Podcasts about neonatal abstinence syndrome nas

In this episode Melinda Pariser-Schmidt, MSN, RNC-NIC, IBCLC, talks about Neonatal Abstinence Syndrome (NAS) and Neonatal Opioid Withdrawal Syndrome (NOWS) and innovative NICU strategies to optimize non-pharmacologic intervention.

Click here to send us a topic idea or question for Weekend Wisdom.Are you considering adopting or fostering a child who was exposed prenatally to opioids or opioid-use treatment medication, such as Buprenorphine, methadone, and Suboxone? Are you a grandparent or aunt raising a child who was exposed? Join our discussion with Dr. Jennifer McAllister, the Medical Director of the NOWS Follow-Up Clinic at Cincinnati Children's Hospital Medical Center and the Medical Director of the University of Cincinnati Newborn Nursery.In this episode, we discuss:Terminology: What is the difference between opiates and opioids?What are the most common opioids being abused?What are the common treatment medications/drugs given to those with opioid use disorder? What are the brand names for these medications?How do these medications work?Are substance-use medications safe to use during pregnancy?What are the short- and long-term impacts on infants exposed to opioids?What are the short- and long-term impacts of infants exposed to opioid-use medications in pregnancy? Do the impacts differ?Does the dosage of opioid-use medications change the impact they have on the baby?What are the short- and long-term impacts of infants exposed to fentanyl in pregnancy?Is there a safer time for a fetus to be exposed to opioids or opioid-use medications in utero?Is it true that if the child is not born experiencing signs of withdrawal or with drugs in their system, the prognosis is better? Or conversely, if the child is born dependent and has to go through withdrawals, they will suffer more impact from in-utero drug exposure?How dangerous is drug dependency and withdrawal for the infant?How are Neonatal Abstinence Syndrome (NAS) and Neonatal Opioid Withdrawal Syndrome (NOWS) treated in babies?If a mom is taking opioid-use medications during her pregnancy, is it recommended that she breastfeed the infant to help with withdrawal? How long does withdrawal in an infant born dependent last?How do you foster attachment while the baby is experiencing withdrawal?You often hear that “early intervention is key” and that a baby's brain can be rewired during the first couple of years with the right treatments or therapy. What exactly does that therapy entail? What strategies should you be using at home with your child with a diagnosis of prenatal drug exposure?When a child has drug exposure and trauma, is it possible to tell the difference in what is causing specific problems, and is the treatment different depending on the cause?Are children who are exposed prenatally to any drug, but specifically to opioids, at a greater risk for substance abuse disorder as teens and adults if they were adopted and not raised in an environment that exposed them to drug use?What are the most common blood-borne diseases that women who have IV drug use?What is the risk to a baby whose mother has HIV or Hepatitis C?Support the showPlease leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.Creating a Family brings you the following trauma-informed, expert-based content: Weekly podcasts Weekly articles/blog posts Resource pages on all aspects of family building

