DOCSLIB.ORG

An Introduction to Substance Exposed Mothers and Infants Maridee Shogren DNP, CNM Region 8: Mountain Plains ATTC

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
An Introduction to Substance Exposed Mothers and Infants Maridee Shogren DNP, CNM Region 8: Mountain Plains ATTC 5/10/2018 An Introduction to Substance Exposed Mothers and Infants Maridee Shogren DNP, CNM Region 8: Mountain Plains ATTC ATTC serves the United States through 10 regional offices and the Ukraine, Southeast Asia, Africa and Vietnam The Addiction Funded by U.S. Department of Health and Human Service (DHHS) Substance Abuse and Mental Health Service Administration Technology (SAMHSA) Region 8: Transfer Center Housed at UND‐NPCBR‐suite 220 Partners with University of Nevada‐Reno’s Center for the Network: Application of Substance Abuse Technologies (CASAT) Region 8: Serves six states: CO, ND, MT, SD, WY, UT Especially responsive to rural needs Mountain Plains People in MT (53%) ND (40%) SD (35%) and WY (57%) live at least 60 minutes from a city with at least 50,000 ATTC people (US Census data) 1 5/10/2018 Utilizes an array of technology strategies to accelerate diffusion of innovations regarding substance abuse treatment and recovery. Prepares addiction treatment providers and pre‐professionals to use evidence based practices in their current and future practice. Accelerate the adoption and implementation of promising addiction treatment and recovery‐oriented practices and services—offers training and technical assistance for providers using technology. Heighten the awareness, knowledge, and skills of the workforce to Goals of the address the needs of people with substance use or other behavioral ATTC health disorders. Fosters regional and national alliances among culturally diverse practitioners, researchers, policy makers, funders, and the recovery community. Improve treatment and recovery services in the region for people with addictive behaviors. Advances culturally and linguistically competent services. At the end of the presentation Participants will identify at least three potential consequences of maternal substance use disorder. Participants will identify at least five common symptoms of Objectives Neonatal Abstinence Syndrome Participants will identify at least three non‐pharmacological interventions for Neonatal Abstinence Syndrome Participants will recognize the need for a multidisciplinary approach to caring for substance exposed mothers and infants. 2 5/10/2018 Pregnancy is a relatively short, but important, period of time in a woman’s life: 40 weeks…10 lunar months…9 calendar months ~50% of pregnancies in US are unintended Rate is 2‐3 times higher among women with substance problems Pregnancy and (Terplan, 2015) Women are at highest risk for developing a Substance Use Substance Use Disorder (SUD) during reproductive years Fair to say that polysubstance use is common Still much stigma attached to substance use in pregnancy May be less likely to seek care OR may be more willing to seek/complete treatment Pregnancy may interrupt the pattern of substance use Substance use does still occur during pregnancy Tobacco: most common: 15.9% continue to smoke Alcohol: 8.5‐12% continue to drink Illicit drugs: 8.5% continue to use Pregnancy and 1‐2% use opiates, may be as high as 21% (Ettlinger, 2016) Nationally estimated that Substance Use 225,000‐380,000 babies born each year with prenatal drug exposure 550,000 are exposed to alcohol Over 1 million are exposed to tobacco in utero (Forray, 2015, Ettlinger, 2016) 3 5/10/2018 HOWEVER…. Many women with preconception risky or problem use ARE able to abstain temporarily during pregnancy and will quit or reduce after pregnancy is confirmed Percent of women who abstain: Pregnancy and 96% abstain from Alcohol Substance Use 78% abstain from Cannabis 73% abstain from Cocaine 32% abstain from Tobacco If they continue in pregnancy, they typically don’t understand the potential harm or CANNOT stop using on own (Klie, 2017) As a Result… postpartum relapse is another issue! Pregnancy and Substance Use Slide courtesy of Dr. Larry Burd, SMHS 4 5/10/2018 ALL women should be UNIVERSALLY screened for licit and illicit substance use in pregnancy Selective screening misses most with problematic use Prenatal Early identification is a must Common co‐occurring conditions with substance use: mental health, Screening DV, legal issues, social services Remember that the increase in co‐occurring conditions = increased risk for negative outcomes Patient history/self‐report (universal) Preferred