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State Initiatives to Improve Care for Infants With Prenatal Substance Exposure

Blair W Weikel1, Sunah S Hwang1

  • 1Department of Pediatrics, Section of Neonatology, University of Colorado School of Medicine, Aurora, Colorado.

Neoreviews
|March 31, 2025
PubMed

Insights

Perinatal substance use is increasing, impacting infants and mothers. Perinatal Quality Collaboratives (PQCs) implement standardized care bundles and screening to improve outcomes for substance-exposed pregnancies.

Area of Science:

  • Perinatal health
  • Substance use disorders
  • Public health initiatives

Background:

  • Perinatal substance use is a growing concern in the US, leading to increased prenatal exposure and maternal mortality.
  • Substance Use Disorder (SUD) affects pregnant individuals and newborns, necessitating specialized care.
  • Perinatal Quality Collaboratives (PQCs) are state-level initiatives aimed at improving care for this population.

Purpose of the Study:

  • To review strategies employed by PQCs to address perinatal substance use.
  • To highlight successful interventions and outcomes.
  • To identify areas needing further attention in PQC initiatives.

Main Methods:

  • Review of strategies implemented by various Perinatal Quality Collaboratives (PQCs).
  • Focus on care bundles, universal screening, mental health support, overdose prevention, and neonatal abstinence syndrome management.
  • Analysis of reported outcomes and areas for improvement.

Main Results:

  • PQCs utilize diverse strategies, including care bundles and universal screening for SUD.
  • Interventions have shown positive results, such as reduced medication use and better discharge planning.
  • Successful management of neonatal opioid withdrawal syndrome is a key focus.

Conclusions:

  • PQCs play a vital role in standardizing and improving care for perinatal substance use.
  • Current strategies demonstrate positive impacts on treatment and patient outcomes.
  • Further research is needed to measure the long-term effects of these PQC initiatives.

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