[PDF] Top 20 Neonatal Abstinence Syndrome Due to Maternal Kratom Use

... Neonatal abstinence syndrome (NAS) is increasing in incidence and most commonly associated with maternal opioid use during ...Whether Kratom, a legal, widely available herbal ... See full document

... 6. The 2000–2011 data include infant discharges from both in-state and out-of-state hospitals among New Hampshire residents. Due to data constraints, the 2012–2015 data include discharges among only in-state ... See full document

... Opioid Use in Pregnancy, Neonatal Abstinence Syndrome, and Childhood Outcomes Workshop Invited ...Opioid use in pregnancy, neonatal abstinence syndrome, and ... See full document

... the use of morphine in combination with pheno- barbital has been reported in the treatment of infants whose symptoms are not well controlled with morphine alone, but strong evidence of its efficacy is ... See full document

... neonatal urine and meconium toxicology was per- formed on almost every patient (at the discretion of the attending clinician), and this demonstrated that only 2 of 195 infants had screens that contradicted their ... See full document

... METHODS: In 2010, a multidisciplinary team began several plan-do-study-act cycles at Yale New Haven Children ’ s Hospital. Key interventions included standardization of nonpharmacologic care coupled with an empowering ... See full document

... opioid use on ...opioid use disorder in various ...opioid use and NAS include 1) the fertility rate amongst opioid-addicted mothers, 2) the proportion of pregnant women using non-opioid drugs such as ... See full document

... concomitant maternal benzodiazepine or severe alcohol abuse, ma- ternal use of alcohol or of benzodiazepines in the 30 days before enrollment (as determined by self-report or in- take urine drug screen), ... See full document

... excessive maternal alcohol consumption during pregnancy (determined by self- report), maternal polysubstance abuse, or abnormalities that might adversely affect neurologic ... See full document

... The original morphine protocol required 3 FNASSS scores .8 to initiate pharmacologic therapy. Because NCH is a referral hospital, the majority of our infants with NAS are already in withdrawal with high Finnegan scores ... See full document

... Analysis was restricted to newborns of singleton birth with a gestational age ≥ 37 weeks and a diagnosis of NAS made ≤7 days after birth who had ≥3 weights recorded after discharge with ≥1 weight recorded between 100 and ... See full document

... Over the study period, mean time until onset of NAS symptoms was 43.9 hours (median = 36 hours), with no significant change between study phases. A majority (69.7%) of infants were treated in the level 3 NICU setting, ... See full document

... positive maternal or infant toxicology testing), including exposures to buprenorphine, fentanyl, heroin, hydrocodone, hydro- morphone, methadone, morphine, oxy- codone, or other opioids, were ...test. ... See full document

... surveillance system is its timeliness in evaluating and assessing an issue to prompt a public health response. Administrative data often have a time lag because data are processed after patient hospital stays, perhaps ... See full document

... The Perinatal Data Collection (PDC) was used as the primary database and provides maternal, infant, and birth information for any child born in NSW to NSW and non-NSW residents. Noti fi cations to the PDC are ... See full document

... of use,32 and their effects on the developing brain are subtle but long-lasting33 and include alterations to neuronal apoptosis,34dendritic morphogenesis,35 and ... See full document

... used as an adjunct therapy. The infant was born to a mother taking 130mg of methadone per day since conception. Due to NAS, he was treated with a methadone taper and oral clonidine. Yet, despite the majority of ... See full document

... Neonatal abstinence syndrome (NAS) is a result of the sudden discon- tinuation of fetal exposure to substances that were used or abused by the mother during ... See full document

... the use of symptomatic ...tianeptine use by the patient before delivery was made because of the important psychological distress that resulted from the patient’s ... See full document

... The strengths of this study include large population data consistently collected and periodically checked for accuracy. We were able to discern between NAS resulting from a long-term prenatal exposure and an ... See full document