Neonatal Abstinence Syndrome: Non-pharmacologic Interventions for the Maternal-Infant Dyad
Main Article Content
Abstract
Neonatal Abstinence Syndrome (NAS) remains a concern for health care providers. The incidence of NAS has increased globally, and it has emerged as a worldwide health concern. In our previous article, we explored the efficacy of current pharmacologic treatment for NAS symptoms. Our purpose now is to focus on non-pharmacologic interventions for NAS symptoms and the involvement of caregivers, specifically the mother. We will discuss breastfeeding, rooming in, babywearing, the eat, sleep, console approach, and laser acupuncture.
We intend to describe the involvement of the interdisciplinary team and all who care for these infants, including parents.
Article Details
How to Cite
MACMULLEN, Nancy J.; DULSKI, Laura A..
Neonatal Abstinence Syndrome: Non-pharmacologic Interventions for the Maternal-Infant Dyad.
Medical Research Archives, [S.l.], v. 11, n. 1, jan. 2023.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/3506>. Date accessed: 25 apr. 2024.
doi: https://doi.org/10.18103/mra.v11i1.3506.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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2. Chu, C, McGrath, JM, Qiao, J, et al. A meta-analysis of breastfeeding effects for infants with neonatal abstinence syndrome. Nursing Research. 2022; 71(1):54-65.
3. Welle-Strand, GK, Skurtveit, S, Jansson, LM et al. Breastfeeding reduces the need for withdrawal treatment in opioid-exposed infants. Acta Paediatr. 2013:1-3.
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9. MacMillan, DL, Rendon, CP, Kanak, V et al. Association of rooming in with outcomes for Neonatal Abstinence Syndrome A systematic review and meta-analysis. JAMA Pediatr. 2018: 345-351. Doi: 10.1001/jamapediatrics.2017.5195
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11. Schub, T. Neonatal Abstinence Syndrome: Caring for the newborn with. CINAHL Nursing Guide EBSCO Publishing. 2018; 1-11.
12. Piteau, S, Vyas, M, Papadakos, P. Reduction of need for treatment and length of hospital stay following institution of a Neonatal Abstinence Syndrome rooming-in program. Pediatrics.2021; 1-2. Doi.org/10.1542/peds.147.3MA1.54b
13. Rankin Williams, L, Grisham, LM, Gebler-Wolfe, M, Kelsch, K, Bedrick, A, Bader,MY.. Nurse perceptions of babywearing for neonates with Neonatal Abstinence Syndrome in the Neonatal Intensive Care Unit. Adv.Neonatal Care. 2020: 23-31. Doi: 10.1097/ANC.000000000000811
14. Rankin Williams, Gebler-Wolfe, M, Grisham LM, Bader, MY.. “Babywearing” in the NICU. Adv. Neonatal Care. 2020;(440-449). Doi 10.1097/ANC.0000000000000788
15. Grisham, LM, Stephen, MM, Coykendall, MR et al. Eat, Sleep, Console Approach. Adv. Neonatal Care 2019: 138-144.
16. Wortham, SE, Bianchi, AL. Strategies to successfully implement an eat, sleep, console protocol. MCN AmJ Matern Child Nurs. 2022; 47 (4): 182-188.
17. Wachman, EM, Houghton, M, Melvin, P. et al. A quality improvement initiative to implement the eat, sleep, console neonatal opioid withdrawal syndrome care tool in Massachusetts’ PNQIN collaborative. J Perinatol. 2021; 40: 1560-1569. Doi.org/10.1038/s41372-020-0733-y
18. Miller, P, Willier, T. Baby strength eat, sleep, console for infants with Neonatal Abstinence Syndrome. Adv. Neonatal Care. 2021; 21(2): 99-106. Doi:10/1097/ANC.0000000000000840.
19. Raith, W, Schmolzer,GM, Resch,B et al. Laser acupuncture for Neonatal Abstinence Syndrome: A randomized controlled trial. Pediatrics. 2015; 136(5): 1-9.
20. Mangat, AK, Schmolzer, GM. A review on acupuncture as a non-pharmacological treatment for Neonatal Abstinence Syndrome (NAS). ICM-OBM. 2019; 4(3): 1-12. Doi: 10.21926/obm.icm.1903051
21. Corr, TE, Schaefer, EW, Hollenbeck, CS, Leslie, DL.One year postpartum mental health outcomes of mothers of infants with Neonatal Abstinence Syndrome. Maternl Child Health J. 2020; 24: 283-290. Doi: .org/10.1007/s10995-019-02839-9
22. Faherty, LJ, Matone, M, Passarella, M, Lorch, S. Mental health of mothers of infants with Neonatal Abstinence Syndrome and prenatal opioid exposure. Matern Child J . 2018;22: 841-848.
23. McGlothen-Bell, K, Recto, P, McGrath, JM, Brownell, E., Cleveland, LM. Recovering together mothers’ experiences providing skin-to-skin care for their infants with NAS. Adv.Neonatal Care. 2020;21(1): 16-22.
