Baystate Medical Center, Springfield, MA, USA.
University of Massachusetts Medical School-Baystate, Springfield, MA, USA.
J Perinatol. 2020 Jul;40(7):1041-1049. doi: 10.1038/s41372-020-0662-9. Epub 2020 Mar 23.
Assess impact of parental involvement in care provision for term substance exposed newborns (SENs).
Prospective observational cohort study included mothers with opioid use disorder and their SENs over 4 year study period. Maternal-Infant dyads enrolled in EMPOWER and rooming-in (RI) programs were included and received care 24/7 in a private room until newborn's discharge. Outcomes were compared for dyads participating in EMPOWER/RI with historical controls.
Ninety of 156 historical SENs were RI eligible, while 49 of 108 SENs born during RI period had mothers enrolled in EMPOWER. EMPOWER/RI SENs had lower rates for and duration of pharmacotherapy, shorter neonatal intensive care unit (NICU) and hospital lengths of stay. EMPOWER/RI increased initiation and continuation of breastfeeding at discharge.
Parental participation was associated with a decrease in initiation and duration of pharmacotherapy, NICU admission, length of stay and hospital charges while increasing breastfeeding initiation and continuation at discharge.
评估父母参与足月物质暴露新生儿（SENs）护理的影响。
本前瞻性观察队列研究纳入了患有阿片类药物使用障碍的母亲及其 SENs，研究时间为 4 年。母婴对子在 EMPOWER 和母婴同室（RI）项目中注册，并在私人房间中 24/7 接受护理，直到新生儿出院。将参与 EMPOWER/RI 的母婴对子与历史对照进行比较。
在 156 例历史 SENs 中，有 90 例符合 RI 条件，而在 RI 期间出生的 108 例 SENs 中，有 49 例母亲注册了 EMPOWER。EMPOWER/RI 的 SENs 药物治疗的开始率和持续时间较低，新生儿重症监护病房（NICU）和住院时间较短。EMPOWER/RI 增加了出院时母乳喂养的开始和持续。
父母的参与与药物治疗的开始和持续时间、NICU 入院、住院时间和住院费用的减少有关，同时增加了出院时母乳喂养的开始和持续。
