Parental rooming-in with a newborn should be considered when a plan can be implemented to ensure safe care of the mother and newborn.
Why we are recommending this best practice
Rooming in and/or parental presence at the newborn’s bedside supports dyad care and bonding, and can reduce pharmacotherapy use and length of stay.
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 Pediatr. 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. Hosp Pediatr. 2017;7(2):63-69. doi: 10.1542/hpeds.2016-0147.
- 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): e20152929. doi: 10.1542/peds.2015-2929.
- 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. doi: 10.1016/s0022-3476(05)81554-9.