Partnering with parents to improve outcomes for substance exposed newborns-a pilot program.,Journal of Perinatology

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Partnering with parents to improve outcomes for substance exposed newborns-a pilot program.
Journal of Perinatology ( IF 2.4 ) Pub Date : 2020-03-23 , DOI: 10.1038/s41372-020-0662-9
Rachana Singh _{1,

2} , Rachel Rothstein _{1,

3} , Karen Ricci ₁ , Paul Visintainer _{2,

4} , Jeffrey Shenberger _{1,

5} , Eilean Attwood _{1,

2} , Peter Friedmann _{1,

4}

Affiliation

Objective

Assess impact of parental involvement in care provision for term substance exposed newborns (SENs).

Study design

Prospective observational cohort study included mothers with opioid use disorder and their SENs over 4 year study period. Maternal–Infant dyads enrolled in EMPOWER and rooming-in (RI) programs were included and received care 24/7 in a private room until newborn’s discharge. Outcomes were compared for dyads participating in EMPOWER/RI with historical controls.

Results

Ninety of 156 historical SENs were RI eligible, while 49 of 108 SENs born during RI period had mothers enrolled in EMPOWER. EMPOWER/RI SENs had lower rates for and duration of pharmacotherapy, shorter neonatal intensive care unit (NICU) and hospital lengths of stay. EMPOWER/RI increased initiation and continuation of breastfeeding at discharge.

Conclusions

Parental participation was associated with a decrease in initiation and duration of pharmacotherapy, NICU admission, length of stay and hospital charges while increasing breastfeeding initiation and continuation at discharge.

中文翻译：

与父母合作以改善接触物质的新生儿的结果 - 一项试点计划。

客观的

评估父母参与照顾足月物质暴露新生儿 (SEN) 的影响。

学习规划

前瞻性观察队列研究包括在 4 年研究期间患有阿片类药物使用障碍的母亲及其 SEN。参加 EMPOWER 和同住 (RI) 计划的母婴双胞胎被包括在内，并在一个私人房间中接受 24/7 全天候护理，直到新生儿出院。将参与 EMPOWER/RI 的二元组的结果与历史对照进行比较。

结果

156 名历史 SEN 中有 90 名符合 RI 资格，而在 RI 期间出生的 108 名 SEN 中有 49 名母亲参加了 EMPOWER。EMPOWER/RI SEN 的药物治疗率和持续时间较低，新生儿重症监护病房 (NICU) 和住院时间较短。EMPOWER/RI 增加了出院时母乳喂养的开始和继续。