Modifying a Family Centered Neonatal Abstinence Syndrome Care Program for Mothers and Infants
type: CreativeWork
description: Background: Opioid use and misuse remain a significant Public Health issue whose effects have extended to pregnant women and infants.1 Opioid use during pregnancy has paralleled the growing national trend over the past decade. The increasing prevalence of opioid use disorder (OUD) reported at delivery has led to increasing rates of newborn infants experiencing a Neonatal Abstinence Syndrome (NAS) diagnosis, due to in-utero opioid exposure.2 The U.S. NAS newborn hospitalization rate increased from 2.9 to 7.3 per 1,000 from 2009 to 2017. Arizona’s increased from 1.7 to 7.9 per 1,000 from 2009 to 2017.3 OUD in pregnancy and NAS are complex maternal and child health (MCH) issues affecting the life course and health outcomes of mothers and infants. Research shows new, family centered care models using non-pharmacological treatment as first line clinical management for infant opioid withdrawal in neonatal intensive care units (NICUs).4 These approaches empower mothers to manage their infant's needs, increase mother/infant bonding, and improve the likelihood of discharge home together. Short term outcomes demonstrate a reduced length of hospital stay and reduced need for traditional pharmacological intervention.5 These outcomes demonstrate some effectiveness, yet research gaps for best practices for NAS management persist. In June 2017, Banner Hospital, Tucson, implemented a family centered NAS care model where mothers room in and learn non-pharmacological strategies to help their infants through withdrawal. The program also has a Neurodevelopmental Follow Up Clinic (NDFC) to monitor infants up to age three. The purpose of the dissertation project was to partner with Banner NICU and assist them in modifying their Family-Centered NAS Care Program to improve the management of infants with NAS and mothers with OUD. Methods: A mixed-methods approach was used to identify staff priorities to fill knowledge gaps related to working with mothers with OUD and caring for infants with…
abstract: Background: Opioid use and misuse remain a significant Public Health issue whose effects have extended to pregnant women and infants.1 Opioid use during pregnancy has paralleled the growing national trend over the past decade. The increasing prevalence of opioid use disorder (OUD) reported at delivery has led to increasing rates of newborn infants experiencing a Neonatal Abstinence Syndrome (NAS) diagnosis, due to in-utero opioid exposure.2 The U.S. NAS newborn hospitalization rate increased from 2.9 to 7.3 per 1,000 from 2009 to 2017. Arizona’s increased from 1.7 to 7.9 per 1,000 from 2009 to 2017.3 OUD in pregnancy and NAS are complex maternal and child health (MCH) issues affecting the life course and health outcomes of mothers and infants. Research shows new, family centered care models using non-pharmacological treatment as first line clinical management for infant opioid withdrawal in neonatal intensive care units (NICUs).4 These approaches empower mothers to manage their infant's needs, increase mother/infant bonding, and improve the likelihood of discharge home together. Short term outcomes demonstrate a reduced length of hospital stay and reduced need for traditional pharmacological intervention.5 These outcomes demonstrate some effectiveness, yet research gaps for best practices for NAS management persist. In June 2017, Banner Hospital, Tucson, implemented a family centered NAS care model where mothers room in and learn non-pharmacological strategies to help their infants through withdrawal. The program also has a Neurodevelopmental Follow Up Clinic (NDFC) to monitor infants up to age three. The purpose of the dissertation project was to partner with Banner NICU and assist them in modifying their Family-Centered NAS Care Program to improve the management of infants with NAS and mothers with OUD. Methods: A mixed-methods approach was used to identify staff priorities to fill knowledge gaps related to working with mothers with OUD and caring for infants with…
author: Bueno, Yvonne Michelle
language: en
keywords: maternal and child health
license: http://rightsstatements.org/vocab/InC/1.0/
date published: 2021
date modified: 2026-07-24T00:55:59Z
provider: University of Arizona
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: The University of Arizona.

PropertyValue
property ID: Handle
value: http://hdl.handle.net/10150/661613