In a significant shift from punitive measures, healthcare providers at Oklahoma Children’s Hospital OU Health are pioneering an empathetic and evidence-based approach to support mothers and infants impacted by prenatal substance exposure. Backed by research advocating for compassionate care, the hospital is leading efforts to enhance discharge processes and ensure long-term community support for these vulnerable families.

Empowering Families Through Comprehensive Support Systems

The journey of transformation begins with redefining how hospitals interact with mothers and infants affected by neonatal abstinence syndrome (NAS). This initiative aims to provide holistic care that extends far beyond hospital walls.

Pioneering Change Through Collaborative Learning

Oklahoma Children’s Hospital stands among eight esteemed institutions nationwide participating in the Perinatal Health and Substance Use Quality Improvement Virtual Learning Collaborative. Funded by the American Academy of Pediatrics, this program focuses on refining the discharge process for NAS-affected families. The collaborative fosters the development of best practices, ensuring seamless transitions from hospital to home. Dr. Benazir Drabu, a neonatal hospitalist and associate professor of pediatrics at the OU College of Medicine, emphasizes the importance of continuity in care. "Our mission is to bridge the gap between pre-natal care and post-discharge support," she explains. By integrating this project into existing frameworks, the hospital seeks to enhance its effectiveness through shared learning and innovation.The implications of this initiative extend beyond immediate care. It sets a precedent for future maternal and infant health strategies, promoting a model where every step of the process—from conception to early childhood—is meticulously supported.

Navigating Challenges During Hospitalization

Infants experiencing NAS often exhibit withdrawal symptoms such as jitteriness, sleep disturbances, gastrointestinal issues, and poor feeding habits. In severe cases, seizures may occur. These challenges necessitate specialized care within the hospital setting. When manageable in the Mother-Baby Unit, healthcare teams employ soothing techniques, focusing on feeding and sleep support. However, some infants require advanced interventions, including medication, prompting transfer to the Neonatal Intensive Care Unit (NICU).The transition from hospital care to home life demands meticulous planning. Extended hospital stays allow interdisciplinary teams to prepare caregivers thoroughly. Physicians, nurses, social workers, physical therapists, and occupational therapists collaborate closely to equip parents with essential skills. For instance, families receive "sleep sacks" designed to swaddle babies securely, replicating the comfort they experienced during hospitalization. Educating caregivers about consoling techniques ensures stability once they return home.Dr. Patricia Williams, a neonatologist and associate professor of pediatrics, highlights the critical role of safe sleep practices. Many families face barriers like lack of proper sleeping arrangements, which can jeopardize infant safety. Addressing these concerns proactively enhances overall well-being and reduces risks associated with co-sleeping.

Beyond Hospital Walls: Building Community Connections

Post-discharge care hinges on robust community networks. Social service providers play a pivotal role in linking families to invaluable resources. Organizations such as Sooner Start and Oklahoma Family Network offer comprehensive assistance ranging from basic needs like diapers to more complex services including respite care and support groups. Breastfeeding education and maternal mental health screenings further fortify the support system.A cornerstone of this strategy is the Little STAR clinic, offering follow-up appointments 30 to 90 days after hospital discharge. This clinic serves as a continuation of the Substance Use Treatment and Recovery (STAR) prenatal program. Dr. Susan Redwine, a developmental and behavioral pediatrician, underscores the significance of early intervention. "Research indicates potential cognitive and behavioral challenges in children exposed to substances prenatally," she states. "Our objective is to empower caregivers with knowledge while instilling hope through accessible programs."These initiatives aim to mitigate developmental delays and foster resilience in affected children. By maintaining open lines of communication with primary care providers, the hospital ensures consistent monitoring and timely interventions.

Advancing Standards of Care Through Research

OU Health's participation in the "Eat, Sleep, Console" (ESC) clinical trial marked a pivotal moment in NAS care evolution. Funded by the National Institutes of Health, this trial established ESC as the gold standard for managing NAS. Its core principles involve frequent feedings to counteract weight loss and prioritizing sleep and consolation. Medication is considered only when other methods fail, emphasizing non-pharmacological approaches whenever feasible.The success of ESC translates into tangible benefits, including reduced hospital stays and lower medication dependency rates. Dr. Drabu reflects on the profound impact of this methodology. "Our ultimate goal is to send families home prepared and confident," she shares. "This sense of fulfillment drives us to continually improve and innovate in our practice."As healthcare evolves, so does the commitment to fostering environments where all families thrive. Oklahoma Children’s Hospital exemplifies this dedication, proving that compassion paired with science yields transformative results.