Neonatal abstinence syndrome management in California birth hospitals: results of a statewide survey.

ABSTRACT:

Objective

Assess management of neonatal abstinence syndrome (NAS) in California hospitals to identify potential opportunities to expand the use of best practices.

Study design

We fielded an internet-based survey of 37 questions to medical directors or nurse managers at 145 birth hospitals in California.

Results

Seventy-five participants (52%) responded. Most respondents reported having at least one written protocol for managing NAS, but gaps included protocols for pharmacologic management. Newer tools for assessing NAS severity were not commonly used. About half reported usually or always using nonpharmacologic strategies; there is scope for increasing breastfeeding when recommended, skin-to-skin care, and rooming-in.

Conclusions

We found systematic gaps in car

SUBMITTER: Clemans-Cope L 

PROVIDER: S-EPMC7042156 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature