Education
Education for families and caregivers can take many forms, such as discussion, written materials, or referrals in certain cases. Educational topics may include:

• Eat, sleep, console (ESC), which is a nonpharmacological strategy to caring, monitoring, and treating infants with prenatal opioid exposure. This approach allows families to be actively involved in caring for the infant early on. Based on the ESC approach, an infant is doing well when they: eat at least 1 oz per feeding (or an age-appropriate amount), sleep undisturbed for 1 hour, and can be consoled within 10 minutes.
• Swaddling, rocking, skin-to-skin contact, pacifier
• Decreased noise and dimmed lights
• Safe sleep practice
• Breastfeeding guidance (if not contraindicated; would counsel families about pausing breastfeeding in the event of any return to use)
• Importance of developmental screening/surveillance and long-term follow-up for physical and occupational therapy
• Components of a safe and coordinated discharge plan
• Increased risk of visual concerns including strabismus
• Nonaccidental trauma

CPR
For more information, refer to examples of a discharge checklist and discharge worksheet created for the Illinois Prenatal Quality Collaborative (ILPQC).
In addition, AAP Bright Futures outlines the priorities and risks for general anticipatory guidance offered to all families, which changes/evolves based on the age
of the infant/child. Families with prenatal opioid exposure may need more specific anticipatory guidance emphasized during visits as shown in the table that
follows:
The AAP Bright Futures outlines the priorities and risks for general anticipatory guidance offered to all families, which changes/evolves based on the age of the
infant/child. Families with prenatal opioid exposure may need more specific anticipatory guidance emphasized during visits as shown in the table here:

Table/PDF/Image

* Eat, sleep, console is an approach to monitoring and treating infants with prenatal opioid exposure. If the infant’s ability to eat, sleep and be consoled is impacted by
withdrawal the birth parent/caregiver can use methods such as skin-to-skin contact, frequent feeding, and holding the baby in a quiet room with low light to calm them.