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Rooming-in for Infants at Risk of Neonatal Abstinence Syndrome

Sarah McKnight1, Helen Coo1, Gregory Davies2

  • 1Department of Pediatrics, Queen's University, Kingston, Ontario, Canada.

American Journal of Perinatology
|November 21, 2015
PubMed

Insights

Rooming-in care for infants at risk of neonatal abstinence syndrome (NAS) significantly reduces the need for medication and shortens hospital stays. This approach offers health care resource utilization benefits.

Area of Science:

  • Neonatal care
  • Pediatric pharmacology
  • Healthcare management

Background:

  • Neonatal Abstinence Syndrome (NAS) is a growing concern requiring significant medical resources.
  • Historically, infants at risk for NAS were admitted to the Neonatal Intensive Care Unit (NICU) for management.
  • Rooming-in programs offer an alternative care model for these vulnerable infants.

Purpose of the Study:

  • To evaluate the impact of a rooming-in program on infants at risk of NAS.
  • To assess changes in the requirement for pharmacologic treatment.
  • To determine the effect on the length of hospitalization for these infants.

Main Methods:

  • Implementation of a hospital-wide rooming-in program for at-risk newborns in June 2013.
  • Retrospective chart review of infants born 13 months before and after program implementation.
  • Comparison of outcomes between infants managed with standard NICU care versus rooming-in care.

Main Results:

  • The rooming-in program was associated with a decreased need for pharmacologic interventions.
  • Infants in the rooming-in program experienced a shorter length of hospital stay.
  • Significant reductions in healthcare resource utilization were observed.

Conclusions:

  • Rooming-in care for infants at risk of NAS demonstrates positive health care resource utilization benefits.
  • This model of care contributes to the growing evidence supporting non-pharmacologic approaches.
  • Further research is recommended to explore a wider range of outcomes associated with rooming-in programs.
Abstract

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