Click here to send us a topic idea or question for Weekend Wisdom.Are you thinking about adopting a baby? Are you worried about what risk factors exist that you should know about? Join us to talk about these issues with Dr. Lindsay Terrell, a pediatrician at Duke University Medical Center and an Assistant Professor in their Department of Pediatrics. And James Fletcher Thompson, a South Carolina attorney with extensive experience in adoption. In this episode, we discuss:Lack of prenatal care.What is covered in prenatal care and how might a lack of prenatal care impact a baby?PrematurityWhat causes a premature birth?Prenatal exposureAlcoholWhat are some red flags that a mom might have abused alcohol during her pregnancy?Does the degree of impact differ depending on when in the pregnancy alcohol was consumed?What are the long- and short-term impacts of alcohol consumption on a child exposed prenatally?Creating a Family's Prenatal Substance Exposure Workshop for ParentsOpioids List of opioid drugs in increasing degree of strengthCodeine.Hydrocodone (Vicodin, Hycodan)Morphine (MS Contin, Kadian)Oxycodone (Oxycontin, Percoset)Hydromorphone (Dilaudid)HeroinFentanyl (Duragesic)Methadone, SuboxoneDoes the degree of impact differ depending on when in the pregnancy the opioid was used?Does the degree of long-term impact differ depending on whether the baby was born dependent or with a diagnosis of Neonatal Abstinence Syndrome (NAS) or Neonatal Opioid Withdrawal Syndrome (NOWS)?What are the long- and short-term impacts of opioid exposure on a child exposed prenatally?CocaineMarijuanaMethamphetamine Polysubstance abuse Creating a Family has extensive resources to help parent a child exposed to opioids prenatally. Sexually Transmitted InfectionsWhat are the common STIs? What are the risks of each of them to the unborn child or newly born child?Mental Health IssuesWhat is the genetic connection for the following mental health disorders? How heritable are these mental illnesses?Anxiety disorders, including panic disorder, obsessive-compulsive disorder, and phobias. Mood disorders: Depression, bipolar disorder Personality disorders (antisocial, borderline, narcissistic)Psychotic disorders, including schizophreniaADHDLegal Risk FactorsWhat are the most common legal risk factors when adopting an infant through private adoption?Support the showPlease leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.Creating a Family brings you the following trauma-informed, expert-based content: Weekly podcasts Weekly articles/blog posts Resource pages on all aspects of family building

In the state of Colorado, cases of Neonatal Abstinence Syndrome (NAS) and Neonatal Opioid Withdrawal Syndrome (NOWS) increased by 120% from 2011 to 2016. Clinicians provide critical support to improve outcomes for these newborns, and there's been impressive collaboration among healthcare providers around this issue. Two important examples are the Colorado Hospitals Substance Exposed Newborn Quality Improvement Collaborative, otherwise known as CHoSEN QIC, and Kids in Care Setting Clinic (KICKS). In this episode, we learn about these initiatives and how they benefit hospitals like Children's Hospital Colorado to provide the best care for our patients. Joining us for this discussion are two experts. Bird Gilmartin, MD, is the Medical Director for Kids in Care Settings Clinic (KICS) at Children's Colorado, as well as an associate professor of clinical pediatrics at the University of Colorado School of Medicine. Sunah (Susan) Hwang, MD, specializes in neonatal and perinatal medicine at Children's Colorado and is an associate professor of pediatric neonatology at the University of Colorado School of Medicine. This episode looks at:  The epidemic of perinatal opioid use, as well as illicit and legally prescribed substance abuse  Suggestions on shifting your perspective as a provider about families with substance use issues  The ways these substance abuse programs intertwine with our legal system   Some resources our experts recommend utilizing are the Colorado Perinatal Care Quality Collaborative (CPCQC), Illuminate, and Tough as a Mother.  For more information on Children's Colorado, visit: childrenscolorado.org. 

