Transitioning Care Approach for Neonatal Opioid Withdrawal Syndrome and Neonatal Abstinence Syndrome
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Updated: Jun 27, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
1NICU Thought Leader Philips, Infant Massage USA, 8800 Lombard Place 1507, San Diego, CA 92122, USA.
Insights
Substance use during pregnancy increases neonatal abstinence syndrome (NAS/NOWS). A shift towards family-centered, non-pharmacological care is recommended for better infant and family outcomes.
Area of Science:
- Neonatal care
- Maternal health
- Substance use disorders
Background:
- Increased substance use in pregnancy leads to higher rates of neonatal abstinence syndrome/neonatal opioid withdrawal syndrome (NAS/NOWS).
- Existing care models strain healthcare and social systems, incurring economic burdens.
- A paradigm shift in NAS/NOWS care is emerging.
Purpose of the Study:
- To highlight the transition from a medical model to a family-centered, individualized non-pharmacological care approach for NAS/NOWS.
- To emphasize non-pharmacological interventions as the primary treatment strategy.
- To underscore the importance of supporting families post-birth for a successful transition home.
Main Methods:
- Review of current care models for NAS/NOWS.
- Emphasis on non-pharmacological interventions.
- Focus on family-centered support systems.
Main Results:
- Non-pharmacological interventions are increasingly recognized as first-line treatment for NAS/NOWS.
- Family-centered care models improve outcomes by creating a nurturing environment.
- Providing families with non-pharmacological tools aids in the transition from hospital to home.
Conclusions:
- A family-centered, non-pharmacological approach is a paradigm shift in NAS/NOWS care.
- This approach alleviates strain on healthcare and social systems.
- Empowering families with non-pharmacological strategies promotes successful home transitions and infant well-being.
Abstract:
The increase in substance use during pregnancy results in a higher incidence of neonatal abstinence syndrome/neonatal opioid withdrawal syndrome (NAS/NOWS), straining health care and social systems and creating an economic burden. There is a paradigm shift in transitioning the care approach for NAS/NOWS from a medical model of care to a family-centered individualized non-pharmacological care approach with non-pharmacological interventions as the first line of treatment. Supporting families after birth with a nurturing environment and providing them with a toolbox of non-pharmacological interventions prepares them for the transition from hospital to home.
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