for initial screening Maternal specimen testing (may be biased, not universal) Urine most common for ease but is not gold standard ; a negative test does not rule out sporadic use (ACOG, 2017) Prenatal Only detects recent use (past several days) May not detect synthetic opioids, some benzodiazepines Screening THC‐ excreted and testable for up to 10 days in maternal urine if mom is regular user, up to 30 days if chronic, heavy user Alcohol, nicotine, opiates, cocaine and amphetamines (Behnke, 2013) Hair Drugs trap in hair, may reflect longer period of time Nicotine, opiates, cocaine, amphetamines 5 5/10/2018 Continued observation/screening during pregnancy a must… Screen in first trimester and at least every trimester for women who screen positive OR Screen at first and every prenatal visit Prenatal DON’T forget postpartum! (ACOG, 2017; Forray et al, 2015; WHO, 2014) Screening ALSO…Concurrent infectious disease screening, psychosocial assessment, contraception needs post‐pregnancy (NIDA, 2012) No single best screening tool for self‐report or as part of patient interview. Many options! Alcohol: NIAAA Single Question AUDIT AUDIT‐C Screening T‐ACE TWEAK Tools in MAST Pregnancy Both Alcohol and other substances DAST 4Ps Plus CRAFFT/CRAFFT 2.0 (pregnant adolescents) CAGE‐AID SBIRT model encouraged: Screening, Brief Intervention, Referral to Treatment 6 5/10/2018 7 5/10/2018 Substance use in pregnancy connected to many complications/negative health outcomes for mom/baby dyad Consequences Indirectly linked to of Substance Lack of nutrition (mom and fetus/infant) Domestic violence (mom and fetus/infant) Use in Increased risk of mental illness/infection Pregnancy Any substance has potential to cross over to the fetus Maternal / fetal transfer of licit/illicit drugs BBB Google images, 2017 8 5/10/2018 Generally, substances can be teratogenic in: Maternal / Embryonic Stage and/or Fetal Transfer Fetal Period Impact abnormal growth, alteration in of Licit and neurotransmitters/receptors, brain organization Illicit Drugs placental insufficiency National Organization on Fetal Alcohol Syndrome (NOFAS). (Coles, 1994) (2004; adapted from Moore, 1993). 9 5/10/2018 Absorption Alcohol enters stomach where absorption and metabolism occur rapidly Blood ethanol concentrations peak in ~1hour **Women attain consistently greater blood ethanol levels than men with equal consumption Distribution and Placental effects Alcohol Alcohol readily passes into fetal blood Once in fetal blood, alcohol reaches concentrations similar to mom Embryo has limited ability to metabolize alcohol, mostly because liver is immature and lacks enzymes to do so, alcohol passed back to mom for metabolism This takes time! Alcohol levels may remain higher in embryo for longer periods of time which increases risk of exposure (Behnke, 2013, Brimacombe et al, 2009) No area of the brain is resistant to the effects of fetal alcohol exposure Alcohol can cause thinning or absence of the corpus callosum leading to deficits in attention, intellectual function, reading, learning, verbal memory, and executive and psychosocial Neuromorphol functioning. ogical Birth Preterm delivery Craniofacial abnormalities Defects Impaired motor development Growth deficiencies (Behnke, 2013; Brimacombe, 2009; Brown, 2016) 10 5/10/2018 Mattson, S.N. et al. 1994; Brimacombe, 2009 Non-alcohol effected vs. Profoundly Alcohol-effected Brain Brimacombe, 2009 (Clarren , 1994) 11 5/10/2018 Cigarette Smoking: Tobacco / Nicotine Retrieved from: http://sites.psu.edu/krfaustnutr/2015/10/28/smoking‐pregnancy‐psa/ Fetus exposed to over 4000 compounds through cigarette smoking ~ 30 compounds linked to adverse outcomes Nicotine Concentration higher in placenta, amniotic fluid, fetal blood than in maternal serum Cigarette May cause alterations in brain metabolism and abnormal brain development Smoking: Believed to cause hypoxia Tobacco / LBW, IUGR, prematurity Increased risk of SIDS Nicotine Potential for placental abruption Weakly associated with oral facial clefts 1.8‐2.8x greater risk of stillbirth Passive exposure‐2.1x greater risk of stillbirth No particular neonatal withdrawal syndrome noted (Behnke, 2013, NIDA, 2016) 12 5/10/2018 Interesting fact: Among women using BOTH Alcohol and Nicotine in the pregnancy 20.4% also used Marijuana 9.5% also used Cocaine Women NOT using Alcohol or Nicotine FYI 0.2% used Marijuana 0.1% used Cocaine Alcohol and Nicotine CO‐USE is a marker for other drug use. (Burd, 2017) Cannabis https://www.google.com/search?q=photo+image+marijuana&tbm=isch&tbo=u&source=univ&sa=X&ved=0ahUKEwiLmffIjf3VAhUp5IMKHV_bAyMQsAQILg&biw=1920&bih=924#i mgdii=SS0oE8TPbBHI4M:&imgrc=8qcNmFE4OuWV4M: 13 5/10/2018 Cannabis 7.5% of pregnant women 18‐25y use cannabis, 4% in all pregnant women (Forray, 2015; Grant et al, 2017; Klie, 2017) Expectant mothers might use for N/V of pregnancy Weight gain (increase appetite) Depression/Stress/Anxiety General discomforts of pregnancy Fun Cannabis Insomnia Marijuana use in pregnancy associated with Increased risk of dysfunctional labor Precipitous labor Meconium stained amniotic fluid (Grant, 2017; Klie,2017) Legalization continually