Do you think your child was exposed to alcohol or drugs during pregnancy? If so, a diagnosis can help your child access services and support. Check out this show with Dr. Yasmin Senturias, a developmental-behavioral pediatric specialist with 28 years of experience in developmental pediatrics and prenatal substance exposure. She worked with the American Academy of Pediatrics on developing their FASD Toolkit.In this episode, we cover:Prenatal Drug ExposureDo the impacts differ depending on what drug the child was exposed to? What's the difference between Neonatal Abstinence Syndrome (NAS) or Neonatal Opioid Withdrawal Syndrome (NOWS). Short-term impacts? Is the impact less severe for legal drugs, such as nicotine and marijuana?Is the impact less severe for legal medications used to treat substance abuse disorders in pregnant women? What are the medical disorders in the Diagnostic and Statistical Manual (DSM) or International Classification of Diseases (ICD) for prenatal drug exposure? Do these diagnoses have to be made at birth?What diagnosis is available if the child was exposed to drugs in utero but was not born dependent and didn't go through withdrawal, and therefore did not have a diagnosis of NAS or NOWS in their medical record?Do these diagnoses help the child and youth receive more services?What type of doctor can make this diagnosis? FASD:It is estimated that 1% to 5% of children in the United States may have an FASD. How common is drinking in pregnancy? (Centers for Disease Control and Prevention data indicate that approximately 12% of pregnancies may have alcohol exposure.)Is the severity of the impact on the child, youth, or adult directly correlated to the amount of alcohol the mother consumed when pregnant?What are the actual diagnoses that exist on this spectrum of FASDs?Explain the differences in these disorders.Is one diagnosis better than another in terms of getting services and support for the child in childhood, adolescence, and adulthood?Are these different disorders linear on the spectrum from lesser to greater life impacts?Why is it important to get a diagnosis? Is it possible to get a diagnosis without mom admitting to using alcohol or drugs during her pregnancy? What to do if the child's record doesn't reflect that the mom drank during pregnancy?If you suspect or know that your child or youth was exposed to alcohol in utero, how can you get a diagnosis?What are some common misdiagnoses that kids and adolescents with prenatal alcohol exposure may get?What type of doctor can diagnose? Do you need a referral from your pediatrician to get an appointment with a specialist?Dual Exposure to Alcohol and DrugsHow common is the dual use of alcohol and drugs?How can drugs and alcohol together affect the child both in infancy and throughout life?Impact of TraumaHow does trauma interplay with prenatal substance exposure?Resources:American Academy of Pediatric Fetal Alcohol Spectrum Disorders The American Academy of Pediatrics FASD Toolkit was developed in coordination with the CDC to raise awareness, promote surveillance and screening, and ensure that all children who possibly have FASDs receive appropriate and timely interventions. Focused primarily on proviSupport the showPlease leave us a rating or review RateThisPodcast.com/creatingafamily

As a Neonatal Nurse Practitioner for 30 years, Tara Sundem was a frontline worker in the growing opiate epidemic, caring for the newborns suffering through opiate withdrawal.  Her passion to transform the healthcare experience for them and their families led her to found Hushabye Nursery, a nonprofit dedicated to caring for opiate-exposed newborns in their first weeks of life. The 12-bed inpatient nursery opened its doors and its arms to these babies and their mothers in November 2020. Hushabye Nursery has grown from an idea to “save the babies” in 2016, to a unique model of care for this underserved population that focuses on the family unit, both prenatal and postnatal. The nursery has 12 rooms for inpatient detox customized for infants born with Neonatal Abstinence Syndrome (NAS), where their family members can stay, and provides intensive outpatient services for all family members as part of Hushabye's continuous care. Click here to learn more about Hushabye Nursery: https://www.hushabyenursery.org/ Original air date: February 8, 2024See omnystudio.com/listener for privacy information.

In the first episode of season 3, Dr. U. Grant Baldwin, DBH, Director of the Doctor of Behavioral Health program at Cummings Graduate Institute for Behavioral Health Studies, explores Neonatal Nursing with a focus on Neonatal Abstinence Syndrome, and the critical need for integrated healthcare for infants and families. Panelists include: Tara Sundem, NNP, is a board-certified Neonatal Nurse Practitioner with more than 30 years of experience in neonatal intensive care. She was a frontline worker in the growing opiate epidemic, caring for the most innocent of its victims: Newborns suffering through opiate withdrawal-Neonatal Abstinence Syndrome (NAS). Her passion to transform the healthcare experience for them and their families led her to found Hushabye Nursery, an Arizona non-profit dedicated to caring for opiate-exposed newborns in their first few weeks of life. The 12-bed inpatient nursery opened its doors and its arms to these babies and their mothers in November 2020. Under Tara's leadership as Executive Director, Hushabye Nursery has grown from an idea to ""save the babies"" in 2016, to a unique model of care for this underserved population that focuses on the family unit, both prenatal and postnatal. Recognized as an industry leader on NAS, Tara has presented several community events on the topic. She received the 2021 Phoenix Business Journal Health Care Hero Award for Nursing and 12 News Miracle Makers Award in 2021. She hold a Master of Science from Arizona State University and is a member of the National Association of Neonatal Nurses, the Academy of Neonatal Nurses, and the Neonatal Nurse Practitioners of AZ. Tara lives in Gilbert with her husband, two sons and their dog. --- Support this podcast: https://podcasters.spotify.com/pod/show/disruptors-at-work/support

