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Updated: May 16, 2025

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Eat, Sleep, Console Approach: Effectiveness, Outcomes, and Future Considerations

Christine Gold1, Colleen Wheeler2, Sunah S Hwang3

  • 1Section of Pediatric Hospital Medicine, Department of Pediatrics, University of Colorado School of Medicine, Children's Hospital of Colorado, Aurora, Colorado.

Neoreviews
|March 31, 2025
PubMed

Insights

The eat, sleep, console (ESC) approach offers a new standard of care for neonatal opioid withdrawal syndrome (NOWS). This method prioritizes non-pharmacologic interventions and caregiver involvement over traditional symptom scoring for better infant outcomes.

Area of Science:

  • Neonatal care
  • Pharmacology
  • Pediatrics

Background:

  • Neonatal opioid withdrawal syndrome (NOWS) management has evolved significantly.
  • Traditional methods often rely on symptom scoring systems.
  • The eat, sleep, console (ESC) approach was introduced in 2017 as an alternative.

Purpose of the Study:

  • To review the eat, sleep, console (ESC) approach for neonatal opioid withdrawal syndrome (NOWS).
  • To compare ESC outcomes with traditional NOWS management methods.
  • To promote evidence-based practices for neonates with NOWS.

Main Methods:

  • The ESC approach focuses on three infant functioning components: eating, sleeping, and consoling.
  • Non-pharmacologic interventions are prioritized as first-line strategies.
  • Caregiver presence is integral to the ESC approach.

Main Results:

  • Studies indicate the ESC approach offers an alternative to traditional NOWS management.
  • Effectiveness and outcomes of ESC are being actively examined.
  • This approach emphasizes non-pharmacologic interventions before considering opioid therapy.

Conclusions:

  • The ESC approach represents a shift towards a more holistic and caregiver-centered management of NOWS.
  • Understanding ESC components and outcomes can optimize care for affected neonates.
  • Clinicians can utilize this evidence-based approach to improve NOWS treatment.

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