|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|
|Date Published||2022 Aug|
|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|
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.
|Alternate Journal||J Perinatol|