524 - Outcomes of Maternal-Infant Dyads Affected by Substance Use Disorder With Access to Responsive Technology Bassinets

Publication Number: 524.5931

Margaret Cornwall, USF Health Morsani College of Medicine, Allentown, PA, United States; Marcia Kneusel, University of South Florida, Tampa, FL, United States; Abby L. Schneider, University of South Florida, St. Petersburg, FL, United States; Tanner Wright, USF Health Morsani College of Medicine, Tampa, FL, United States

Background: Sleep plays a major role in infant development and dyadic interactions. Neonates exposed to opioids in utero may experience poor sleep due to symptoms of Neonatal Opioid Withdrawal Syndrome (NOWS). The use of responsive bassinets in hospitals has been shown to save clinician’s time and improve care. Limited research has been done on sleep in infants with NOWS after discharge.

Objective: We aim to describe the sleep habits of infants with NOWS with access to responsive bassinet technology as well as demonstrate patterns in postpartum mental health and sleep behavior in caregivers.

Design/Methods: This is a descriptive analysis of survey responses. Caregivers of infants at least 35 weeks gestational age at birth and diagnosed with NOWS, were offered use of a responsive technology bassinet, and separately consented for opportunity to complete longitudinal surveys. Surveys were administered at 1, 3, and 6 months. Validated surveys used included the Brief Infant Sleep Questionnaire (BISQ), Pittsburgh Sleep Quality Index (PSQI) (scores > 5 classified as poor-quality sleep), Edinburgh Postnatal Depression Scale (EPDS) (scores above 13 classified as depressive illness), Parental Sense of Competency scale (PSOC), Maternal Postnatal Attachment Scale (MPAS). Survey responses at the three timepoints were compared using one-way repeated measures ANOVA. Correlation between caregiver depression and quality of sleep was assessed using Spearman’s correlation.

Results: A total of 66 families completed surveys. Time baby spends in sleep during the night is significantly different at all timepoints with the lowest being at 1 Month and the highest at 6 Month. Time baby spends in sleep during the day is significantly different at all timepoints with the highest being at 1 month and the lowest at 6 months. There were no differences in time to put baby to sleep, time during the night the child is awake, EPDS, PSQI, MPAS, and PSOC scores at different timepoints (all p>.05) (Table 1). There was a significant positive correlation between EPDS and PSQI at all timepoints (Table 2).

Conclusion(s): Infants exposed to opioids in utero with access to a responsive bassinet show the predicted development of night and day patterns as they age with increased sleep during the night and less sleep during the day. Most caregivers had poor sleep, were not depressed, and had high attachment which did not change from 1 to 6 months. Increasing poor sleep was associated with increasing depression. Further research into improving sleep for both baby and caregiver is needed, especially in potentially at-risk populations.

Table 1. Infant sleep habits and caregiver sleep and mental health


Table 2. Correlation between caregiver depression and quality of sleep