ICSED

Improving Care for the Substance-Exposed Dyad

The LaPQC addressed the need to improve the identification, care, and treatment of women who give birth and newborns affected by opioids and substance use through the Improving Care for the Substance-Exposed Dyad (ICSED) Initiative.

Launched in September 2021, ICSED emerged not only from key learnings from the LaPQC’s NOWS Pilot, but also from findings from the Louisiana Pregnancy-Associated Mortality Review Report identifying substance use as one of the leading causes of pregnancy-associated, but not related, deaths among people who give birth in Louisiana.

11 birthing facilities from 5 of Louisiana’s 9 regions participated in ICSED. About 20% of births were touched by these 11 birthing facilities. Together, teams worked to improve the identification, care, and treatment of the dyad affected by substance use/misuse, including opioids. For more information about the ICSED Initiative, see the 2023 LaPQC Report.

Participating Facilities

  • Baton Rouge General Medical Center
  • Lake Charles Memorial Hospital for Women
  • Lane Regional Medical Center
  • North Oaks Medical Center
  • Ochsner Medical Center- Baton Rouge
  • Ochsner St. Anne Hospital
  • Our Lady of the Angels Hospital
  • Slidell Memorial Hospital
  • St. Tammany Health System
  • Terrebonne General Medical Center
  • Willis-Knighton Bossier
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Initiatives

The Gift

The primary home for neonatal and mother-baby care best practice implementation, including breastfeeding and parent-infant bonding.

Safe Births Initiative

The primary home for the Alliance for Innovation on Maternal Health bundle of implementation and perinatal outcomes work.

Obstetric Readiness in Emergency Departments

Supports emergency departments to improve readiness for obstetric emergencies.

Caregiver Perinatal Depression Screening

Supports pediatric practices in screening and establishing referral pathways for caregivers impacted by postpartum depression.

Community Birth Initiative

Supports freestanding birth centers and community birth providers with readiness and response to maternal and neonatal emergencies.