Maestro ML, De la Cruz J, Perapoch-Lopez J, et al. - At the national level, researchers evaluated the implementation of eight principles for infant- and family-centred developmental care (IFCDC) in neonatal units. In 2018, a European group of experts developed eight 'Principles of care' outlining neurodevelopmental and family-centred care. A survey sent to level-III Spanish units evaluated the implementation of each principle. Data reported that the response rate was 84.5%. No unit had eight principles applied. According to findings, Principle 1 (free parental access) has been introduced in 21.5% of the centres; Principle 2 (psychological support) 40%; Principle 3 (pain-management) 7,7%; Principle 4 (environmental influences) 29%; Principle 5 (postural support) 84.6%; Principle 6 (kangaroo-care) 67.7%; Principle 7 (breastfeeding) 23% and Principle 8 (sleep protection) in 46%. The principle with the highest implementation was associated with the positioning of the newborn body. Pain management was the lowest implementation principle. For units that provide care for a higher number of VLBW children, more principles of IFCDC appear to be applied.