Newman Adam, Davies Gregory A, Dow Kimberly, Holmes Belinda, Macdonald Jessica, McKnight Sarah, Newton Lynn
Can Fam Physician. 2015 Dec;61(12):e555-61.
Infants born to opioid-dependent women are admitted to intensive care units for management of neonatal abstinence syndrome (NAS), serious morbidity, and prevention of mortality; however, the disadvantages of this approach include infants experiencing more severe NAS and exhibiting a greater need for pharmacotherapy owing to the interference with mother-infant bonding.
To implement a rooming-in program to support close uninterrupted contact between opioid-dependent women and their infants in order to decrease the severity of NAS scores, lessen the need for pharmacotherapy, and shorten hospital stays.
Opioid-dependent pregnant women were assessed antenatally by a multidisciplinary team and provided with education and support. Psychosocial issues were addressed in collaboration with a community program developed to support addicted mothers. The mother-infant dyad was admitted postpartum to a private room and attended by nurses trained in Finnegan scoring. Infants remained with their mothers unless persistently elevated scores made transfer to neonatal intensive care units necessary for initiation of pharmacotherapy.
With the rooming-in program, the proportion of infants requiring pharmacotherapy decreased from 83.3% to 14.3% (P < .001) and the average length of stay decreased from 25 days to 8 days (P < .001). The rooming-in experience was rated favourably by participating mothers.
阿片类药物依赖女性所生的婴儿会被送入重症监护病房，以管理新生儿戒断综合征（NAS）、严重发病情况并预防死亡；然而，这种方法的缺点包括婴儿会经历更严重的NAS，并且由于母婴联结受到干扰而对药物治疗的需求更大。
实施母婴同室项目，以支持阿片类药物依赖女性与其婴儿之间进行密切且不间断的接触，从而降低NAS评分的严重程度，减少药物治疗的需求，并缩短住院时间。
多学科团队在产前对阿片类药物依赖的孕妇进行评估，并为其提供教育和支持。与一个为支持成瘾母亲而制定的社区项目合作，解决心理社会问题。母婴二人产后被安置在一个私人房间，并由接受过芬尼根评分培训的护士护理。除非评分持续升高使得有必要将婴儿转到新生儿重症监护病房进行药物治疗，否则婴儿会一直与母亲在一起。
通过母婴同室项目，需要药物治疗的婴儿比例从83.3%降至14.3%（P < .001），平均住院时间从25天降至8天（P < .001）。参与项目的母亲对母婴同室体验给予了好评。