Load more

Recommended publications
  • Hypersexuality in Neurological Disorders
    HYPERSEXUALITY IN NEUROLOGICAL DISORDERS NATALIE AHMAD MAHMOUD TAYIM A thesis submitted to the Institute of Neurology in fulfilment of the requirements for the degree of Doctor of Philosophy (PhD) University College London January 2019 Declaration of originality I, Natalie Ahmad Mahmoud Tayim, confirm that the work presented in this thesis is my own. Where information has been derived from other sources, I confirm that this has been indicated in the thesis. _________________________________ Natalie Ahmad Mahmoud Tayim ii Abstract The issue of hypersexuality in neurological disorders is grossly underreported. More research has been done into sexual dysfunction (outside of hypersexuality) in neurological disorders such as erectile dysfunction and hyposexuality (loss of libido). Furthermore, in Parkinson’s disease research, most mention of hypersexuality has been in conjunction with other impulse control disorders and has therefore not been examined in depth on its own. Although in recent years hypersexuality has become more recognized as an issue in research, there is still very limited information regarding its manifestations, impact, and correlates. It is therefore important to explore this area in detail in order to broaden understanding associated with this sensitive issue. Perhaps in doing so, barriers will be broken and the issue will become more easily discussed and, eventually, more systematically assessed and better managed. This thesis aims to serve as an exploratory paper examining prevalence, clinical phenomenology, impact, and potential feasible psychological interventions for hypersexuality in patients with neurological disorders and their carers. The thesis is divided into three main studies: 1. Study I: systematic review assessing prevalence, clinical phenomenology, successful treatment modalities, implicated factors contributing to the development, and assessment tools for hypersexuality in specific neurological disorders.
    [Show full text]
  • Annualreport 2010
    AnnualReport 2010 Seth G.S. Medical College & King Edward Memorial Hospital Municipal Corporation of Greater Mumbai Convocation Ceremony of Use of smart board by 1st MBBS students Fellowship and Certificate Courses Automated chappati maker Clean KEM campaign Cardiac Ambulance Seth G.S. Medical College & King Edward Memorial Hospital Municipal Corporation of Greater Mumbai ANNUAL REPORT 2010 Concept (Front & Back cover) Dr. Sanjay Oak Director -Medical Education and Major Hospitals Professor of Pediatric Surgery Publisher Diamond Jubilee Society Trust Seth G.S. Medical College & KEM Hospital, Parel, Mumbai 400 012. Printer Urvi Compugraphics A2/248, Shah & Nahar Industrial Estate, S.J. Marg, Lower Parel (West), Mumbai 400 013. Tel.: 91 - 22 - 2494 5863 © Seth GS Medical College & KEM Hospital, 2011 Acknowledgements Smt. Shraddha Jadhav Hon. Mayor Smt. Shailaja Girkar Shri Subodh Kumar Deputy Mayor Municipal Commissioner Shri Sunil Prabhu Smt. Manisha Patankar-Mhaiskar Leader of the House Additional Municipal Commissioner (Western Suburbs) Shri Rajhans Singh Shri Aseem Gupta Leader of the Opposition Additional Municipal Commissioner (Eastern Suburbs) Shri Rahul Shewale Shri Mohan Adtani Chairman-Standing Committee Additional Municipal Commissioner (City) Smt. Ashwini Mate Shri Rajeev Jalota Chairman-Public Health Committee Additional Municipal Commissioner (Projects) Shri Parshuram (Chotu) Desai Shri Rajendra Vale Chairman-Works Committee (City) Deputy Municipal Commissioner (Estate & General Administration) Shri Anil Pawar Shri Sanjay (Nana) Ambole Chairperson - Ward Committee Municipal Councillor From the Director’s desk..... The twin institutes of the Seth GS Medical College & KEM Hospital were established in 1926 with a nationalistic spirit to cater to the “health care needs of the northern parts of the island” to be manned entirely by Indians.
