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Partnering with parents to improve outcomes for substance exposed newborns-a pilot program
Rachana Singh1,2, Rachel Rothstein3,4, Karen Ricci3
1Baystate Medical Center, Springfield, MA, USA. drrachanasingh@gmail.com.
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.
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