PPT-A Standardized Approach for Treating Infants at Risk for Neonatal Abstinence Syndrome

M Cody Smith MD and Casey McCord RN BSN WVU Medicine Childrens Hospital Department of Pediatrics Our Story to Standardization and Improved Care Wvu medicine Childrens quality Improvement committee for . For many people abstinence means not having sexual intercourse vaginal anal or oral sex For some kissing is the limit For others everything but vaginal or anal intercourse is the limit Others have limits somewhere in between If choosing abstinence y Many educated and well meaning people look at the numbers of teenagers and young adults engaging in high-risk sexual behavior and throw up their hands in resignation. . Reasons for Abstinence in Dating and Courtship.. Erin L. Keels RN MS NNP-BC. NAS Taskforce Chair. NNP Program . Manager. Nationwide Children’s Hospital . Columbus, Ohio . Disclosures. No conflicts of interest. Off label use of medications for treatment of NAS. Opiates and Pregnancy . Opioids in Pregnancy. Opioids are small fat soluble compounds that can easily pass the placental and blood-brain . barrier.. With chronic exposure the fetus develops physical addiction . Defining sex and abstinence. In the previous lessons you have learned that “sexual behavior” means different things to different people. .. Choosing not to engage in sex, or delaying sex, is often called “abstinence. Sheila L. Jett, NBCT – Montevallo . Middle . School. Bellringer. What are some ways that you can show more responsibility?. Acting Responsibly. Growing up means taking on more responsibility. Your parents recognize that you can make decisions for yourself and choose right from wrong. This additional responsibility also leads to more freedom. You might be allowed to do things and go more places by yourself or with your friends.. Abstinence + programs in Texas By: Ulyssa Rios LDS 1301 What is abstinence? Abstinence is typically known as the act or practice of refraining from indulging an appetite or desire, especially for alcoholic drink or sexual intercourse Neonatal Abstinence Syndrome Lauritz Meyer, MD September 11, 2015 SDPA Conference Disclosure I have no financial relationships to disclose. Objectives Describe the incidence of Neonatal Abstinence Syndrome in the United States “ Association of OPRM1 and COMT Single Nucleotide Polymorphisms with Hospital Length of Hospital Stay and Treatment of Neonatal Abstinence Syndrome” E Wachman , M Hayes, M Brown, J Paul, K Harvey-Wilkes, What does abstinence mean? . Define . it in your own . words.. WHAT . ARE SEXUALLY TRANSMITTED DISEASES?. Teen relationships . can focus . on emotional intimacy, . not just . sexual intimacy.. A conscious . “You've . got to be very careful if you don't know where you're going, because you might not get there." . Yogi Berra. W. hy is this skill needed for abstinence?. Analyzing Influences. How do the following influence decisions?. Infections are a frequent and important cause of neonatal and infant morbidity and mortality. As many as 2% of fetuses are infected in . utero. , and up to 10% of infants have infections in the 1st mo of life.. An estimated 8.5% of pregnant women reporting abusing substances in pregnancy, there has also been a 5 -7 fold increase in infants suffering from Neonatal Abstinence Syndrome (NAS) . Admitted/Confirmed substance use by a mother triggers a referral to Division of Family and Children Services (DFCS) in most organizations. Neonatal opioid withdrawal syndrome (NOWS): opioid only withdrawal symptoms . Epidemiology. Incidence of 8.6 per 1000 live births in the U.S in 2016. Incidence of 14 per 1000 live births in NM in 2017.