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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

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Published on: August 25, 2014

Neonatal abstinence syndrome.

K K Mishra1, N Chopra, A Dudeja

  • 1Department of Pediatrics, Lady Hardinge Medical Colleg and associated Kalawati Saran Children's Hospital, New Delhi, India. kirtisen@gmail.com

Kathmandu University Medical Journal (KUMJ)
|May 22, 2012
PubMed
Summary
This summary is machine-generated.

Maternal drug use can lead to Neonatal Abstinence Syndrome (NAS), often missed due to undisclosed history. Early suspicion and diagnosis are key for successful management of NAS in newborns.

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Area of Science:

  • Neonatal Abstinence Syndrome
  • Pediatric Pharmacology
  • Maternal-Fetal Medicine

Background:

  • Intrauterine drug exposure is a significant concern in maternal and child health.
  • Undisclosed maternal drug use frequently leads to delayed or missed diagnosis of neonatal abstinence syndrome (NAS).
  • Routine investigations may not identify NAS, necessitating a high index of clinical suspicion.

Observation:

  • A term, female newborn presented with symptoms including restlessness, inconsolable crying, sweating, and diarrhea.
  • Initial routine investigations were inconclusive in determining the cause of the neonate's symptoms.
  • The clinical presentation raised suspicion of maternal drug addiction.

Findings:

  • Maternal history review revealed the mother was a heroin addict.
  • The neonate was diagnosed with Neonatal Abstinence Syndrome (NAS) based on clinical presentation and maternal history.
  • The neonate's symptoms were directly attributed to intrauterine opioid exposure.

Implications:

  • Highlights the importance of considering maternal drug history in neonates presenting with withdrawal symptoms.
  • Emphasizes the need for thorough maternal history taking, even if initially suppressed.
  • Successful management and discharge of the neonate underscore the efficacy of prompt NAS diagnosis and treatment.