Neonatal Opioid Withdrawal Syndrome
The opioid crisis has grown to affect pregnant women and infants across the United States, as evidenced by rising rates of opioid use disorder among pregnant women and neonatal opioid withdrawal syndrome among infants. Across the country, pregnant women lack access to evidence-based therapies, inclu...
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| Veröffentlicht in: | Pediatrics (Evanston) 2020-11, Vol.146 (5), p.e2020029074 |
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| creator | Patrick, Stephen W Barfield, Wanda D Poindexter, Brenda B |
| description | The opioid crisis has grown to affect pregnant women and infants across the United States, as evidenced by rising rates of opioid use disorder among pregnant women and neonatal opioid withdrawal syndrome among infants. Across the country, pregnant women lack access to evidence-based therapies, including medications for opioid use disorder, and infants with opioid exposure frequently receive variable care. In addition, public systems, such as child welfare and early intervention, are increasingly stretched by increasing numbers of children affected by the crisis. Systematic, enduring, coordinated, and holistic approaches are needed to improve care for the mother-infant dyad. In this statement, we provide an overview of the effect of the opioid crisis on the mother-infant dyad and provide recommendations for management of the infant with opioid exposure, including clinical presentation, assessment, treatment, and discharge. |
| doi_str_mv | 10.1542/peds.2020-029074 |
| format | Article |
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Across the country, pregnant women lack access to evidence-based therapies, including medications for opioid use disorder, and infants with opioid exposure frequently receive variable care. In addition, public systems, such as child welfare and early intervention, are increasingly stretched by increasing numbers of children affected by the crisis. Systematic, enduring, coordinated, and holistic approaches are needed to improve care for the mother-infant dyad. In this statement, we provide an overview of the effect of the opioid crisis on the mother-infant dyad and provide recommendations for management of the infant with opioid exposure, including clinical presentation, assessment, treatment, and discharge.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2020-029074</identifier><identifier>PMID: 33106341</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>Babies ; Drug addiction ; Drug withdrawal ; Female ; Humans ; Infant, Newborn ; Infants ; Mass Screening ; Narcotics ; Neonatal abstinence syndrome ; Neonatal Abstinence Syndrome - diagnosis ; Neonatal Abstinence Syndrome - therapy ; Neonates ; Newborn babies ; Opioid-Related Disorders - diagnosis ; Opioid-Related Disorders - therapy ; Opioids ; Pediatrics ; Practice Guidelines as Topic ; Pregnancy ; Pregnancy Complications - diagnosis ; Pregnancy Complications - therapy ; United States</subject><ispartof>Pediatrics (Evanston), 2020-11, Vol.146 (5), p.e2020029074</ispartof><rights>Copyright © 2020 by the American Academy of Pediatrics.</rights><rights>Copyright American Academy of Pediatrics Nov 1, 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-53d99764c7245cbf5515102e0676d2d663fbd95aee23b21967e9e5d249de44a3</citedby><cites>FETCH-LOGICAL-c369t-53d99764c7245cbf5515102e0676d2d663fbd95aee23b21967e9e5d249de44a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33106341$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Patrick, Stephen W</creatorcontrib><creatorcontrib>Barfield, Wanda D</creatorcontrib><creatorcontrib>Poindexter, Brenda B</creatorcontrib><creatorcontrib>COMMITTEE ON FETUS AND NEWBORN, COMMITTEE ON SUBSTANCE USE AND PREVENTION</creatorcontrib><title>Neonatal Opioid Withdrawal Syndrome</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>The opioid crisis has grown to affect pregnant women and infants across the United States, as evidenced by rising rates of opioid use disorder among pregnant women and neonatal opioid withdrawal syndrome among infants. Across the country, pregnant women lack access to evidence-based therapies, including medications for opioid use disorder, and infants with opioid exposure frequently receive variable care. In addition, public systems, such as child welfare and early intervention, are increasingly stretched by increasing numbers of children affected by the crisis. Systematic, enduring, coordinated, and holistic approaches are needed to improve care for the mother-infant dyad. In this statement, we provide an overview of the effect of the opioid crisis on the mother-infant dyad and provide recommendations for management of the infant with opioid exposure, including clinical presentation, assessment, treatment, and discharge.