CARPP Pediatric Resources

Newborn care


In hospital

  • Eat Sleep Console (ESC) Care Tool and material for QI Implementation
    • The Eat Sleep Console (ESC) Care Tool is a novel assessment and baby-centered, non-pharmacologic care tool co-developed by neonatal providers at the Children's Hospital at Dartmouth Hitchcock Medical Center, Yale New Haven Children’s Hospital and Boston Medical Center. The ESC Care Tool is being systematically evaluated in varied perinatal QI collaboratives (PQCs) including the NNEPQIN/NeoQIC Regional Collaboratives for Care of the Opioid-exposed Newborn, and in other PQCs in the United States, Canada, and Australia. The ESC Care Tool and ESC care approach is also being studied in an NIH HEAL-funded study called "ESC NOW" with over 25 hospitals in the United States. The ESC Care Tool and its training materials are available upon request by NNEPQIN/NeoQIC member hospitals, and only by special consideration for PQCs outside of these improvement collaboratives as we evaluate this novel tool's efficacy, safety, inter-rater reliability, and validity.
  • Neonatal Abstinence Syndrome Inpatient Management QI Toolkit
    Evidence-based guidelines for infants exposed to opioids in-utero and at risk for Neonatal Abstinence Syndrome (NAS) or Neonatal Opioid Withdrawal Syndrome (NOWS)
  • Neonatal Abstinence Syndrome (NAS) brochure (PDF)
  • Newborn Care Diary (PDF)
    Newborn Care Diary to be used by parents in the Newborn Nursery (and the first few days after discharge to home) and shared with their newborn’s providers to increase family-centered care for their opioid-exposed newborn (can also be used for non-opioid exposed newborns)
  • NNEPQIN Opioid-exposed Newborn Guideline Checklist (PDF)
    Recommended evidence-based practices for birth hospitals in care of the opioid-exposed infant
  • Marijuana in Pregnancy and Breastfeeding (PDF)

Outpatient pediatric care

Online resources for recovery-friendly pediatrics

The following neonatal opioid withdrawal syndrome (NOWS) resources on the AAP website support family-centered care for infants exposed to opioids during pregnancy and birth parents. Pediatricians understand the challenges of becoming a parent and they can accompany families during the recovery journey. This 4-part series includes educational videos and supportive content, also available for download in a handout format.