Neonatal abstinence syndrome (NAS)

Published on 03/06/2015 by admin

Filed under Neonatal - Perinatal Medicine

Last modified 03/06/2015

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CHAPTER 22 Neonatal abstinence syndrome (NAS)

Mark Davies, David Cartwright

[From: Guidelines for the management of babies of substance-using women. Norton B, Kuhnert L et al. Brisbane: Grantley Stable Neonatal Unit; 2001.]

Admission guidelines

Indications for admission to the special care nursery (SCN)

Babies of mothers who have a history of using:

• opiates (heroin, methadone)
• amphetamines (speed, Ritalin) — the evidence for NAS in infants of mothers using amphetamines alone is weak
• benzodiazepines (Serepax, diazepam)
• cocaine (crack).

Admission to the special care nursery (SCN)

1. Babies at risk for NAS are monitored using the Finnegan Neonatal Abstinence Score. The minimum stay is 72 hours.

Some units allow this monitoring on the postnatal ward.

2. Baby is then transferred to postnatal ward (until at least 5 days of age) to be with mother.

Pharmacological treatment

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