Department of Pediatrics, Quinte Health Care, Canada.
Department of Pediatrics, Queen's University, Canada.
J Pediatr Nurs. 2021 Nov-Dec;61:84-89. doi: 10.1016/j.pedn.2021.03.021. Epub 2021 Mar 31.
To assess the impact of a rooming-in program for babies at risk of Neonatal Abstinence Syndrome (NAS) in one community hospital centre, in Belleville, Ontario.
This retrospective chart review was conducted at Belleville General Hospital. The hospital developed a rooming-in program for newborns at risk of NAS in July 2015. Charts on all infants born to mothers using opioids in the 24 months prior to and after the implementation of our program, who met the inclusion criteria, were examined.
The study consisted of 15 babies in the Special Care Nursery (SCN) group and 19 babies in the rooming-in group. Rooming-in is associated with a reduction in the need for treatment with morphine [rooming-in group (1/19, 5.3%), SCN group (14/15, 93.3%), p < 0.01], shorter length of stay in hospital [rooming-in group (days = 5), SCN group (days = 20), p < 0.01], improved exclusive breast and/or breast milk-feeding rates [rooming-in group (17/19,89.5%), SCN group (1/15,6.7%), p < 0.01] and lower total hospital cost [rooming-in group ($6458.00), SCN group ($17,851.00), p < 0.01].
Our study demonstrates that rooming-in programs for babies born to mothers using opioids has benefits in terms of quality of care and health care resource utilization.
These findings show that rooming-in can be successfully implemented in a community hospital.
评估安大略省贝尔维尔市一家社区医院中心对有新生儿戒断综合征（NAS）风险的婴儿实行母婴同室方案的效果。
本回顾性图表研究在贝尔维尔综合医院进行。该院于 2015 年 7 月为有 NAS 风险的新生儿设立了母婴同室方案。对在实施该方案之前和之后 24 个月内使用阿片类药物的所有母亲所生婴儿的图表进行了检查，这些婴儿符合纳入标准。
研究包括 15 名在特殊护理病房（SCN）的婴儿和 19 名在母婴同室病房的婴儿。母婴同室与减少吗啡治疗需求相关[母婴同室组（1/19，5.3%），SCN 组（14/15，93.3%），p<0.01]、住院时间缩短[母婴同室组（天=5），SCN 组（天=20），p<0.01]、纯母乳喂养和/或母乳亲喂率提高[母婴同室组（17/19，89.5%），SCN 组（1/15，6.7%），p<0.01]以及总住院费用降低[母婴同室组（6458.00 美元），SCN 组（17851.00 美元），p<0.01]。
本研究表明，对使用阿片类药物的母亲所生婴儿实行母婴同室方案在护理质量和医疗保健资源利用方面具有益处。
这些发现表明，母婴同室可以在社区医院成功实施。
