Subject: Neurodevelopmental Disorders and Neurodisability

Series: Clinics in Developmental Medicine

Publication date: 28/10/2011

ISBN: 9781907655036

Edition: 4th

Pages: 200

Neonatal Behavioral Assessment Scale, 4th Edition

T. Berry Brazelton, J. Kevin Nugent (Authors)

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  • Fourth edition of the most comprehensive examination of newborn behavior available
  • Well established and used globally as a research instrument and in clinical practice
  • Case studies from a range of disciplines and settings enrich this edition
  • New administration guidelines and refined scoring criteria for researchers and clinicians

The Neonatal Behavioral Assessment Scale (NBAS) is the most comprehensive examination of newborn behaviour available today and has been used in clinical and research settings around the world for more than 35 years.

The scale assesses the newborn’s behavioral repertoire with 28 behavioral items and also includes an assessment of the infant’s neurological status on 20 items.

The NBAS items cover the following domains of neonatal functioning: autonomic regulation; motor organization; state organization and regulation and attention/social interaction.

The first part of this new edition book describes in detail the procedures involved in administering and scoring the NBAS. This is followed by chapters setting the assessment in the context of psychological influences around birth, the relationship between the examiner, infant and parents, and what we know about newborn motor behaviour. After a chapter on the use of the NBAS in research settings, the final part comprises descriptions by professionals around the world of its use in clinical practice.

Since the time it was first published, the NBAS has been used in hundreds of studies to examine the effects of a wide range of pre- and perinatal variables. This new edition therefore contains an updated review of research using the NBAS. Because the NBAS is being used increasingly as a way of promoting a positive relationship between parent and child, the new edition also includes new guidelines for clinicians. New guidelines and numerous refinements in the administration and scoring have now been added, and a section describing advances in our understanding of motor behaviour has been added. Finally, new chapters present the uses of the NBAS in a range of contexts around the world, highlighting the wide range of research and clinical applications of the NBAS.

Paediatricians, neonatologists, all those involved in the examination of the newborn infant including, for example, nurses, psychologists, infancy specialists, lactation consultants, home visitors, occupational therapists, physical therapists, early intervention specialists, social workers and other allied health professionals (all of whom attend NBAS training courses).

Clinics in Developmental Medicine No. 190

T. Berry Brazelton (Author)

T. Berry Brazelton, MD, is Professor of Pediatrics Emeritus at Harvard Medical School, is one of the worldís foremost authorities on pediatrics and child development. He has authored over 200 scholarly papers and he has also written forty books on pediatrics, child development and parenting.

J. Kevin Nugent (Author)
Director, the Brazelton Institute, Division of Behavioral Pediatrics, Childrenís Hospital, Boston; Professor, Children, Families and Schools, University of Massachusetts at Amherst; Lecturer, Harvard Medical School.

Contributors vii
Foreword ix
Martin Bax
1. Introduction 1
T. Berry Brazelton
2. Standard administration of the NBAS 7
3. Manual for scoring the NBAS Items 41
4. Research Uses for the NBAS 67
5. Clinical Uses of the NBAS 84
I. Introduction 84
II. The Combined Physical and Behavioral Neonatal Examination: A Parent-Centered Approach to Pediatric Care 92
Constance Helen Keefer
III. A Model for Intergrating the NBAS into Nursing Practice 102
Donna J. Karl, Judy A. Beal and Patricia N. Rissmiller
IV. Using the NBAS with Families: A Psychotherapeutic Approach 108
Hanne Munck
V. Family Administered Neonatal Activities (FANA) 111
Ida Anne Cardone and Linda Gilkerson
VI. Parents’ Perceptions as Guides for Conducting NBAS Clinical Sessions 117
Dieter Wolke
VII. Using the NBAS with High-Risk Infants 126
Jean Gardner Cole
Appendices 123
1. NBAS Scoring Form 133
2. Mother and Baby Scales (MBAS) 135
References 138

'This is the single original source for this comprehensive newborn behavioral scale. Other books may refer to the NBAS and even give an abbreviated version of its administration and scoring, but clinicians and researchers wishing to use the NBAS should learn how to do it from the people who created it.'

Jay Goldsmith, MD, Tulane University School of Medicine

'This book is particularly useful not only for those who are interested in the psychological and neurological behaviour, interaction and motor development of newborns, but for anyone wishing to understand assessment beyond the medical available in clinical practice. The NBAS offers a multi-layered assessment tool, much more sophisticated and thought about than other standard assessment tools. It also requires rigorous training to produce competent and capable examiners. It combines physical assessment with psychological and psychoanalytical considerations in not only the newborn and parents but the examiner as well.'

Rashmi Verma, Infant Observation, 2012

Neonatal Behavioral Assessment Scale, 4th Edition – Chapter 1: Background and Conceptual Basis (free ebook) - £0