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- Title
The impact of a clinical practice guideline on infants with neonatal abstinence syndrome.
- Authors
Murphy-Oikonen, Jodie; Montelpare, William J.; Bertoldo, Larry; Southon, Sarah; Persichino, Nancy
- Abstract
Objectives: to evaluate the effectiveness of a clinical practice guideline (CPG) on increasing identification of neonates with neonatal abstinence syndrome (NAS) symptoms based on a toxicology screening protocol, decreasing the mean NAS score for neonates and, decreasing the average length of hospital admission, based on standardised treatment and weaning protocol of morphine or phenobarbital. Methods: A retrospective cohort comparison design compared hospital record data from neonates born in the 6 months prior to, and neonates born in the 6 months following the implementation of the CPG. Results: In addition to the significant decrease in the overall average NAS score, there was also a significant difference in the number of measures taken over time between the two groups. Similarly, the change in CPG led to a significant overall reduction in length of hospital stay among the post-intervention neonates. Conclusion: A high proportion of neonates born to opiate-using pregnant women develop the withdrawal condition known as NAS. This study was successful in describing the benefit of implementing new CPG for managing neonates identified with NAS, and mothers suspected of using substances during their pregnancy.
- Subjects
MEDICAL protocols; LENGTH of stay in hospitals; MORPHINE; PROBABILITY theory; STATISTICS; DATA analysis; RETROSPECTIVE studies; DATA analysis software; DESCRIPTIVE statistics; NEONATAL abstinence syndrome; SYMPTOMS; DIAGNOSIS; THERAPEUTICS
- Publication
British Journal of Midwifery, 2012, Vol 20, Issue 7, p493
- ISSN
0969-4900
- Publication type
Article
- DOI
10.12968/bjom.2012.20.7.493