In a world where the intricacies of our legal system intersect with the heart-wrenching struggles of society's most vulnerable, emerges a remarkable individual whose unwavering dedication knows no bounds. Join us for an exceptionally heartfelt episode of the Heart of Law as our compassionate host, Mirena Umizaj introduces us to prominent Attorney Steve New, a founding member of Stephen New & Associates. Together, they embark on a poignant exploration to uncover the raw realities behind society's two profound wounds: the heart-rending cases of Neonatal Abstinence Syndrome (NAS) and the harrowing conditions within our prison system.  At the heart of today's episode stands a legal luminary who has been a cherished friend of our host, Mirena Umizaj, for more than a decade. With a remarkable career spanning 25 years, Attorney Steve New has championed justice in various legal domains, from catastrophic and wrongful death cases to mass environmental damage and employment discrimination. However, what truly sets him apart is his fearless pursuit of justice in civil rights litigation, confronting the government and state of West Virginia to expose inhumane prison conditions while passionately advocating for babies born with NAS, a cause close to his heart since 2018. His unwavering commitment to these endeavors is exemplified by his impressive track record, having tried over 60 cases to jury verdict and making 8 appearances before the West Virginia Supreme Court of Appeals.  As Mirena and Attorney Steve New embark on their enlightening conversation, the harsh realities of West Virginia's battle with the opioid epidemic come to the forefront, revealing the innocent victims caught in the crossfire. With heartfelt passion, Attorney Steve New reflects on his experience representing NAS cases, powerfully emphasizing, "There is no more innocent victim in this than addicted babies." Within this contemplation, he eloquently sheds light on the intricate challenges in substantiating these highly specialized cases and addresses the heart-wrenching scarcity of support for afflicted families. As the conversation deepens, Attorney Steve New provides insights into the recent proceedings, maintaining an unwavering hope for the appeal despite the disheartening ruling by the West Virginia Mass Litigation Panel, firmly believing that "no cause is truly lost" as he knows that ultimately, "some court is going to hear the voices of these children and care."  Transitioning the conversation, Mirena prompts Attorney Steve New to delve into the origins of his involvement in the Southern Regional Jail cases in West Virginia. He shares that his profound connection with these cases began in early 2022, ignited by the impactful stories he came across, with the tragic case of Quantez Burks standing out prominently among them. Deeply appalled by the systemic issues at hand, Attorney Steve New, alongside his dedicated team, embarked on a relentless mission for justice, filing a lawsuit and subsequently pursuing a class certification on behalf of an astonishing 17,000 inmates. Their work is a testament to the pervasive challenges of overcrowding, understaffing, and deferred maintenance within West Virginia's correctional system, symbolizing a collective effort to rectify these injustices and provide relief for countless individuals who have suffered in silence.  As the conversation concludes, Attorney Steve New unveils his broader vision to Mirena, reaching beyond West Virginia to ignite a nationwide movement for prison reform with the hope of "turning the tide" on harsh conditions and inspiring a change in public sentiment. He emphasizes that the key to achieving this lies in sharing the stories of those affected and fostering collaboration among like-minded individuals and groups. With eager anticipation for the forthcoming October class certification hearing, Mirena extends a heartfelt invitation to all who resonate with the cause to step forward and actively participate in the conversation, ensuring that the vision for change continues to grow.

