What’s that noise—tackling sound pollution in the NICU: a systematic review - Summary - MDSpire

What’s that noise—tackling sound pollution in the NICU: a systematic review

  • By

  • Vito Giordano

  • Sophie Mandl

  • Lisa Bartha-Doering

  • Christoph Reuter

  • Matthias Bertsch

  • Brigitte Wildner

  • Sophie Stummer

  • Katrin Klebermass-Schrehof

  • Marcus Maeder

  • Angelika Berger

  • Philipp Deindl

  • June 12, 2026

  • 0 min

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Objective:

To identify, describe, and categorize noise sources in the NICU and examine their potential impact on preterm infants, emphasizing the significance of these impacts.

Approach:
    Key Findings:
    • Most studies reported sound levels substantially above recommended limits, indicating a critical need for intervention.
    • Major noise contributors included alarms, staff conversations, and incubator-associated equipment, which could be targeted for reduction.
    • Respiratory support devices produced the highest internal noise levels, raising concerns about their use in sensitive environments.
    • Interventions yielded short-term improvements but rarely sustained reductions, highlighting the need for more effective strategies.
    Interpretation:

    NICU noise is a modifiable risk factor with significant developmental implications, necessitating further research on long-term effects.

    Limitations:
    • Current evidence on long-term neurodevelopmental implications of early noise exposure remains heterogeneous and largely observational.
    • Incubators provide partial attenuation of environmental noise but do not fully protect infants, and excessive shielding may reduce meaningful auditory input.
    Conclusion:

    Future strategies should integrate environmental design, technological innovation, and infant-focused interventions to create safer acoustic conditions, emphasizing the importance of addressing noise pollution for developmental outcomes.

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