Palo Alto, CA 94304
University of California San Diego, San Diego, CA, 05/31/1993
Stanford Health Care at Lucile Packard Children's Hospital, Palo Alto, CA, 06/30/1996
Pediatrics, American Board of Pediatrics
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.
View details for DOI 10.1038/s41372-022-01430-5
View details for PubMedID 35725804