Your Baby's Gestational Development

This information was created by NICU staff to support parents during their NICU journey and help you feel more confident caring for your baby. You will learn:

  • How your baby develops at different gestational ages
  • Meaningful ways to bond with and comfort your baby 
  • How to stay involved and prepared at different stages of development

What to Expect at 23-27 Weeks

  • Learn about hand hugs and encircled bed holding
  • Place your hands gently on your baby or circle your baby with your arms in the incubator
    • No rubbing or stroking
    • Whisper only
  • Start kangaroo care as soon as it is safe for your baby
  • Read the NICU Admission Booklet
  • Find the parent education articles and videos on the Bump2Baby app
  • Meet with a lactation consultant
  • Pump breast milk for your baby
  • An occupational therapist will help with care and positioning of your baby
    • They will also provide gentle movement exercises as tolerated by your baby
  • NICU Scrapbooking invites you to create a scrapbook for your baby
  • Create a special recording for your baby with the music therapist
  • The Milestone Photo Program will provide free photo keepsakes to welcome your new baby
  • Hang a picture of your family in the incubator
  • Bring in baby blankets from home
  • Bring in some items from your nursery to make the room your own

At 22-25 weeks, your baby benefits from:

  • Your touch – Hand hugs, encircled bed holding, kangaroo care
  • Your voice – Talk to your baby, tell a story or read a book in a whisper voice
  • Your care – Take your baby’s temperature, change a diaper, hand hug your baby while the nurse provides care
  • Feeding – Provide breast milk, offer breast milk swabs

At 26-27 weeks, your baby benefits from:

  • Your touch – Hand hugs, encircled bed holding, kangaroo care
  • Your voice – Talk to your baby, tell a story or read a book in a low, soft voice
  • Your care – Take your baby’s temperature, change a diaper, hand hug your baby while the nurse provides care
  • Feeding – Provide breast milk, offer breast milk swabs, hold during feeds and offer a pacifier if awake

What To Expect At 28-30 Weeks

  • Start music therapy with kangaroo care
  • Read the NICU Admission Booklet
  • Find the parent education articles and videos on the Bump2Baby app
  • Pump breast milk for your baby
  • Offer a pacifier when your baby is awake and sucking
  • An occupational therapist will work with your baby to provide gentle movement exercises
  • Create a scrapbook for your baby in the NICU (no experience needed and all materials are free)
  • The Milestone Photo Program provides free photo keepsakes to welcome your new baby
  • Create a special recording for your baby with the music therapist by choosing music and songs that are soothing or creating a heartbeat bear

At 28-30 weeks, your baby benefits from:

  • Your touch – Hand hugs, encircled bed holding, kangaroo care, begin swaddling after talking to the healthcare team
  • Your voice – Talk to your baby, tell a story or read a book or sign in a low, soft voice
  • Your care – Take your baby’s temperature, change a diaper, hand hug your baby while the nurse provides care, give a bath with the help of the nurse
  • Feeding – Provide breast milk, offer breast milk swabs, hold during feeds and offer a pacifier if awake

What To Expect At 31 Weeks

  • Practice kangaroo care (Parents can schedule music therapy with kangaroo care)
  • Read the NICU Admission Booklet
  • Find the parent education articles and videos on the Bump2Baby app
  • Offer kangaroo care during feeds
  • When your baby is working on sucking, add dips of breast milk to the pacifier
  • Pump breast milk for your baby
  • An occupational therapist will be working with your baby to provide gentle movement exercises
  • Create a scrapbook for your baby in the NICU (no experience needed and all materials are free)
  • The Milestone Photo Program provides free photo keepsakes to welcome your new baby
  • The music therapist offers multimodal neurologic enhancement through singing, rocking and positive touch massage (this can be taught to parents if your baby weighs at least 1700 grams)
  • Create a special recording for your baby with the music therapist by choosing music and songs that are soothing or creating a heartbeat bear

At 31 weeks, your baby benefits from:

  • Your touch – Swaddling, kangaroo care
  • Your voice – Talk to your baby, tell a story or read a book or sign in a low, soft voice
  • Your care – Take your baby’s temperature, change a diaper, hand hug your baby while the nurse provides care, give a bath
  • Feeding – Provide breast milk, offer breast milk swabs, hold during feeds and offer a pacifier with dips of breastmilk if awake

What To Expect At 32 Weeks

  • Practice kangaroo care (Parents can schedule music therapy with kangaroo care)
  • Read the NICU Admission Booklet
  • Find the parent education articles and videos on the Bump2Baby app
  • Start non-nutritive breastfeeding (if infant is stable) and pump breast milk
  • If your baby is not ready to start non-nutritive breastfeeding, offer kangaroo care during feeds
  • Readiness scoring for feeding begins
  • Bring in clothes from home if your baby is not in an incubator with humidity
  • Begin cycled lighting:
    • Lights on and covers off incubator during the day
    • Covers back on the incubator and lights off at night
  • An occupational therapist completes a developmental assessment
  • Create a scrapbook for your baby in the NICU (no experience needed and all materials are free)
  • The Milestone Photo Program provides free photo keepsakes to welcome your new baby
  • The music therapist offers multimodal neurologic enhancement through singing, rocking and positive touch massage (this can be taught to parents if your baby weighs at least 1700 grams)
  • Create a special recording for your baby with the music therapist by choosing music and songs that are soothing or creating a heartbeat bear

