Neonatal Abstinence Syndrome

Published on Jul 26, 2017

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PRESENTATION OUTLINE

Neonatal Abstinence Syndrome (NAS)

NAS are symptoms babies may have if mothers used addicting drugs during pregnancy. This is often called withdrawal.

Drugs associated with NAS

  • Pain relievers- Vicodin, OxyContin, Percocet
  • Illicit substances - Heroin
  • Opioid maintenance therapy-methadone, buprenorphine
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86 % of pregnancies are unintended among women who are using opioids.

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1/3 of reproductive aged women filled prescriptions for an opioid medication.

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Approximately 20 Million opioid tablets were prescribed for pain management after cesarean delivery.

21,732 newborns in 2012 were affected with NAS.

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In-Utero Opioid Exposure May Cause

  • Lower birth weight
  • High preterm birth rate
  • Reduced fetal growth
  • Problems- Hypoglycemia, anemia, respiratory distress
  • Altered brain growth
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48-72 hours after birth symptoms typically occur

NAS ADVERSE EVENTS:

  • Tremors, hyperactive reflexes, seizures
  • Excessive/high pitched crying, sneezing, irritability
  • Poor feeding, vomiting, diarrhea, dehydration, poor weight gain
  • Sweating, fever
  • Poor fetal growth, pre-term birth
  • Sudden Infant death
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Over the last decade, newborns have experienced a threefold increase in NAS hospitalizations.

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The average hospital stay was 16 days. The mean hospital cost was $93,000.

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NAS Treatment

  • Most hospitals treat with short acting morphine
  • Methadone
  • Weaning off opioids slowly
  • Skin on skin contact, swaddling, pacifier, breast feeding

Tens of thousands of these children have entered child foster programs or were given up.

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Big pharma loaded the market through misrepresentations and aggressive marketing tactics creating the tiniest victims.

Photo by Dean Hochman

B Fonseca

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