Pediatric Resources

Newborn care

Prenatal

• CHaD NAS Shared Prenatal Visit
  Educational PowerPoint that can be used for prenatal education of women with opioid use regarding the care of their fetus and newborn

In hospital

• Eating Sleeping Consoling (ESC) Care Tool and material for QI Implementation
  • The Eating Sleeping Consoling (ESC) Care Tool is a novel assessment and baby-centered, non-pharmacologic care tool co-developed by neonatal providers at the Children’s Hospital at Dartmouth-Hitchcock, Yale New Haven Children’s Hospital and Boston Medical Center. The ESC Care Tool is being systematically evaluated in a QI initiative with the NNEPQIN/NeoQIC Regional Collaborative for Care of the Opioid-exposed Newborn.  The ESC Care Tool and its training materials are available upon request by NNEPQIN/NeoQIC member hospitals, and by special consideration for hospitals outside of these improvement collaboratives as we evaluate this novel tool’s efficacy, safety, inter-rater reliability, and validity.
• Neonatal Abstinence Syndrome Inpatient Management QI Toolkit
  Evidence-based guidelines for infants exposed to opioids in-utero and at risk for Neonatal Abstinence Syndrome (NAS) or Neonatal Opioid Withdrawal Syndrome (NOWS)
• Newborn Care Diary
  Newborn Care Diary to be used by parents in the Newborn Nursery (and the first few days after discharge to home) and shared with their newborn’s providers to increase family-centered care for their opioid-exposed newborn (can also be used for non-opioid exposed newborns)
• NNEPQIN Opioid-exposed Newborn Guideline Checklist (PDF)
  Recommended evidence-based practices for birth hospitals in care of the opioid-exposed infant
• D-H Marijuana in Pregnancy and Breastfeeding (PDF)
  Recommended Readings: AAP Neonatal Drug Withdrawal - Mark Hudak, Lead author

Outpatient pediatric care

• Boyle Program Family Resources Guide (PDF)
• NNEPQIN Breastfeeding Guidelines
  Evidence-based guidelines for care of women with substance use disorder and their breastfeeding infants
• Pregnancy-Opioids Guidelines (PDF)
  Summary of best practice in the care of women with pregnancies complicated by opioid use disorder