Improve Care for Babies Born Drug Dependent

Introductory Paragraph

Babies who are born with an opioid dependence experience extraordinary discomfort and trauma.  They can scream and cry, have tremors, struggle with eating, and are not easily comforted.  There are opportunities to help the babies, the mothers, and the often overwhelmed hospital staff that are trying to care for the babies and mothers. 

Promising Practices

Programs for Volunteers to Cuddle Babies Experiencing Withdrawal

There are a growing number of programs that have volunteers come to the hospitals to cuddle the babies.  This helps comfort the babies and reduces the stress on the nurses--two important benefits. 

Magee-Womens Hospital "Cuddle the Crisis" 

• At Magee-Womens Hospital of UPMC in Pennsylvania, volunteers are helping babies born addicted to opioids by cuddling, nurturing, and comforting the babies as they go through withdrawal.
• Cuddlers provide them with additional comfort, as opposed to having to start an IV or give a baby morphine
• Source: https://www.insideedition.com/headlines/19669-hospital-recruits-volunteers-to-cuddle-with-drug-addicted-babies-going-through-withdrawal

Add more programs here with links to learn more. 

Music Therapy

Using a combination of pacifiers and music therapy, healthcare workers are able to ease the pain of babies born to mothers who used opioids during their pregnancy. If you can improve babies feeding and sleeping, decrease their crying and make them more calm, then you've just eliminated three of the major symptoms that lead babies to have to need medication or hospital stay.

Components:

• A NICU music therapist uses music and live-singing, patting and rocking to match the baby's behavior state, ultimately training the child to soothe itself
• Use of special pressurized pacifier that plays music. See video for overview of use

Visit Norton Hospital's Music Therapy Services and contact for implementation resources for your local hospital

Best Practices

Standardized Care

The Maryland Patient Safety Center is working with 30 birthing centers to come up with standardized care for babies suffering from NAS. This standard of care is significantly reducing the length of stay for these babies.

Standards can vary from baby to baby, but should include:

• Creating a calming environment with little stimulation - quiet rooms and low loights
• Cuddle rooms where volunteers rock and soothe babies
• Can use massage and music therapy
• Some medicine (morphine or methadone)
• Treat mother's addiction and mental health in conjunction with babies' treatment

Neonatal Withdrawal Center

Lily's Place

Lily's Place is the first nonprofit infant recovery center for provides services for parents and families struggling with addiction. The center is specifically designed for babies with NAS with small, quiet, dimly-lit nursery rooms and 24-hour nursing staff. Parents are trained to help their babies via therapeutic handling techniques and they learn CPR and basic child care as well as the specifics of NAS.

Contact Lily's Place (304) 523-5459 for more information on workshops and trainings including the following:

• Legislation to support NAS centers
• Pre-opening NAS Center Operations Planning
• Funding & fundraising for a NAS center

Special Daycare Centers for Babies with NAS

This CNN story shares more.

Sources

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1. [1] https://www.wdrb.com/news/music-therapy-weaning-babies-off-opioid-addiction-at-kosair-children/article_2175845c-f580-5bad-a568-f43eaee614d2.html
2. [2] https://www.washingtonpost.com/local/number-of-maryland-babies-born-with-drugs-in-their-system-grows/2017/02/19/642c3342-f535-11e6-b9c9-e83fce42fb61_story.html?noredirect=on&utm_term=.6153e73b3a7a 
3. [3] https://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/
4. [4]  https://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/
5. [5] https://people.com/human-interest/lilys-place-west-virginia-clinic-nurses-newborns-opioid-withdrawal/