Table 4 Nonpharmacologic interventions related to NAS, sample respondents in California Birth Hospitals in 2018.

From: Neonatal abstinence syndrome management in California birth hospitals: results of a statewide survey

Routinely provided nonpharmacologic interventions

%

95% CI

# of hospitals

Environment (n= 64)

  Swaddling

100%

93%

100%

64

  Quiet environment

94%

85%

98%

60

  Low-level lighting

86%

75%

93%

55

  Covered isolette/crib

69%

57%

79%

44

  Sleep positioning

69%

57%

79%

44

  Warm blanket

39%

28%

51%

25

  Music therapy

17%

10%

28%

11

  Rooming-in

44%

32%

56%

28

Dyad-specific care (n= 62)

  Skin-to-skin care

71%

59%

81%

44

  Breastfeeding

60%

47%

71%

37

Physical intervention (n= 62)

  Holding

95%

86%

99%

59

  Gentle rocking

81%

69%

89%

50

  Gentle containment/pressure

60%

47%

71%

37

  Slow infant handling

56%

44%

68%

35

  Massage

21%

13%

33%

13

Other (n= 62)

  Volunteer “cuddler” program

48%

36%

61%

30

  Empowering messages to caregiver

21%

13%

33%

13

  Delaying circumcision

16%

9%

27%

10

  Acupuncture

3%

0%

12%

2

  1. Source: “Hospital Care and Emerging Practices for Treatment of Maternal Opioid Addiction, the Mother-Infant Dyad and Neonatal Abstinence Care: A Survey of California Hospitals” fielded June 2018 to August 2018 by the Urban Institute in collaboration with the California Perinatal Quality-Improvement Collaborative and the California Maternal Quality Care Collaborative
  2. n = sample size. Denominator includes all respondents who selected a response in any part of the question (e.g., in a multi-item response table). A respondent who selected an answer in one line of the table but left another line blank are treated as “no” (instead of “missing”) for the line or lines for which they did not respond
  3. NAS neonatal abstinence syndrome, CI confidence interval