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Arch Dis Child Fetal Neonatal Ed. 2017 Mar;102(2):F183-F187. doi: 10.1136/archdischild-2015-310045. Epub 2017 Jan 10.

The opioid epidemic and neonatal abstinence syndrome in the USA: a review of the continuum of care.

Author information

1
Department of Pediatrics, Vanderbilt University, Nashville, Tennessee, USA.
2
Mildred Stahlman Division of Neonatology, Vanderbilt University, Nashville, Tennessee, USA.
3
Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Women's Research Institute University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
4
Department of Pediatrics, University of Michigan Health Systems, Ann Arbor, Michigan, USA.
5
Vanderbilt Center for Health Services Research, Nashville, Tennessee, USA.
6
Department of Health Policy, Vanderbilt University, Nashville, Tennessee, USA.

Abstract

As the prescription opioid epidemic grew in the USA, its impact extended to pregnant women and their infants. This review summarises how increasing rates of neonatal abstinence syndrome resulted in a need to improve care to pregnant women and opioid-exposed infants. We discuss the variations in care delivery with particular emphasis on screening at-risk mothers, scoring systems for neonatal drug withdrawal, type and duration of pharmacotherapy, and discharge safety.

KEYWORDS:

Drug Withdrawal; Neonatology

PMID:
28073819
PMCID:
PMC5730450
DOI:
10.1136/archdischild-2015-310045
[Indexed for MEDLINE]
Free PMC Article

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