Rooming-in compared with standard care for newborns of mothers using methadone or heroin.
Can Fam Physician
; 53(10): 1722-30, 2007 Oct.
Article
in En
| MEDLINE
| ID: mdl-17934036
ABSTRACT
OBJECTIVE:
To evaluate the effect of rooming-in (rather than standard nursery care) on the incidence and severity of neonatal abstinence syndrome among opioid-exposed newborns and on the proportion of mothers who retain custody of their babies at hospital discharge.DESIGN:
Retrospective cohort study.SETTING:
Lower mainland in southwestern British Columbia.PARTICIPANTS:
We selected 32 women in the city of Vancouver known to have used heroin or methadone during pregnancy between October 2001 and December 2002. Comparison groups were a historical cohort of 38 women in Vancouver and a concurrent cohort of 36 women cared for in a neighbouring community hospital. MAIN OUTCOMEMEASURES:
Need for treatment with morphine, number of days of treatment with morphine, and whether babies were discharged in the custody of their mothers.RESULTS:
Rooming-in was associated with a significant decrease in need for treatment of neonatal abstinence syndrome compared with the historical cohort (adjusted relative risk [RR] 0.40, 95% confidence interval [CI] 0.20 to 0.78) and the concurrent cohort (adjusted RR 0.39, 95% CI 0.20 to 0.75). Rooming-in was also associated with shorter newborn length of stay in hospital compared with both comparison groups. Newborns who roomed in at BC Women's Hospital were significantly more likely to be discharged in the custody of their mothers than babies in the historical cohort (RR 2.23, 95% CI 1.43 to 3.98) or the concurrent cohort (RR 1.52, 95% CI 1.15 to 2.53) were.CONCLUSION:
Rooming-in might ease opioid-exposed newborns' transition to extrauterine life and promote more effective mothering.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Rooming-in Care
/
Neonatal Abstinence Syndrome
/
Heroin
/
Methadone
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Newborn
/
Pregnancy
Country/Region as subject:
America do norte
Language:
En
Journal:
Can Fam Physician
Year:
2007
Document type:
Article