24. Rockefeller, K, Macken, LC, Craig, A. Trying to do what is best. A qualitative study of maternal-infant bonding and Neonatal Abstinence Syndrome. Adv.Neonatal Care. 2019; 19(5): E3-E15. Doi: 10.1097/ANC.0000000000000616.
25. Linn, N, Stephens, K, Swanson-Biearman, B, Lewis, D, Whiteman, K. Implementing trauma-informed strategies for mothers of infants with Neonatal Abstinence Syndrome. MCN AM.J. Matern.Child Nurs. 2021; 46(4): 211-216. Doi: 10.1097/NMC.0000000000000728.
26. Shannon, J, Peters, K, Blythe, S. The challenges to promoting attachment for hospitalized infants with NAS. Children. 2021; 8:1-13.
27. Recto, P, McGlothen-Bell, K , McGrath, J, Brownell, E, Cleveland, LM. The role of stigma in the nursing care of families impacted by Neonatal Abstinence Syndrome. Adv. Neonatal Care. 2020; 20(5):354-363. Doi 10.1097//ANC.0000000000000778
28. Shannon, J, Blythe, S, Peters, K. The complexities associated with caring for hospitalized infants with Neonatal Abstinence Syndrome: The perspectives of nurses and midwives. Children. 2021; 8(2): 1-11. Doi: .org/10.3390/children8020152
29. Welborn, A.l Moral distress of nurses surrounding neonatal abstinence syndrome: Application of a theoretical framework. Nurs.Forum. 2019;54: 499-504. Doi: 10.1111/nuf.12362
30. Edwards, L, Brown, LF. Nonpharmacologic management of Neonatal Abstinence Syndrome: An integrative review. Neonatal Netw 2019; 35(5):305-313. Doi.org/10.1891/0730-0832.35.5.305
31. Adrian, A, Newman, S, Mueller, M, Phillips, S. A mixed-methods study to investigate barriers and enablers to nurses’ implementation of nonpharmacological interventions for infants with Neonatal Abstinence Syndrome. Adv.Neonatal Care. 2020; 20(6) 450-463. Doi: 10. 1097/ANC.0000000000000794
32. Shuman, CJ, Wilson, R, VanAntwerp, K. Morgan, M, Weber, A. Elucidating the context for implementing nonpharmacologic care for neonatal opioid withdrawal syndrome: a qualitative study of perinatal nurses. BMC Pediatr. 2021; 21(489): 1-14. Doi.org/ 10.1186/s12887-021-02955-y
2. Chu, C, McGrath, JM, Qiao, J, et al. A meta-analysis of breastfeeding effects for infants with neonatal abstinence syndrome. Nursing Research. 2022; 71(1):54-65.
3. Welle-Strand, GK, Skurtveit, S, Jansson, LM et al. Breastfeeding reduces the need for withdrawal treatment in opioid-exposed infants. Acta Paediatr. 2013:1-3.
4. Wu, D, Carre, C. The impact of breastfeeding on health outcomes for infants diagnosed with Neonatal Abstinence Syndrome: A review. Cureus. 2018; 10(7): 1-10. Doi: 10.7759/Cureus.3061
5. Shuman, CJ, Weber, A, VanAntwerp, K. et al. Engaging mothers to implement nonpharmacological care for infants with Neonatal Abstinence Syndrome. Perceptions of perinatal and pediatric nurses. Adv. Neonatal Care. 2020: 464-472. Doi:10.1097/ANC.00000000000000812
6. Shub, T, Ashley, TJ. CINAHL Nursing Guide EBSCO Publishing. 2021; 1-6.
7. Karakashian, AL, Schub, T. CINAHL Nursing Guide EBSCO Publishing. 2021: 1-7.
8. Younger Meek, J, Noble, L. American Academy of Pediatrics Policy statement: Breastfeeding and the use of human milk. Pediatrics. 2022: 1-47. Doi.org/10.1542/peds.2022-057988.
9. MacMillan, DL, Rendon, CP, Kanak, V et al. Association of rooming in with outcomes for Neonatal Abstinence Syndrome A systematic review and meta-analysis. JAMA Pediatr. 2018: 345-351. Doi: 10.1001/jamapediatrics.2017.5195
10. Holmes, AV, Atwood, EC, Whalen, B et al. Rooming-in to treat Neonatal Abstinence Syndrome: improved family-centered care at lower cost. Pediatrics. 2016: 1-3. Doi:.org/10.1542/peds.2015-2929.
11. Schub, T. Neonatal Abstinence Syndrome: Caring for the newborn with. CINAHL Nursing Guide EBSCO Publishing. 2018; 1-11.
