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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neonatal withdrawal syndrome due to maternal codeine use
Vrinda Nair1, Amuchou Singh Soraisham, Albert Akierman
1Department of Pediatrics, Division of Neonatology, Institute for Child and Maternal Health, University of Calgary, Calgary, Alberta.
Paediatrics & Child Health
|May 2, 2013
Summary
Neonatal withdrawal syndrome can occur from maternal drug use during pregnancy. Codeine analgesics for headaches are a potential cause, necessitating detailed drug history and prenatal counseling.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Medicine
- Pharmacology
Background:
- Neonatal withdrawal from maternal drug and medication use is a recognized clinical issue.
- Codeine-containing analgesics are sometimes prescribed for maternal conditions like headaches during pregnancy.
Observation:
- This case report details a neonate experiencing withdrawal symptoms attributed to maternal use of codeine-containing analgesics.
- The maternal drug history included non-prescription codeine preparations used for headache relief.
Findings:
- Maternal use of codeine-containing analgesics, even for common ailments like headaches, can precipitate neonatal withdrawal syndrome.
- A comprehensive maternal drug history is crucial for identifying potential risks to the neonate.
Implications:
- Healthcare providers should inquire about all maternal drug use, including over-the-counter medications.
- Prenatal counseling is essential for pregnant women using narcotic-containing analgesics to mitigate neonatal risks.
- Early identification and management of neonatal withdrawal syndrome are critical for infant well-being.
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