Alternatives to Kangaroo Mother Care

to Improve Symptoms of Neonatal Abstinence Syndrome in Massachusetts

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Great Problems Seminar:

Heal the World

Poster 18

Worcester Polytechnic Institute

​

Kendall Begin, Mikaela Enax, Tera Keang, Lauren Vitellaro

Problem Statement

Cases of NAS per 1,000 births in MA

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13.8

Neonatal Abstinence Syndrome (NAS)

tremors, vomiting, irritability, diarrhea, temperature instability

Kangaroo Mother Care (KMC)

Goal

Identify an alternative method of kangaroo mother care (KMC) for infants with neonatal abstinence syndrome (NAS) hospitalized in Massachusetts.

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Sources of Information

2: Secondary Sources

1: Primary Sources

Dr. Jennifer Rylander

St. Vincent’s Hospital Neonatologist

Dr. Leslie Kerzner

Massachusetts General Hospital

Special Care Nursery Associate Director

Chris Vitellaro

Cuddler Program Volunteer

Biological symptoms of KMC

Barriers preventing KMC

Current solutions of KMC

Biological

Causes

Environmental

Methadone Maintenance Therapy (MMT) treatment on NAS mothers concerns nurses

Pharmacotherapy

Lack of education on practice of KMC

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Short Term

Biological Impacts of Lack of KMC

Long Term

Current Solutions & Limitations

Cuddler Program

Waterbeds

Babybe

+ Thermal regulation

- No white noise

- No monitors

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+ Provides KMC

- Staff shortages

+ Provides KMC without staff

- Expensive

- Unequal access

Hugsy

+ Material, warmth

+ Heart beat

- No monitors

- Needs staff

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Recommendation 1: Technical Solution

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Thermal pad

Controlled by sensor

mamaRoo Insert

Rocking motion,

Already in hospitals

White Noise

Breathing and heartbeat

Recommendation 2:

Educational Solution

Volunteer-made video presentations & Infographic posters

with a large emphasis on non

pharmacological interventions

Implementation & Assessment- Technical

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Funding

Manufacturing

Clinical Trials

Massachusetts Health

and Human Services

Implementation & Assessment- Educational

Distributed to Hospitals in MA

Conclusion

Limitations

Next Steps

Unequal access

Requires basic training

Reliance on device for comfort

Survey staff in hospitals

Reach out to manufacturers

Research clinical trials

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Learnings from GPS

Kendall Begin

Research is HARD, but valuable and rewarding

Tera Keang

Team cooperation, time management, leadership

Mikaela Enax

Challenging work, adapt to changes, teamwork is key

Lauren Vitellaro

Be flexible and communicate early

Thank you!

Contact information:

Kendall Begin: kpbegin@wpi.edu

Mikaela Enax: meenax@wpi.edu

Tera Keang: tpkeang@wpi.edu

Lauren Vitellaro: Lvitellaro@wpi.edu

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Worcester Polytechnic Institute

Global Projects Seminar: Heal the World 2020

CREDITS: This presentation template was created by Slidesgo, including icons by Flaticon, infographics & images by Freepik

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