    [Show full text]
  • Feeding Your Infant in the NICU
    Feeding Your Infant in the NICU CEAC 0055 April 2018 *This document was designed to support patients of the former RQHR. Table of Contents Ways Your baby may be fed in NICU 4-5 Nipple shields 6 Bottle Nipples 6 Oral Immune Therapy 6 S.I.N.C. 6 Cue based feeds 7 Baby feeding cues 8 Kangaroo Care (Skin to Skin ) 9 Human Breast Milk and Breastfeeding The benefits of human breast milk 10 When baby is not able to breastfeed Expressing breast milk 11 When to pump 11 How much breast milk should you be expressing 12 Hand expressing breast milk 13 Expressing breast milk using a pump 14 Ameda Platinum® Breast Pump Ameda Platinum® breast pump quick start guide 15 Set up and Assembly of the milk collection system 16 Pump diagram 17 Using the breast pump 18 Troubleshooting the breast pump 19 Storing expressed breast milk 20 Breastfeeding Learning to breastfeed 21 Feeding a sleepy baby 22 Breast compressions 22 Burping baby 22 Breastfeeding positions 23 Latching baby to breast 24 Nipple care 25 Management of nipple pain and trauma 25 1 Table of Contents Build up your milk supply 26 What can decrease your milk supply 26 If baby requires a special formula 26 Going Home How will you continue to breastfeed 27 Cleaning equipment at home 27 Storing breast milk after baby goes home 28 Thawing breast milk at home 28 Taking Care of Yourself Mom’s Nutrition 29-30 Rest 30 Keeping Breasts Healthy Sore Nipples 31 Engorged Breasts 32 Thrush 33 Plugged Ducts 34 Mastitis 35 Cleaning, Equipment, Preparing and Storing Milk Cleaning Breast pump kits at the hospital 36 Cleaning and sterilizing breast pump equipment at home 37 Cleaning and sterilizing bottles and equipment 38 Water to make formula at home 39 How to sterilize water 40 Preparing formula 40-41 Storing formula 42 Contacts & Resources 43-45 Breast pumping log 46-48 Photographs courtesy of RQHR Medical Media Services Department unless otherwise noted.
    [Show full text]
  • Zoophilia and Hypersexuality in an Adult Male with Schizophrenia A
    Neurology, Psychiatry and Brain Research 34 (2019) 41–43 Contents lists available at ScienceDirect Neurology, Psychiatry and Brain Research journal homepage: www.elsevier.com/locate/npbr Zoophilia and hypersexuality in an adult male with schizophrenia: A case report T Sujita Kumar Kar, Sankalp Dixit King George’s Medical University, Lucknow, India ARTICLE INFO ABSTRACT Keywords: Background: Paraphilias can be seen in the context of schizophrenia. Among the paraphilias, zoophilia is less Paraphilia commonly reported. Paraphilias are often associated with hypersexuality and psychiatric comorbidities. Zoophilia Paraphilias like zoophilia may result in development of sexually transmitted diseases. Schizophrenia Method: After obtaining informed consent, details of history were obtained. Mental status of the patient was Sexually transmitted diseases done at regular intervals. General physical examination, appropriate blood investigations and neuroimaging were done. Result: We have described here the case of an adult male suffering from schizophrenia with co-morbid alcohol and cannabis use disorder with hypersexuality, who had zoophilia and developed hepatitis B infection. Conclusion: Paraphilias like zoophilia can lead to development of sexually transmitted disease in patients with schizophrenia. 1. Introduction of paraphilia. Earlier reports suggest the prevalence of zoophilia to be significantly higher among psychiatric inpatients than those in medical Schizophrenia is a severe mental disorder. Altered sexual behaviour inpatients (Alvarez & Freinhar, 1991). Presence of comorbid paraphilia may be seen more frequently in patients with schizophrenia. Zoophilia in schizophrenia is associated with increased rate of suicides as well as (Bestiality) is a form of sexual perversion (paraphilia), which involves longer duration of hospitalization (Marsh et al., 2010). This case report sexual fantasies and acts with animals.