12. Piteau, S, Vyas, M, Papadakos, P. Reduction of need for treatment and length of hospital stay following institution of a Neonatal Abstinence Syndrome rooming-in program. Pediatrics.2021; 1-2. Doi.org/10.1542/peds.147.3MA1.54b
13. Rankin Williams, L, Grisham, LM, Gebler-Wolfe, M, Kelsch, K, Bedrick, A, Bader,MY.. Nurse perceptions of babywearing for neonates with Neonatal Abstinence Syndrome in the Neonatal Intensive Care Unit. Adv.Neonatal Care. 2020: 23-31. Doi: 10.1097/ANC.000000000000811
14. Rankin Williams, Gebler-Wolfe, M, Grisham LM, Bader, MY.. “Babywearing” in the NICU. Adv. Neonatal Care. 2020;(440-449). Doi 10.1097/ANC.0000000000000788
15. Grisham, LM, Stephen, MM, Coykendall, MR et al. Eat, Sleep, Console Approach. Adv. Neonatal Care 2019: 138-144.
16. Wortham, SE, Bianchi, AL. Strategies to successfully implement an eat, sleep, console protocol. MCN AmJ Matern Child Nurs. 2022; 47 (4): 182-188.
17. Wachman, EM, Houghton, M, Melvin, P. et al. A quality improvement initiative to implement the eat, sleep, console neonatal opioid withdrawal syndrome care tool in Massachusetts’ PNQIN collaborative. J Perinatol. 2021; 40: 1560-1569. Doi.org/10.1038/s41372-020-0733-y
18. Miller, P, Willier, T. Baby strength eat, sleep, console for infants with Neonatal Abstinence Syndrome. Adv. Neonatal Care. 2021; 21(2): 99-106. Doi:10/1097/ANC.0000000000000840.
19. Raith, W, Schmolzer,GM, Resch,B et al. Laser acupuncture for Neonatal Abstinence Syndrome: A randomized controlled trial. Pediatrics. 2015; 136(5): 1-9.
20. Mangat, AK, Schmolzer, GM. A review on acupuncture as a non-pharmacological treatment for Neonatal Abstinence Syndrome (NAS). ICM-OBM. 2019; 4(3): 1-12. Doi: 10.21926/obm.icm.1903051
21. Corr, TE, Schaefer, EW, Hollenbeck, CS, Leslie, DL.One year postpartum mental health outcomes of mothers of infants with Neonatal Abstinence Syndrome. Maternl Child Health J. 2020; 24: 283-290. Doi: .org/10.1007/s10995-019-02839-9
22. Faherty, LJ, Matone, M, Passarella, M, Lorch, S. Mental health of mothers of infants with Neonatal Abstinence Syndrome and prenatal opioid exposure. Matern Child J . 2018;22: 841-848.
23. McGlothen-Bell, K, Recto, P, McGrath, JM, Brownell, E., Cleveland, LM. Recovering together mothers’ experiences providing skin-to-skin care for their infants with NAS. Adv.Neonatal Care. 2020;21(1): 16-22.
24. Rockefeller, K, Macken, LC, Craig, A. Trying to do what is best. A qualitative study of maternal-infant bonding and Neonatal Abstinence Syndrome. Adv.Neonatal Care. 2019; 19(5): E3-E15. Doi: 10.1097/ANC.0000000000000616.
25. Linn, N, Stephens, K, Swanson-Biearman, B, Lewis, D, Whiteman, K. Implementing trauma-informed strategies for mothers of infants with Neonatal Abstinence Syndrome. MCN AM.J. Matern.Child Nurs. 2021; 46(4): 211-216. Doi: 10.1097/NMC.0000000000000728.
26. Shannon, J, Peters, K, Blythe, S. The challenges to promoting attachment for hospitalized infants with NAS. Children. 2021; 8:1-13.
27. Recto, P, McGlothen-Bell, K , McGrath, J, Brownell, E, Cleveland, LM. The role of stigma in the nursing care of families impacted by Neonatal Abstinence Syndrome. Adv. Neonatal Care. 2020; 20(5):354-363. Doi 10.1097//ANC.0000000000000778
28. Shannon, J, Blythe, S, Peters, K. The complexities associated with caring for hospitalized infants with Neonatal Abstinence Syndrome: The perspectives of nurses and midwives. Children. 2021; 8(2): 1-11. Doi: .org/10.3390/children8020152
29. Welborn, A.l Moral distress of nurses surrounding neonatal abstinence syndrome: Application of a theoretical framework. Nurs.Forum. 2019;54: 499-504. Doi: 10.1111/nuf.12362
30. Edwards, L, Brown, LF. Nonpharmacologic management of Neonatal Abstinence Syndrome: An integrative review. Neonatal Netw 2019; 35(5):305-313. Doi.org/10.1891/0730-0832.35.5.305
31. Adrian, A, Newman, S, Mueller, M, Phillips, S. A mixed-methods study to investigate barriers and enablers to nurses’ implementation of nonpharmacological interventions for infants with Neonatal Abstinence Syndrome. Adv.Neonatal Care. 2020; 20(6) 450-463. Doi: 10. 1097/ANC.0000000000000794
32. Shuman, CJ, Wilson, R, VanAntwerp, K. Morgan, M, Weber, A. Elucidating the context for implementing nonpharmacologic care for neonatal opioid withdrawal syndrome: a qualitative study of perinatal nurses. BMC Pediatr. 2021; 21(489): 1-14. Doi.org/ 10.1186/s12887-021-02955-y