Breastfeeding/Human Milk
Community Pediatrics
Cross-Disciplinary Pathway
Education Pathway
General Pediatrics
Neonatology
Quality Improvement/Patient Safety
Well Newborn
Celina Migone, MD
Attending Neonatologist
CHOP Newborn Care @ Einstein Medical Center Montgomery
Newark, Delaware, United States
Amy Lembeck, DO (she/her/hers)
Neonatologist
Childrens Hospital of Philadelphia
Newtown Square, Pennsylvania, United States
Melissa Mayo, MS OTR/L
Occupational Therapist
Einstein Medical Center Montgomery, Pennsylvania, United States
Eliza Magland, BSN, RN, IBCLC
Lactation Consultant
Einstein Medical Center
Souderton, Pennsylvania, United States
Rebecca Berg, RN, BSN, RNC-MNN
Registered Neonatal Nurse
EInstein Medical Center Montgomery
Perkasie, Pennsylvania, United States
Jennifer McKenzie, BSW, MSW
Social Worker
Einstein Medical Center Montgomery Hospital
E. Norriton, Pennsylvania, United States
There has been growing interest in how to best manage infants affected by neonatal opioid withdrawal syndrome (NOWS). We have demonstrated that a multidisciplinary approach is critical to significantly decreasing an infant’s length of hospital stay, and if needed, length of pharmacologic treatment, irrespective of the scoring tool used. This workshop will provide specific and actionable changes from various disciplines that can be implemented immediately to improve care. After participants identify both their institutional strengths and areas of multidisciplinary management that need improvement, the workshop will focus on the pearls learned by multiple disciplines within our team. Occupational therapy will discuss how to recognize and anticipate the cues of infants affected by NOWS, demonstrate simple techniques (stretching/massage), and list environmental modifications that can be implemented at participants’ home institutions. Our lactation consultant will address common biases that prevent mothers from feeling empowered to breastfeed. We will provide educational tools and demonstrate simple tips to improve latch and breastfeeding success. Nursing will describe the challenges we overcame in changing the culture surrounding care for infants affected by NOWS and share educational material for parents and nursing staff. Social work will discuss ways to build rapport with mothers and how to navigate community-based supports. We will also review the contributions of pharmacy (including a weaning calculator) that helped standardize medication administration and weaning. Finally, participants will have a chance to address any remaining questions with the goal of providing a network of support and interdisciplinary relationships that would extend beyond this conference.