Which approach is recommended for all infants experiencing NOWS?

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The rooming-in approach is recommended for all infants experiencing Neonatal Opioid Withdrawal Syndrome (NOWS) because it facilitates a supportive environment for both the infant and the mother. This approach emphasizes keeping the mother and baby together in the same room, which can promote bonding, improve breastfeeding success, and provide the mother with the opportunity to attend to her baby’s needs promptly.

Studies have shown that when mothers are actively involved in caring for their infants during withdrawal, it can positively influence the infant's outcomes, helping to soothe and comfort the babies during this challenging period. The presence of the mother can also reduce the need for pharmacological interventions, as her involvement can help manage withdrawal symptoms effectively.

In contrast, other approaches like isolation, standard nursery care, or the use of feeding tubes do not foster the same type of nurturing environment that the rooming-in strategy provides. Isolation can lead to increased stress for the infant and can hinder the bonding process. Standard nursery care may not offer the same level of individualized attention needed for managing withdrawal symptoms. Feeding tubes, while sometimes necessary in certain medical situations, are typically not the first-line approach for managing NOWS and can also detract from mother-baby interaction. Thus, the rooming-in approach is upheld

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