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Updated: Sep 11, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
The Best Prescription for Caring for a NAS or NOWS Family
Insights
Neonatal Abstinence Syndrome (NAS) infants and their families face stigma. This study explores alternative approaches to support these fragile families in the Neonatal Intensive Care Unit (NICU).
Area of Science:
- Neonatal care
- Perinatal substance use
- Family support
Background:
- Infants with Neonatal Abstinence Syndrome (NAS), also known as Neonatal Opioid Withdrawal Syndrome (NOWS), are a vulnerable population in the NICU.
- Families of infants with NAS often face societal stigma and judgment.
- Existing support systems may not adequately address the unique challenges faced by these families.
Purpose of the Study:
- To explore alternative, supportive strategies for families with infants experiencing NAS/NOWS.
- To challenge the assumptions and accusations often directed at birthing parents of infants with NAS/NOWS.
- To promote a thriving environment for fragile families in the NICU.
Main Methods:
- Qualitative exploration of parental experiences and perspectives.
- Review of current support models and their limitations.
- Conceptualization of a "different prescription" for family support.
Main Results:
- The study highlights the need for a paradigm shift in how NAS/NOWS families are perceived and supported.
- Parental narratives reveal significant emotional distress due to stigma and judgment.
- The potential for improved family well-being through compassionate, non-judgmental care is indicated.
Conclusions:
- A compassionate, alternative approach is crucial for supporting families with Neonatal Abstinence Syndrome (NAS) or Neonatal Opioid Withdrawal Syndrome (NOWS) infants.
- Shifting from assumption and accusation to support can foster family resilience and infant thriving.
- Further research and implementation of supportive interventions are needed in the NICU setting.
Abstract:
As a parent in the NICU, we families have an automatic friendship that simply requires the phrase "NICU Baby" for a club none of us expected to join. Along with premature infants, infants with heart conditions, rare diseases, and more, there is one embattled group: the neonatal abstinence syndrome or neonatal opioid withdrawal syndrome infants. So many assumptions swirl around these infants and automatic accusations at the birthing parent. But what if we had a different way, a different prescription in helping this fragile family thrive? It is possible and it is needed.
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