'Eat, Sleep, Console' :A protocol developed by Matthew Grossman, MD, an assistant professor of pediatrics at Yale School of Medicine. "While caring for babies with NAS, he noticed that the infant’s environment — and particularly whether the infant was kept with its mother — had more impact on how quickly the baby was released from the hospital than the pharmacologic treatment did. So instead of automatically turning to opioids, Grossman decided that the first-line treatment would be the mom."
- the idea is to keep mothers and babies together, to keep babies out of the NICU, do not give babies opioids unless it is completely necessary.
- Hospitals treating members of Partnership HealthPlan of California — reduced the average hospitalization of babies with NAS from 18 days to 11 days, through using the Eat, Sleep, Console protocol.
- Changing culture- “It is hard to unwind those years of training and assessing and clinical pattern development and reorient around the idea that this is a healthy baby. The baby is experiencing withdrawal from the substance, but if we support them as we would want to support any newborn, they do really well.”
- “Education is usually not your strongest way of making change happen on a massive scale,” said Robert Moore, MD, Partnership’s chief medical officer. “But the evidence is so overwhelming that when doctors heard a single presentation [on Eat, Sleep, Console], we saw this big change.”
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