    [Show full text]
  • Kangaroo Mother Care Training Manual
    KANGAROO MOTHER CARE TRAINING MANUAL Federal Ministry of Health November 2008 This publication was made possible through support provided to ACCESS under Cooperative Agreement #GHS-A-00-04-00002-00. The opinions expressed herein are those of the contributors and do not necessarily reflect the views of the United States Agency for International Development, © 2008 TABLE OF CONTENTS Foreword.....................................................................................................................................................iv About This Manual.....................................................................................................................................v Acknowledgements ....................................................................................................................................vi Abbreviations ............................................................................................................................................vii Unit 1: Introduction to Preterm/Low Birth Weight Babies....................................................................1 Unit 4: Kangaroo Mother Care for Low Birth Weight Babies (Practice) ...........................................60 Unit 5: Hypothermia in the Newborn .....................................................................................................71 Unit 6: Counseling on Kangaroo Mother Care ......................................................................................82 Unit 7: KMC Unit Discharge, Follow-Up, Readmission,
    [Show full text]
  • Kangaroo Mother Care: a Multi-Country Analysis of Health
    Vesel et al. BMC Pregnancy and Childbirth 2015, 15(Suppl 2):S5 http://www.biomedcentral.com/1471-2393/15/S2/S5 RESEARCH Open Access Kangaroo mother care: a multi-country analysis of health system bottlenecks and potential solutions Linda Vesel1,2*, Anne-Marie Bergh3, Kate J Kerber4, Bina Valsangkar4, Goldy Mazia5, Sarah G Moxon4,6,7, Hannah Blencowe4,6,7, Gary L Darmstadt8, Joseph de Graft Johnson4,5, Kim E Dickson2, Juan Gabriel Ruiz Peláez9,10,11, Severin Ritter von Xylander12, Joy E Lawn4,6,7, On behalf of the KMC Research Acceleration Group Abstract Background: Preterm birth is now the leading cause of under-five child deaths worldwide with one million direct deaths plus approximately another million where preterm is a risk factor for neonatal deaths due to other causes. There is strong evidence that kangaroo mother care (KMC) reduces mortality among babies with birth weight <2000 g (mostly preterm). KMC involves continuous skin-to-skin contact, breastfeeding support, and promotion of early hospital discharge with follow-up. The World Health Organization has endorsed KMC for stabilised newborns in health facilities in both high-income and low-resource settings. The objectives of this paper are to: (1) use a 12-country analysis to explore health system bottlenecks affecting the scale-up of KMC; (2) propose solutions to the most significant bottlenecks; and (3) outline priority actions for scale-up. Methods: The bottleneck analysis tool was applied in 12 countries in Africa and Asia as part of the Every Newborn Action Plan process. Country workshops involved technical experts to complete the survey tool, which is designed to synthesise and grade health system “bottlenecks”, factors that hinder the scale-up, of maternal-newborn intervention packages.
    [Show full text]
  • MCN0517 Global Health 00111 Dharam.Indd
    1.5 ANCC Contact Hours Jake Lyell / Alamy Stock Photo Stock Alamy / Jake Lyell Global Health of Babies and Children Abstract Purpose: We provide an overview of the health of neonates, infants, and children around the world. Issues in maximizing neonatal health are examined using the Sustainable Development Goals developed by the United Nations as a framework. Recommendations: Interventions that can help optimize neonatal, infant, and child health in the future are reviewed, including increasing preventative healthcare (immunizations, malaria prevention, exclusive breastfeeding for the fi rst 6 months of life), enhancing point-of-care interventions (including umbilical cord care, antenatal corticosteroids if preterm birth is anticipated, and antibiotic therapy), enhancing nutritional interventions (to decrease diarrheal diseases and decrease wasting, stunting, and underweight), and building systems capacity. Clinical Implications: In an increasingly global world where wars, climate change, civil unrest, and economic uncertainty all infl uence health, it is important that nurses understand global health problems common for neonates, infants, and children and current recommendations to enhance their health. Key words: Global health; Infant mortality; Neonatal health; World Health Organization. Susan Gennaro, PhD, RN, FAAN, Caitlin O’Connor, MSN, RN, CPNP, and Megan Marx 132 volume 42 | number 3 May/June 2017 Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved. tion management and care of low birthweight or preterm The Infl uence of Humanitarian newborns (Lam et al., 2012). Barriers to providing ade- Emergencies on Neonatal Health quate care during humanitarian crisis result from lack of eonatal health is very dependent on the funds, and shortages of healthcare personnel (Lam et al.).
