Why we are recommending this best practice
Strategies for implementation
- If rooming in is being considered, it is important to establish a patient care plan that includes assessment of the patient for appropriateness to room in and nursing vigilance to prevent and monitor for potential adverse events due to rooming in.
- It is also important to ensure that staff approach mothers with opioid use disorder (OUD) in a respectful and non-judgmental manner to optimize use of non-pharmacologic methods for managing neonatal abstinence syndrome (NAS).
- Safe sleep habits should be taught and reinforced by staff throughout the hospital stay to prepare for discharge.
- Macmillan KDL, Rendon CP, Verma K, Riblet N, Washer DB, Holmes AV. Association of Rooming-in With Outcomes for Neonatal Abstinence Syndrome. JAMA Pediatrics. 2018;172(4):345. doi:10.1001/jamapediatrics.2017.5195.
- Howard MB, Schiff DM, Penwill N, et al. Impact of Parental Presence at Infants' Bedside on Neonatal Abstinence Syndrome. Hospital pediatrics. 2017;7(2):63-69.
- Holmes AV, Atwood EC, Whalen B, et al. Rooming-In to Treat Neonatal Abstinence Syndrome: Improved Family-Centered Care at Lower Cost. Pediatrics. 2016;137(6).
- Kandall SR, Gaines J, Habel L, et al. Relationship of maternal substance abuse to subsequent sudden infant death syndrome in offspring. J Pediatr 1993;123(1):120-126.