Are you expecting the placement of a newborn? Don't miss our conversation about the latest information on baby care with Kristen O'Dell, a board-certified Family Nurse Practitioner with almost two decades of working with over 10,000 newborns and their families in her hospital practice of Neonatology and Newborn Medicine.In this episode, we cover:FeedingThe vast majority of adoptive parents will bottle-feed their baby. How to choose a formula.Is liquid or dry formula better for the baby?How to sterilize the dry formula?Do you need to sterilize bottles?What type of bottle is best?Does the bottle type differ if the baby is born premature or has Neonatal Abstinence Syndrome?Does the temperature of the formula matter?Can you make the bottles up once a day, or do you have to make it fresh for each feeding?When should you consider a specialized formula, and what options do you have?How often should a baby eat?Other feeding options: adoptive mother induce lactation to breastfeed; donated breast milk.How do you know if your baby is getting enough food?If your baby spits up a lot, when should you worry that they aren't getting enough food?When to introduce solid food? SleepWhat is a typical wake/sleep pattern for a newborn?When should you expect your baby to sleep for 5-6 hours?Is the wake/sleep cycle affected by prematurity or Neonatal Abstinence Syndrome (NAS)?At what point can you start trying to get your baby to not wake up many times for a feeding at night?Will introducing solid food, even if watered down, help your baby sleep through the night?How can you establish healthy sleeping habits for your baby?When do most babies start sleeping through the night and what is “sleeping through the night”—how much sleep?Safe sleep practices: sleeping on the back, no pillows, blankets, bumpers, stuffed animalsSleep training PoopHow often should babies poop? What is normal?What does the typical healthy newborn baby poop look like?How do you know if there is a problem?How can you tell if your baby is constipated? And what should you do?What type of diaper is best?What type of baby wipes are best?How to treat diaper rash?How can you tell if your baby has a yeast diaper rash?What is colic?How do you treat colic?What is the current thinking on circumcision?Tips for new parents.Free Resource Guide from New Mommy GuruThis podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them. Creating a Family brings you the following trauma-informed, expert-based content:Weekly podcastsWeekly articles/blog postsResource pages on all aspects of family buildingPlease leave us a rating or review RateThisPodcast.com/creatingafamilySupport the showPlease leave us a rating or review RateThisPodcast.com/creatingafamily

In this episode Dr. Gillian Beauchamp sits down with Dr. Lori Devlin to discuss  Neonatal Abstinence Syndrome (NAS), Neonatal Opioid Withdrawal Syndrome (NOWS) and the treatment of NOWS. 

Tara Sundem, RN, NNP-BC, MS, used to think the best place for babies going through withdrawal was not with their parents. Sundem admits that she, like many of her colleagues, used to judge parents when newborns in her neonatal ICU were going through withdrawal.The journey started when Sundem was working in a hospital NICU and noticed growing numbers of babies in withdrawal. The opioid epidemic was affecting the most vulnerable at an alarming rate.Centers for Disease Control reports that there were an estimated 100,306 drug overdose deaths in the United States  in 2021. Prenatal maternal drug-use has increased considerably in recent years. This increase has contributed to a significant rise in the rate of Neonatal Abstinence Syndrome (NAS), a collection of symptoms in newborns exposed to any of a variety of substances in utero, including opioids.Babies born with NAS (neonatal abstinence syndrome), require a complex and painful detoxification process in the days following birth. Nationwide, neonatal abstinence syndrome diagnoses have increased 235% since 2008.When Tara read the data, it changed her thinking from ‘We have to save the babies,' to ‘We have to save the families.”Join Tara and Michael White as they talk about their upstream approach to family preservation.

Are you considering adopting or fostering a baby who was exposed to opioids prenatally? We talk with Dr. Robin Gurwitch, a faculty member in the Duke University Department of Psychiatry and Behavioral Sciences and the Center for Child and Family Health. Her research focuses on improving the outcomes and increasing resilience in children who have experienced trauma, including prenatal exposure.In this episode, we cover:What drugs are included in the category of opioids? Opioids are a class of drugs that include the illegal drug heroin, synthetic opioids such as fentanyl, and pain relievers available legally by prescription, such as oxycodone (OxyContin®), hydrocodone (Vicodin®), codeine, morphine, and many others. Methadone and suboxone?How does prenatal exposure to opioids affect a fetus?How can you tell if the baby is born dependent on opioids?What are the symptoms of Neonatal Abstinence Syndrome (NAS)?How common is testing of the newborn or mother?What impacts the severity of the withdrawal symptoms an infant might experience?timing of the mother's most recent intake of opioidmaternal metabolismplacental metabolisminfant metabolism and excretionmaternal taking of other substances, including cigarettes, alcohol, cocaine, hypnotics sedatives, and/or barbituratesHow is NAS treated in the hospital?What can parents expect at the hospital when a baby is born dependent or was exposed prenatally?What can parents expect when they first bring the baby home?How can parents help soothe a baby going through withdrawal?How can parents help a baby going through withdrawal with sucking?What can parents do to help their baby exposed to opioids sleep through the night?Any additional tips for dealing with and helping a baby who was exposed to opioids?Long term impacts.Does being born dependent predict the degree the child might be impacted?This podcast is produced  by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them. Creating a Family brings you the following trauma-informed, expert-based content:Weekly podcastsWeekly articles/blog postsResource pages on all aspects of family buildingPlease leave us a rating or review RateThisPodcast.com/creatingafamilySupport the show (https://creatingafamily.org/donation/)

