Title | Neonatal abstinence syndrome and mother's own milk at discharge. |
Publication Type | Journal Article |
Year of Publication | 2022 |
Authors | Nguyen TT, Toney-Noland C, Wong J, Chyi L, Castro R, Huang A, Aron-Johnson P, Lee HC, Quinn MK |
Journal | J Perinatol |
Volume | 42 |
Issue | 8 |
Pagination | 1044-1050 |
Date Published | 2022 Aug |
ISSN | 1476-5543 |
Keywords | Breast Feeding, Cohort Studies, Female, Humans, Infant, Infant, Newborn, Infant, Premature, Infant, Very Low Birth Weight, Intensive Care Units, Neonatal, Milk, Human, Mothers, Neonatal Abstinence Syndrome, Patient Discharge, Pregnancy |
Abstract | OBJECTIVE: To describe factors impacting receipt of mother's own milk (MOM) at discharge among California infants diagnosed with neonatal abstinence syndrome (NAS). STUDY DESIGN: Cohort study of the California Perinatal Quality Care Collaborative's Maternal Substance Exposure Database for infants with NAS and gestational age ≥ 34 weeks from 2019 to 2020. RESULT: 245 infants with NAS were identified. Variables with an increased likelihood of being discharged on MOM included maternal medication assisted treatment (p = 0.001), use of maternal addiction services (p < 0.001), receiving donor human milk (p = 0.001), being treated in the well baby unit (p < 0.001), rooming-in (p < 0.001), and kangaroo care (p < 0.001). Among infants with NAS for whom MOM was recommended (n = 84), rooming-in was the only factor associated with being discharged on MOM (p = 0.002); receiving formula was the only inversely associated factor (p < 0.001). CONCLUSION: Results suggest supporting the mother-infant dyad and using non-pharmacologic treatment methods, such as rooming-in, increase receipt of MOM at discharge. |
DOI | 10.1038/s41372-022-01430-5 |
Alternate Journal | J Perinatol |
PubMed ID | 35725804 |