'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.”

Read full article @ https://www.chcf.org/blog/opioid-dependent-newborns-get-new-treatment/?_cldee=bmF2YWhAc3Rld2FyZHNvZmNoYW5nZS5vcmc%3d&recipientid=contact-9f037d6a8dc5e8118175e0071b6af0d1-75a5fffbcba94291a2933390e618d69c&utm_source=ClickDimensions&utm_medium=email&utm_campaign=Essential%20Coverage_2019_Q3&esid=c2ccb96e-06ba-e911-a983-000d3a1993e0

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