    [Show full text]
  • Hypersexuality Or Sexual Addiction?
    Hypersexuality or sexual addiction? Professor Kevan Wylie MD FRCP FRCPsych FRCOG FECSM FRSPH Consultant in Sexual Medicine Porterbrook Clinic NHS & Urology NHS, SHEFFIELD. UK. Honorary Professor of Sexual Medicine & Psychiatry, University of SHEFFIELD. UK. Visiting Professor, SHEFFIELD Hallam University, UK. Visiting Professor, University of LIVERPOOL, UK. Visiting Professor, YEREVAN State Medical University, Armenia. Adjunct Associate Professor, University of SYDNEY, Australia (2007-2014). President, World Association for Sexual Health (2012-2017). Hypersexuality or sexual addiction? INTRODUCTION 2 [email protected] Problematic Hypersexuality (PH) (Kingston & Firestone, 2008) PH is a clinical syndrome characterised by loss of control over sexual fantasies, urges and behaviours, which are accompanied by adverse consequences and/or personal distress (Gold & Heffner 1998; Kafka 2001) Controversial and elusive concept to define and measure (Rinehart & McCabe 1997) Some agreement on the essential features of PH Impaired control Continuation of behaviour despite consequences (Marshall & Marshall 2006; Rinehart & McCabe 1997) Types of Hypersexuality Behaviour (Kaplan & Krueger, 2010) Behavioural specifiers for hypersexuality Masturbation Pornography consumption Sexual behaviour with consenting adults Cybersex Telephone sex Strip club visits Hypersexual Behaviour (Kaplan & Krueger, 2010; Garcia & Thibaut, 2010) Men and women (much less frequently circa 5:1) with excessive sexual appetites Different terms to describe such behaviour;
    [Show full text]
  • Hypersexuality: Social Normativity Gone Awry Or Genuine Medical Problem?” by Pearl Kilien Kravets
    “Hypersexuality: Social Normativity Gone Awry or Genuine Medical Problem?” By Pearl Kilien Kravets The Undergraduate Research Writing Conference • 2020 • Rutgers, The State University of New Jersey Hypersexuality: Social Normativity Gone Awry or Genuine Medical Problem? Pearl Kravets Rutgers University HYPERSEXUALITY 1 INTRODUCTION Sexuality is a topic filled with contradiction: it is near-universal, yet deeply private. Sexuality is deeply varied in its manifestations, yet “normal” sexualities are perpetually reinforced by social pressures. Cultural norms and social pressures help shape the concepts of “normal” sexuality, while governments and institutions enforce these normative boundaries. When organizations of power become involved in the sexuality of individuals, sexual minorities can become vulnerable. Incidents of laws and norms harming certain sexual minorites, such as members of the queer community, can be seen to this day. The institution this paper will focus on is medicine; namely, how the power of discourse within the medical community leads to the pathologization of certain sexual behaviors and has lead to the conception of “hypersexuality disorder”. There is no singular defiition of the proposed “hypersexuality disorder” (a clinical inconsistency which will be discussed later), but it essentially focuses on an indivual having “too much” or “too frequent” sex, to the point where it becomes clinically significant. The purpose of this paper is to use the debate regarding the legitimacy of the proposed hypersexuality disorder
    [Show full text]
  • Kangaroo Care
    Kangaroo Care Objectives • Give the learner a history of Kangaroo Care • Give the learner a good understanding of KC • Give the learner enough knowledge of KC to promote the correct use of it in our NICU • Give the learner enough knowledge of KC to teach parents and families to continue it at home Definition Kangaroo Care is a special way to hold an infant where the infant is held skin to skin and chest to chest so that the entire ventral surface from umbilicus to sternum of the infant is up against the mother’s ventral surface. There are very sensitive cells in this area that can create a vagal-induced hormonal cascade that does not occur anywhere else in the body. History of Kangaroo Care • In the 1970’s, Dr. Edgar Rey and Dr. Hector Martinez from the Institito Maternal-Infantil in Bogota, Columbia visited a mountain village. • They witnessed a grandmother carrying a small baby skin to skin between her breasts under clothing and wraps that made a pouch. • They said it reminded them of how a kangaroo carries a baby in its pouch. History of Kangaroo Care • They decided to try this in their unit where: • average temperature was 50 degrees • no formula was available • mother often not available • mortality rate was nearly 80% History of Kangaroo Care • Mortality rate was primarily due to infections: • nutrition- not mom’s own milk • bed sharing- 2-3 infants per incubator • inadequate cleansing capabilities • lack of sterile supplies (rinse and reuse IV bags and tubing) • nurse to baby ratio was 1:65 History of Kangaroo Care • Instituted Kangaroo Care in 1979.
