQR) 9 (8, 10)], and 156/176 (88.6%) in the sustenance phase [median (IQR) 9 (9, 10)].

conclusionsA stepwise, team-led package that pairs hands-on training with simple, locally made positioning support and continuous feedback can improve and sustain acceptable positioning in a resource-constrained NICU.

Indexed as

Infant, PrematurePatient PositioningQuality ImprovementFemaleHumansInfant, NewbornIntensive Care Units, NeonatalMaleDevelopmental careIPATNeonatal positioningPDSA cyclesPreterm infantQuality improvement

Identifiers

PMID42420649

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.