FEED, SLEEP, CONSOLE APPROACH OR USUAL CARE FOR NEONATAL OPIOID WITHDRAWAL
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Abstract
Neonatal opioid withdrawal syndrome (NOWS) has become a significant public health concern due to the increasing rates of opioid use disorder among pregnant individuals.
Objective: The main objective of this study is to find the feed, sleep, console approach or usual care for neonatal opioid withdrawal in Pakistani population.
Methodology of the study: This randomized control trial was conducted at Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro over a duration of six months, from July 1, 2023, to December 31, 2023. The study population comprised 80 neonates diagnosed with neonatal opioid withdrawal syndrome (NOWS). The neonates were randomly assigned to two groups: one receiving the Feed, Sleep, Console (FSC) approach and the other receiving Usual Care. The assignment was done using a computer-generated randomization sequence to ensure unbiased allocation.
Results: Data were collected from 80 patients from both genders. The Feed, Sleep, Console group (n=40) demonstrated a lower mean maternal age (28.01 years) compared to the Usual Care group (30.09 years), while both groups showed similar rates of maternal opioid use. In the Feed, Sleep, Console group (n=40), the mean duration of neonatal opioid withdrawal was 10.09 days ± 2.2, compared to 12.00 days ± 3.1 in the Usual Care group (n=40). Additionally, the Feed, Sleep, Console group had a shorter mean length of hospital stay (14 days ± 3) compared to the Usual Care group (16 days ± 4).
Conclusion: It is concluded that the Feed, Sleep, Console (FSC) approach shows a potential intervention for neonatal opioid withdrawal. Our study findings suggest that implementing the FSC approach may lead to improved outcomes compared to usual care in neonates experiencing opioid withdrawal.
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Dr Arzoo Akram
Senior Pediatric Resident, Children’s Hospital Taif
Dr. Abroo Fatima Qazi
Associate Professor Physiology, Isra University, Hyderabad
Erum Saboohi
Assistant Professor Pediatrics, Sir Syed College of Medical Sciences for Girls, Karachi
Dr Samia Mehmood
Senior Registrar, Bilawal Medical College, LUMHS, Jamshoro
Muddasar Pervaiz
MBBS, MPH, Assistant Professor Community Medicine, Al-Nafees Medical College, Islamabad
Dr Misbah Munir
Assistant Professor Pediatrics, Makran Medical College, Turbat
Anum Fatima
Islamabad Medical and Dental College, Islamabad