    [Show full text]
  • State of the World's Mothers 2007: Saving the Lives of Children Under 5
    State of the WORLD’S MOTHERS 2007 Saving the Lives of Children Under 5 Saving the Lives of Children Under Age 5 In commemoration of Mother’s Day, Save the Children is publishing its eighth annual State of the World’s Mothers report. The focus is on the 28,000 children under age 5 who die every day from easily preventable or treatable causes and the tragic fact that basic, lifesaving remedies still are not reaching millions of mothers and children in need. This report helps to bring attention to low-cost solutions that have the greatest potential to save lives. It also identifies countries that are succeeding in tackling this problem, showing that effective solutions to this challenge are affordable – even in the world’s poorest countries. CONTENTS 1 Foreword by William Foege, MD, MPH 2 Introduction 4 Key Findings and Recommendations 10 Reducing the Death Toll: Why 10 Million Children Don’t Have to Die Every Year 22 Child Survival Progress Ranking 28 Saving the Lives of Children Under 5: Low-Cost Solutions That Work 30 Report Card: 5 Ways to Save Lives Under Age 5 Front cover: In Mali, 8-month-old Mory is given zinc 38 Changing the World by Investing in Children along with oral rehydration solution to treat diarrhea.“Since his first zinc 42 Child Deaths in the Industrialized World: treatment, Mory stopped feeling sick with United States has a Higher Death Rate Than the diarrhea,” says his mother Assata, 22. “And as you can see, he is healthy and Most Other Countries very good looking.” 44 Take Action Now! Make a World of Difference State of the World’s Mothers 2007 was published with generous support from for Mothers and Children the Austin Hearst Foundation.
    [Show full text]
  • Childbirth Education
    International Journal of Childbirth Education Open Focus The official publication of the International Childbirth Education Association VOLUME 31 NUMBER 3 JULY 2016 2016 October 13 ‐15 Core Conference October 11 & 12 Preconference workshops Renaissance Denver Stapleton Hotel 3801 Quebec Street | Denver, CO 80207 Free airport shuttle Reaching the Highest Peaks in Evidence‐Based Practice Join us for the 2016 Conference! Sessions this year will include information on: Learning Lab Skills Sessions Waterbirth Science and Safety Preconference Workshops: Somatic Trauma Resolution . Professional Childbirth Self – Care for the birth professional Educator Workshop Perinatal Mood and Anxiety Disorders . Birth Doula Workshop ICEA Member reception hosted by the President . Postpartum Doula Workshop . Early Lactation Care Workshop We are excited to feature these Internationally acclaimed childbirth activists and speakers: NEW THIS YEAR! “Tools For Success” Workshop: Part 1 Creating & Developing an Effective Curriculum Part 2 PowerPoint‐ Creativity, Productivity and Professionalism Barbara Harper RN CD CCE Jennie Joseph LM CPM Rep. Kelly Townsend Doula & member of AZ House of Representatives FREE Certificate For the first time ever Attendees who attend all Concurrent Session Speakers Include: general sessions with Jennie Nicette Jukelevics | Birdie Gunyon Meyer | Jeanne Green Joseph will receive a certificate Donna Walls | Connie Livingston | Tamela Hatcher | Lisa Wilson as a Maternal Child Health Jennifer Shryock | Colleen Weeks | Jana McCarthy
    [Show full text]