title: A rooming-in program to mitigate the need to treat for opiate withdrawal in the newborn.
abstract: OBJECTIVE
  The purpose of this study was to explore the effect of our rooming-in protocol on the need to treat withdrawal in the opiate-exposed newborn.
  
  
  METHODS
  We reviewed the medical records of mother-infant dyads born between October 1, 2003, and December 31, 2006, who received care in our rooming-in program. Data on the type of drug used by the mother, maternal methadone dose at delivery, morphine treatment of the baby, and perinatal outcome were considered.
  
  
  RESULTS
  We found a significant positive relationship between maternal methadone dose at delivery, "other opiate" use, and breastfeeding and the need to treat the neonate for withdrawal. We also found the maternal methadone dose at delivery to be related to the duration of pharmacological treatment of the neonate.
  
  
  CONCLUSIONS
  Our findings suggest a role for our rooming-in program in mitigating the relationship between maternal methadone dosage and the need to treat opiate withdrawal in the newborn. Consideration of the role played by the mother-infant dyad model of care needs to be considered in future studies.
authors.affiliation: Women's Health Research Institute, Vancouver BC.
authors.forename: Zoë G
authors.initials: ZG
authors.lastname: Hodgson
authors.forename: Ronald R
authors.initials: RR
authors.lastname: Abrahams
mesh_terms: D000328:Adult; D001942:Breast Feeding; D006556:Heroin Dependence / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D008691:Methadone / Q000008:administration & dosage; D009020:Morphine / Q000627:therapeutic use; D009294:Narcotics / Q000627:therapeutic use; D009357:Neonatal Abstinence Syndrome / Q000628:therapy*; D012386:Rooming-in Care; D055815:Young Adult
chemical_list: D009294:Narcotics; D009020:Morphine; D008691:Methadone