open access
Neonatal abstinence syndrome in a newborn delivered by an opioid-dependent mother using methadone substitution therapy during pregnancy
- Neonatology Unit, Regional Specialist Hospital W. Biegański in Grudziądz
- Medical University of Gdańsk, Department of Pharmacology
- Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia
open access
Abstract
Introduction. Psychoactive substances as opioids used by women during pregnancy can have a negative
impact on the health of a newborn child.
Case report. Based on a case report of a newborn delivered by an opioid-dependent mother, this article
describes the therapeutic decision-making that occurred in caring for this patient. This included outlining
the form of substitution therapy selected and the use of Finnegan’s scoring system to assess the degree
of abstinence syndrome in the newborn.
Conclusion. There is a need to monitor drug-dependent women and their children from the early stages
of pregnancy through to birth to ensure positive health outcomes for both the mother and the newborn.
Abstract
Introduction. Psychoactive substances as opioids used by women during pregnancy can have a negative
impact on the health of a newborn child.
Case report. Based on a case report of a newborn delivered by an opioid-dependent mother, this article
describes the therapeutic decision-making that occurred in caring for this patient. This included outlining
the form of substitution therapy selected and the use of Finnegan’s scoring system to assess the degree
of abstinence syndrome in the newborn.
Conclusion. There is a need to monitor drug-dependent women and their children from the early stages
of pregnancy through to birth to ensure positive health outcomes for both the mother and the newborn.
Keywords
opioid, dependence, methadone maintenance treatment, neonatal abstinence syndrome
Title
Neonatal abstinence syndrome in a newborn delivered by an opioid-dependent mother using methadone substitution therapy during pregnancy
Journal
Palliative Medicine in Practice
Issue
Article type
Case report
Pages
124-126
Published online
2020-05-16
Page views
601
Article views/downloads
915
DOI
Bibliographic record
Palliat Med Pract 2020;14(2):124-126.
Keywords
opioid
dependence
methadone maintenance treatment
neonatal abstinence syndrome
Authors
Małgorzata Napieralska
Iga Pawłowska
Natalia Krzyzaniak
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- Women and Newborn Drug and Alcohol Service. Neonatal Abstinence Syndrome (NAS) Western Australia: King Edward Memorial Hospital. https://www.wnhs.health.wa.gov.au/~/media/Files/Hospitals/WNHS/Our%20Services/WANDAS/wnhs0197.pdf (11 March 2020).