</description><subject>Babies</subject><subject>Drug addiction</subject><subject>Drug withdrawal</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Mass Screening</subject><subject>Narcotics</subject><subject>Neonatal abstinence syndrome</subject><subject>Neonatal Abstinence Syndrome - diagnosis</subject><subject>Neonatal Abstinence Syndrome - therapy</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Opioid-Related Disorders - diagnosis</subject><subject>Opioid-Related Disorders - therapy</subject><subject>Opioids</subject><subject>Pediatrics</subject><subject>Practice Guidelines as Topic</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnosis</subject><subject>Pregnancy Complications - therapy</subject><subject>United States</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM9LAzEQhYModq3ePUmh562TSSYxRyn-gmIPFjyG7CaLW7rdNdki_e_d0upp4PHeN_AxdsthxknifRd8miEg5IAGtDxjGQfzkEvUdM4yAMFzCUAjdpXSGgAkabxkIyE4KCF5xqbvod263m0my65uaz_5rPsvH93PkHzstz62TbhmF5XbpHBzumO2en5azV_zxfLlbf64yEuhTJ-T8MZoJUuNksqiIuLEAQMorTx6pURVeEMuBBQFcqN0MIE8SuODlE6M2fSI7WL7vQupt-t2F7fDR4tyYKAhQUMLjq0ytinFUNku1o2Le8vBHqTYgxR7kGKPUobJ3Qm8K5rg_wd_FsQvOX5bOg</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Patrick, Stephen W</creator><creator>Barfield, Wanda D</creator><creator>Poindexter, Brenda B</creator><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope></search><sort><creationdate>202011</creationdate><title>Neonatal Opioid Withdrawal Syndrome</title><author>Patrick, Stephen W ; Barfield, Wanda D ; Poindexter, Brenda B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c369t-53d99764c7245cbf5515102e0676d2d663fbd95aee23b21967e9e5d249de44a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Babies</topic><topic>Drug addiction</topic><topic>Drug withdrawal</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Mass Screening</topic><topic>Narcotics</topic><topic>Neonatal abstinence syndrome</topic><topic>Neonatal Abstinence Syndrome - diagnosis</topic><topic>Neonatal Abstinence Syndrome - therapy</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Opioid-Related Disorders - diagnosis</topic><topic>Opioid-Related Disorders - therapy</topic><topic>Opioids</topic><topic>Pediatrics</topic><topic>Practice Guidelines as Topic</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnosis</topic><topic>Pregnancy Complications - therapy</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Patrick, Stephen W</creatorcontrib><creatorcontrib>Barfield, Wanda D</creatorcontrib><creatorcontrib>Poindexter, Brenda B</creatorcontrib><creatorcontrib>COMMITTEE ON FETUS AND NEWBORN, COMMITTEE ON SUBSTANCE USE AND PREVENTION</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Patrick, Stephen W</au><au>Barfield, Wanda D</au><au>Poindexter, Brenda B</au><aucorp>COMMITTEE ON FETUS AND NEWBORN, COMMITTEE ON SUBSTANCE USE AND PREVENTION</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neonatal Opioid Withdrawal Syndrome</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2020-11</date><risdate>2020</risdate><volume>146</volume><issue>5</issue><spage>e2020029074</spage><pages>e2020029074-</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><abstract>The opioid crisis has grown to affect pregnant women and infants across the United States, as evidenced by rising rates of opioid use disorder among pregnant women and neonatal opioid withdrawal syndrome among infants. Across the country, pregnant women lack access to evidence-based therapies, including medications for opioid use disorder, and infants with opioid exposure frequently receive variable care. In addition, public systems, such as child welfare and early intervention, are increasingly stretched by increasing numbers of children affected by the crisis. Systematic, enduring, coordinated, and holistic approaches are needed to improve care for the mother-infant dyad. In this statement, we provide an overview of the effect of the opioid crisis on the mother-infant dyad and provide recommendations for management of the infant with opioid exposure, including clinical presentation, assessment, treatment, and discharge.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>33106341</pmid><doi>10.1542/peds.2020-029074</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Pediatrics (Evanston), 2020-11, Vol.146 (5), p.e2020029074 |
| issn | 0031-4005 1098-4275 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Babies Drug addiction Drug withdrawal Female Humans Infant, Newborn Infants Mass Screening Narcotics Neonatal abstinence syndrome Neonatal Abstinence Syndrome - diagnosis Neonatal Abstinence Syndrome - therapy Neonates Newborn babies Opioid-Related Disorders - diagnosis Opioid-Related Disorders - therapy Opioids Pediatrics Practice Guidelines as Topic Pregnancy Pregnancy Complications - diagnosis Pregnancy Complications - therapy United States |
| title | Neonatal Opioid Withdrawal Syndrome |
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