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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: 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: Carleigh Taylor
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Background: Neonatal Abstinence Syndrome (NAS) is a complex disorder, observed in infants experiencing symptoms of withdrawal, as a result of in utero exposure to the maternal use of opioids. Breastfeeding has been recognized as the optimal source of nutrition for infants. While the advantages associated with breastfeeding are undisputed, the promotion of breastfeeding for infants diagnosed with neonatal abstinence syndrome is inconsistent. There is evidence to suggest that breastfeeding infants who have been exposed to opioids in utero may improve NAS outcomes. Aim: A systematic review was conducted to assess and critically appraise the existing literature regarding the effect of infant feeding method among infants with Neonatal Abstinence Syndrome (NAS) on neonatal outcomes. Method: A systematic search of the literature of feeding methods among infants with NAS was conducted using the electronic databases Pubmed, CINAHL, Nursing and Allied Health, PyschINFO, Evidence Based Medicine, Web of Science, and Medline (EMBASE). Studies were eligible for inclusion in the review if they fulfilled the following criteria: (1) reported original data on outcomes related to infant feeding and NAS, (2) the study method included any type of quantitative design that included an inpatient comparison group of breastfed and formula fed infants with NAS, and (3) the articles were published in English in a peer reviewed journal. All articles selected for inclusion were assessed for methodological quality by first and secondary author using the JBI standardized critical appraisal checklist for cohort/case control studies and the JBI standardized critical appraisal checklist for randomized controlled studies. The principal author extracted the data from the full text studies and entered it into a data extraction template developed for the systematic review. The secondary authors independently reviewed and compared the extracted data. The data was synthesized narratively due to the diverse study samples and outcomes that were evaluated. Results: The search identified 491 studies, of which 17 provided information related to NAS and infant feeding method. Eight studies met the inclusion and exclusion criteria after further examination of the full-text studies. The majority of studies found that breastfeeding was associated with a reduced need for pharmacologic treatment and a decrease in the duration of pharmacotherapy when compared to formula-fed or combination-fed infants. Breastfeeding, when compared to formula-feeding, was also consistently associated with a shorter hospitalization and a reduced severity of NAS, including lower Finnegan scores. Studies also identified a later time to withdrawal and a delayed onset of NAS associated with breastfed infants when compared to formula-fed infants. Conclusions and Relevance: The studies consistently identified a trend towards improved NAS outcomes for infants who were breastfed when compared to formula or combination-fed. These findings provide evidence for breastfeeding as an effective non-pharmacologic treatment for NAS. Breastfeeding among stabilized mothers on Opioid Maintenance Therapy (OMT) should be recommended as a non-pharmacologic approach to improving NAS outcomes.
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: 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: 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: Leslie Altimier
Publisher: Elsevier Health Sciences
ISBN: 0443131244
Category : Medical
Languages : en
Pages : 153
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Book Description
In this issue of Critical Care Nursing Clinics, guest editor Leslie Altimier, DNP, RNC, NE-BC, brings her considerable expertise to the topic of Neonatal Nursing: Clinical Concepts and Practice Implications, Part 2. Top experts provide clinical reviews covering prenatal bonding, optimizing family-centered care, neonatal pain, palliative care, language developments in infants, and much more, with a focus on best practices and improving patient outcomes. Contains 12 relevant, practice-oriented topics including neuroprotective infant and family centered developmental care for the tiniest NICU babies: perspectives from the team; new opioids, psychoactive drugs, and synthetic marijuana; neonatal abstinence syndrome and neonatal opioid withdrawal syndrome; best practices to support maternal mental health during the transition from NICU to home; parental views about autopsy, organ donation, and research donation; and more. Provides in-depth clinical reviews on neonatal nursing, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Author: Kristin Klutz
Publisher:
ISBN:
Category : Complementary Therapies
Languages : en
Pages : 0
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Book Description
The incidence of Neonatal Abstinence Syndrome (NAS) is increasing across the United States (Davidson and Schub, 2014). Researchers who performed a retrospective analysis of national hospital discharge data found that the annual rate of maternal opioid use increased nearly fivefold, and the incidence of NAS increased nearly threefold during the period 2000 to 2009 (Davidson and Schub, 2014). The onset of withdrawal symptoms in infants is dependent on what substances the infant was exposed to in utero as well as the amount. Infants that experience Neonatal Abstinence Syndrome require specialized care that includes pharmacologic and nonpharmacologic management. The current practice at Winchester Medical Center is to care for these infants on the post- partum unit while they room in with their mothers. Once the infant scores high enough to be started on pharmacologic treatment, they are then moved into the newborn nursery. This standard of practice is not beneficial to the infant because of the negative effects it has on the infant. Current research shows that non- pharmacologic management is just as important in the recovery of infants with Neonatal Abstinence Syndrome as pharmacologic management. Davidson and Schub (2014) discussed the importance of reducing sensory stimulation, which included dimming the lights, swaddling, and prone positioning. Their study showed that breastfeeding for at least 72 hours after birth reduces the severity of Neonatal Abstinence Syndrome symptoms and decreases the need for pharmacologic treatment (Davidson and Schub, 2014). This project will attempt to determine the effects of pharmacologic versus nonpharmacologic treatment on infants with Neonatal Abstinence Syndrome. The implementation will begin by educating patients and all staff affected by this change. Regular meetings will be held with management and staff, as well as the implementation team in order to ensure all questions are answered. Doing so will ensure that all questions are addressed and suggestions are able to be made. The practice change of improving the environment of infants with Neonatal Abstinence Syndrome will then take effect with constant monitoring and evaluation by the implementation team. Results will be evaluated each month and changes will be made as necessary to guarantee that the unit is following best- practice.
Author: Noreen Kearney Beckett
Publisher:
ISBN:
Category : Drug abuse in pregnancy
Languages : en
Pages : 0
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Book Description
The number of infants being admitted to neonatal intensive care units (NICU) for treatment for Neonatal Abstinence Syndrome (NAS) has increased over the last 10 years(Alcoholism and Drug Abuse Weekly, 2012). There is evidence to support maternal involvement in the infants care, improves outcomes during the NICU admissions. Current models used in NICU's miss opportunities to improve the care of NAS infants. The purpose of this intervention is to improve the care of NAS infants (Jones, 2012) in NICU's, by educating at risk mothers early in pregnancy and supporting their involvement during the NICU admission (Armstrong, 2012). Development and dissemination of educational material would initiate the process. Evaluation of this intervention would look at length of stay to make predictions, whether early education of mothers decreased length of stay (Pritham, 2012). Next NICU's would have to consider the ability to change current practice models and environments and look for ways to increase mothers' involvement during the infants' admission (Mundy, 2010) (Young, 2013). The circumstances creating the NAS admission are often complicated, with many variables to consider in determining the success of the intervention. Having a child is a life changing moment, and may provide an opportunity to improve not only the life of the infants but also the life of the infant's opiate dependent mother. Changing current model could provide and environment that will increase attachment between mother and infant, decreasing days of treatment, and improving longer-term outcome for child (Marie-Mitchell, 2013).
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: Robert A. Hoekelman
Publisher: Mosby Incorporated
ISBN: 9780323008297
Category : Medical
Languages : en
Pages : 1936
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Book Description
-- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.
