Characteristics of Maternal-Infant Interaction During Treatment for Opioid Withdrawal

Neonatal Netw. 2016;35(5):297-304. doi: 10.1891/0730-0832.35.5.297.

Abstract

Purpose: The purpose of this study was to describe the interactions between mothers in a methadone treatment program and their infants during a bottle feeding and compare the findings with normed data.

Design: A comparative-descriptive design was used.

Sample: Data from 12 opiate-exposed mother-infant dyads were compared with normed data.

Main outcome variable: Nursing Child Assessment Satellite-Training Scale scores.

Results: The opiate-exposed dyads scored significantly lower than the normed dyads in the infant subscales of clarity of cues (p < .001, 95% confidence interval [CI], 1.56-4.08) and responsiveness to caregiver (p < .01, 95% CI, 0.27-2.5), as well as the total score (p < .001, 95% CI, 2.42-6.15). Parent sensitivity to infant cues subscale (p < .01, 95% CI, 0.42-2.37) and parent contingency score (p < .01, 95% CI, 0.55-3.81) were also significantly lower. The cognitive growth fostering subscale scores were significantly higher in the neonatal abstinence syndrome (NAS) group (p < .01, 95% CI,- 2.94 to- 0.7).

MeSH terms

  • Adolescent
  • Adult
  • Bottle Feeding / psychology*
  • Case-Control Studies
  • Female
  • Humans
  • Infant, Newborn
  • Male
  • Methadone / therapeutic use*
  • Mother-Child Relations / psychology*
  • Narcotics / adverse effects
  • Neonatal Abstinence Syndrome / drug therapy
  • Neonatal Abstinence Syndrome / psychology*
  • Opiate Substitution Treatment*
  • Opioid-Related Disorders / drug therapy*
  • Opioid-Related Disorders / psychology
  • Pregnancy
  • Pregnancy Complications / drug therapy*
  • Pregnancy Complications / psychology
  • Young Adult

Substances

  • Narcotics
  • Methadone