PPT-Neonatal Abstinence Syndrome

Sean Loudin MD Candice Hamilton MPH Disclosures I have no financial disclosures Objectives Understand the mechanism of withdrawal Discuss the definition of NAS Understand the local incidence of NAS across the state. Neonatal Drug Withdrawal. This is a nationwide problem. In Indiana, this is a problem in all counties.. The classic drugs of abuse that cause neonatal withdrawal are . opioids. such as heroin and morphine. Prescription pain medications such as . LaResa. . Janousek. , RN, NNP-BC. Idaho . Perinatal. Project. February 21, 2013. Objectives. Increase awareness of opioid use and pregnancy.. Identify and screen for maternal opioid use/abuse.. Describe the clinical characteristics of Neonatal Abstinence Syndrome.. 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. LaResa. . Janousek. , RN, NNP-BC. Idaho . Perinatal. Project. February 21, 2013. Objectives. Increase awareness of opioid use and pregnancy.. Identify and screen for maternal opioid use/abuse.. Describe the clinical characteristics of Neonatal Abstinence Syndrome.. Ferris State University. Kelly . Geraghty. , Tracy James, Kristen . Lintjer. , . Sara . Potes. , . Rikki. . Zissler. PICO Question. “Are newborn infants with high neonatal abstinence syndrome scores (8 or above) more responsive when nurses treat them with pharmaceutical or non-pharmaceutical interventions?” . Neonatal Abstinence Syndrome & Breastfeeding Special Populations. Caitlin Vanini C-PNP, C-NNP & Stephanie Solpietro C-PNP . NEONATAL ABSTINENCE SYNDROME. OBJECTIVES. UNDERSTAND THE CURRENT STATUS OF MATERNAL OPIOD USE AND NEONATAL ABSTINENCE SYNDROME (NAS) AND ITS’ AFFECT ON COST AND LENGTH OF STAY. in NICU. Dr. Darshan Shah. Asst. Professor of Pediatrics. Quillen College of Pediatrics. New Neonatal Abstinence Syndrome. in NICU. Drug use in general population. How Common or Uncommon it is?. Prescribed/Illicit/Not intended . 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 . in NICU. Dr. Darshan Shah. Asst. Professor of Pediatrics. Quillen College of Pediatrics. New Neonatal Abstinence Syndrome. in NICU. Drug use in general population. How Common or Uncommon it is?. Prescribed/Illicit/Not intended . 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, 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. M. Cody Smith, MD and Casey McCord RN, BSN. WVU Medicine Children’s Hospital. Department of Pediatrics. Our Story to Standardization and Improved Care. Wvu. medicine Children’s quality Improvement committee for .