1. Partnering with parents to improve outcomes for substance exposed newborns-a pilot program.
- Author
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Singh R, Rothstein R, Ricci K, Visintainer P, Shenberger J, Attwood E, and Friedmann P
- Subjects
- Breast Feeding, Female, Humans, Infant, Infant, Newborn, Pilot Projects, Prospective Studies, Intensive Care Units, Neonatal, Parents
- Abstract
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.
- Published
- 2020
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