Author: Autumn Cooper
Publisher:
ISBN:
Category : Drug abuse in pregnancy
Languages : en
Pages : 0
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Book Description
Studies have indicated that with maternal opiate use, including methadone and buprenorphine, newborns are at risk for experiencing neonatal abstinence syndrome (NAS). Approximately 21- 94% of newborns who are exposed to opiates in utero will experience the symptoms of NAS (Isemann, Meinzen-Derr, and Akinbi, 2011).To help decrease the severity of withdrawal symptoms related to NAS, studies have indicated that breastfeeding after delivery will not just help to decrease NAS symptoms, but can also help to decrease lengths of hospital stay, and help to decrease overall costs associated with the care required for the NAS neonate. To help increase the number of NAS neonates who breastfeed it is important for the nursing staff and health care team involved with the care of the mother during pregnancy and the neonate after delivery be educated on current evidence based practice (EBP) that supports and encourages the mother to breastfeed. There has been noticeable increase of patients who are pregnant and using opiates. In a small rural hospital it has been identified that the nursing staff are lacking knowledge on how to care for this increasing population and how to support them when the mother chooses to breastfeed her infant. The staff expressed concern over harm to the neonate with exposure to opiates through excreted breast milk. Studies show that small amounts are excretebreast milktmilk, this is not harmful to the neonate and helps to decrease the withdrawal symptoms associated with NAS. This paper discusses the risks and benefits related to breastfeeding the NAS neonate and how to educate the nursing staff, along with the rehealth carehealthcare team. With good EBP education the staff will be able to support, educate, and help to enhance the overall outcome of the NAS neonate by supporting and encouraging opiate addicted mothers who choose to breastfeed their newborns.
Author: Amber Barry
Publisher:
ISBN:
Category : Drug abuse in pregnancy
Languages : en
Pages : 0
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Book Description
Neonatal Abstinence Syndrome (NAS) is a current and increasing problem many neonatal intensive care units (NICU) are facing. Controversial to NAS is whether the opioid dependent mother should breastfeed. Research proves that breastfeeding the NAS infant is very beneficial and safe. Breastfeeding provides a decrease in the severity of symptoms caused by NAS, is linked to a decreased hospitalization, and aids in health and bonding. The proposal for research is to allow for breastfeeding as an option at Banner Good Samaritan Medical Center where the current policy in place does not support it. As infants are admitted to the NICU for NAS, breast milk along with pharmacotherapy treatment is shown through evidence-based practice that the infant's length of stay is shorter compared to infants that receive formula. Family-centered care theory is greatly affected when opioid dependent mothers are denied support services and education regarding breastfeeding and their withdrawing infant. To gauge for change and effectiveness nursing staff, neonatologist, neonatal nurse practitioners, LAMB committee, and policyholders will be given new researched information on the benefits of breastfeeding NAS babies and their outcomes.
Author: Cheryl Ann King
Publisher:
ISBN:
Category : Children of drug addicts
Languages : en
Pages :
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EVIDENCE·BASED PRACTICE PROJECT REPORT Submitted to the School of Nursing and Health Professions of Colorado Christian University Lakewood, Colorado in partial fulfillment of the requirements For the degree of DOCTOR OF NURSING PRACTICE Abstract Opioid use during pregnancy is on the rise. Pregnant women with opioid use disorder (OUD), and their unborn babies, are at high risk for poor maternal/fetal/newborn outcomes. Interprofessional collaboration among community health professionals can assist these women toward freedom from opioid use during pregnancy and beyond utilizing education, support, and treatment. Community professionals provide services to support bonding, lactation/breastfeeding, family unity, and parenting skills. The purpose of this DNP scholarly project was to develop a comprehensive "Breastfeeding Toolkit" based on evidence-based practice to facilitate insight among community health professionals on the unique benefits of breastfeeding for the woman with OUD and her newborn. A mixed-method design was employed with both quantitative and qualitative data gathered. The primary interventions were an educational webinar on breastfeeding benefits with OUD and the "Breastfeeding Toolkit." Pre-education, post-education, and final surveys were used to gather quantitative information to determine breastfeeding expertise, breastfeeding with OUD, and attitudes toward breastfeeding with OUD. Open-ended questions to obtain qualitative information were used, and then themes were derived from the responses. Statistical analysis of the quantitative data using the two-tailed paired samples t-test found revealed five questions with significance (p-value = ≤ .05) between the pre- and final-surveys. The qualitative data analysis revealed five themes: decrease in opioid withdrawal symptoms, increased bonding/attachment, health benefits, risk reduction, and educational resources. The results demonstrated that comprehensive education and the "Breastfeeding Toolkit" designed for community health professionals improved interprofessional support of breastfeeding and enhanced the unique care needs of this vulnerable population. Keywords perinatal substance abuse, neonatal abstinence syndrome/neonatal opioid withdrawal syndrome, opioid use disorder, community care, opioid use in pregnancy and lactation, and neonates/newborns/infants
Author: World Health Organization
Publisher:
ISBN: 9789241548731
Category : Medical
Languages : en
Pages : 37
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Book Description
These guidelines have been developed to enable professionals to assist women who are pregnant, or have recently had a child, and who use alcohol or drugs or who have a substance use disorder, to achieve healthy outcomes for themselves and their fetus or infant. They have been developed in response to requests from organizations, institutions and individuals for technical guidance on the identification and management of alcohol, and other substance use and substance use disorders in pregnant women. They were developed in tandem with the WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy.
Author: Tricia E. Wright
Publisher:
ISBN: 1108400981
Category : Health & Fitness
Languages : en
Pages : 155
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Book Description
Gain guidance and support when treating the high-risk population of women confronting (or battling) opioid-use disorders during pregnancy.
Author: Larry K. Pickering
Publisher:
ISBN: 9781581107036
Category : Medical
Languages : en
Pages : 0
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Book Description
Developed by the AAP (American Academy of Pediatrics) Committee on Infectious Diseases in conjunction with the CDC (Centers for disease control), the FDA (Food and drug administration), and other leading institutions with contributions from hundreds of physicians nationwide, the newly revised and updated 2012 Red Book continues the tradition of excellence with the latest findings and clinical recommendations on the manifestations, etiology, epidemiology, diagnosis, and treatment of more than 200 childhood conditions. [Ed.].
Author: Monica Reynolds
Publisher: University of Pennsylvania Press
ISBN: 1512806056
Category : Medical
Languages : en
Pages : 284
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Book Description
Proceedings of a symposium, satellite to the 24th International Congress of Physiological Sciences, University of Pennsylvania.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309486483
Category : Medical
Languages : en
Pages : 175
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Book Description
The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
Author: Stephen R. Kandall
Publisher:
ISBN:
Category : Children
Languages : en
Pages : 112
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Book Description
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9789241562218
Category : Family & Relationships
Languages : en
Pages : 70
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Book Description
WHO and UNICEF jointly developed this global strategy to focus world attention on the impact that feeding practices have on the nutritional status, growth and development, health, and thus the very survival of infants and young children. The strategy is the result of a comprehensive two-year participatory process. It is based on the evidence of nutrition's significance in the early months and years of life, and of the crucial role that appropriate feeding practices play in achieving optimal health outcomes. The strategy is intended as a guide for action; it identifies interventions with a proven positive impact; it emphasizes providing mothers and families the support they need to carry out their crucial roles, and it explicitly defines the obligations and responsibilities in this regards of governments, international organizations, and other concerned parties.