At 32 weeks, your baby benefits from:

  • Your touch – Swaddling, kangaroo care
  • Your voice – Talk to your baby, tell a story or read a book or sign in a low, soft voice
  • Your care – Take your baby’s temperature, change a diaper, hand hug your baby while the nurse provides care, give a bath
  • Feeding – Provide breast milk, offer breast milk swabs, hold during feeds and offer a pacifier with dips of breastmilk if awake, begin non-nutritive breastfeeding if the baby is stable

What To Expect At 33-34 Weeks

  • Practice kangaroo care (Parents can schedule music therapy with kangaroo care)
  • Read the NICU Admission Booklet
  • Find the parent education articles and videos on the Bump2Baby app
  • Put baby to breast, pump breast milk or bottle feed if baby is ready (a lactation consultant can help with breastfeeding)
    • The occupational therapist will follow your baby to assess for developmental and feeding needs
    • If your baby is ready, you can begin to breast or bottle feed; bring in a bottle from home if you have one you would like to use
  • Create a scrapbook for your baby in the NICU (no experience needed and all materials are free)
  • The Milestone Photo Program provides free photo keepsakes to welcome your new baby
  • The music therapist offers multimodal neurologic enhancement through singing, rocking and positive touch massage (this can be taught to parents if your baby weighs at least 1700 grams)
  • Create a special recording for your baby with the music therapist by choosing music and songs that are soothing or creating a heartbeat bear

At 33-34 weeks, your baby benefits from:

  • Your touch – Swaddling, kangaroo care
  • Your voice – Talk to your baby, tell a story or read a book or sign in a low, soft voice
  • Your care – Take your baby’s temperature, change a diaper, hand hug your baby while the nurse provides care, give a bath
  • Feeding – Provide breast milk and hold during feeds; if your baby shows signs of readiness, start breastfeeding or giving a bottle; if your baby is not ready, continue dips of breastmilk on a pacifier 

What To Expect At 35-37 Weeks

  • Practice kangaroo care (Parents can schedule music therapy with kangaroo care)
  • Read the NICU Admission Booklet
  • Find the parent education articles and videos on the Bump2Baby app
  • Babies need to be held every day by family, staff or trained volunteer cuddlers
  • Put baby to breast, pump breast milk or bottle feed if baby is ready (a lactation consultant can help with breastfeeding)
    • The occupational therapist will follow your baby to assess for developmental and feeding needs
  • Create a scrapbook for your baby in the NICU (no experience needed and all materials are free)
  • The Milestone Photo Program provides free photo keepsakes to welcome your new baby
  • The music therapist offers multimodal neurologic enhancement through singing, rocking and positive touch massage (this can be taught to parents if your baby weighs at least 1700 grams)
  • Create a special recording for your baby with the music therapist by choosing music and songs that are soothing or creating a heartbeat bear
  • Your baby should see the world beyond the crib in a swing, bouncy seat or feeding and infant support pillows (these can be brought from home)
  • Begin Safe Sleep practices when baby takes more than 50% of his or her feeding by nipple

At 35-37 weeks, your baby benefits from:

  • Your touch – Swaddling, kangaroo care
  • Your voice – Talk to your baby, tell a story or read a book or sign in a low, soft voice
  • Your care – Take your baby’s temperature, change a diaper, hand hug your baby while the nurse provides care, give a bath
  • Feeding – Provide breast milk, hold during feedings and breastfeed or give bottles if ready

What To Expect At 38 Weeks And Older

  • Practice kangaroo care (Parents can schedule music therapy with kangaroo care)
  • Read the NICU Admission Booklet
  • Find the parent education articles and videos on the Bump2Baby app
  • You may discuss proper play activities that are good for your baby with the occupational therapist and the music therapist
  • Ask the nurse, occupational therapist or music therapist about bringing toys from home
  • Put baby to breast, pump breast milk or bottle feed
  • Take stroller walks in the unit
  • Use floor mats, toys and books for play time and tummy time
  • Always place baby in safe sleep
  • Create a scrapbook for your baby in the NICU (no experience needed and all materials are free)
  • The Milestone Photo Program provides free photo keepsakes to welcome your new baby
  • The music therapist offers multimodal neurologic enhancement through singing, rocking and positive touch massage (this can be taught to parents if your baby weighs at least 1700 grams)
  • Create a special recording for your baby with the music therapist by choosing music and songs that are soothing or creating a heartbeat bear

At 38 weeks and older, your baby benefits from:

  • Your touch – Swaddling, kangaroo care
  • Your voice – Talk to your baby, tell a story or read a book or sign in a low, soft voice
  • Your care – Take your baby’s temperature, change a diaper, hand hug your baby while the nurse provides care, give a bath, place baby in safe sleep position
  • Feeding – Provide breast milk, hold during feedings and breastfeed or give bottles if ready

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NICU Parents Resources

  • Your Baby's Gestational Development