Join medical student Rilee Racine and Dr. Brian Stansfield, a neonatologist at the Children's Hospital of Georgia discuss Neonatal Opioid Withdrawal Syndrome, also known as NOWS.  After listening to this podcast, learners should be able to: Define neonatal opioid withdrawal syndrome Apply knowledge of signs and symptoms of NOWS to recognize these infants early Demonstrate general understanding of non-pharmacologic vs. pharmacologic management indications Recall the long term effects of NOWS and utilize this information to care for these infants long-term Educate families on clinical symptoms, management, and potential complications of NOWS Peer Review by Dr. Rebecca Yang and Dr. Amy Thompson Free CME Credit (requires sign-in): LINK COMING SOON Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu. Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. Clinical vignette cases presented are based on hypothetical patient scenarios. References: Anbalagan S, Mendez MD. Neonatal Abstinence Syndrome. 2020 Oct 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. PMID: 31855342. Armbruster, Debra PhD, APRN-CNP, NNP-BC, CPNP-PC, C-ELBW; Schwirian, Caitlyn PharmD; Mosier, Ashley MS, RN, CNL; Tam, Wai-Yin Mandy PharmD, BCPS, BCCCP; Prusakov, Pavel PharmD, BCPS, BCPPS Neonatal Abstinence Syndrome and Preterm Infants, Advances in Neonatal Care: March 05, 2021 - Volume Publish Ahead of Print - Issue - doi: 10.1097/ANC.0000000000000858 Finnegan LP. Neonatal abstinence syndrome: assessment and pharmacotherapy. In: Nelson N, editor. Current therapy in neonatal-perinatal medicine. 2 ed. Ontario: BC Decker; 1990. Jansson, Lauren M. MD. Neonatal abstinence syndrome. Uptodate. (2020). Johnson MR, Nash DR, Laird MR, Kiley RC, Martinez MA. Development and implementation of a pharmacist-managed, neonatal and pediatric, opioid-weaning protocol. J Pediatr Pharmacol Ther. 2014 Jul;19(3):165-73. doi: 10.5863/1551-6776-19.3.165. PMID: 25309146; PMCID: PMC4187529. Maguire, Denise J, PhD,R.N., C.N.L., Taylor, Susan, MSW,L.C.S.W.-C., C.M.A., Armstrong, K., PhD., Shaffer-Hudkins, E., Germain, A. M., M.D., Brooks, Sandra S,M.D., M.P.H., . . . Clark, L. (2016). Long-term outcomes of infants with neonatal abstinence syndrome: NN. Neonatal Network, 35(5), 277-286. doi:http://dx.doi.org/10.1891/0730-0832.35.5.277 Mangat, A. K., Schmölzer, G. M., & Kraft, W. K. (2019). Pharmacological and non-pharmacological treatments for the Neonatal Abstinence Syndrome (NAS). Seminars in fetal & neonatal medicine, 24(2), 133–141. https://doi.org/10.1016/j.siny.2019.01.009 Merhar SL, Ounpraseuth S, Devlin LA, Poindexter BB, Young LW, Berkey SD, Crowley M, Czynski AJ, Kiefer AS, Whalen BL, Das A, Fuller JF, Higgins RD, Thombre V, Lester BM, Smith PB, Newman S, Sánchez PJ, Smith MC, Simon AE; EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT NEONATAL RESEARCH NETWORK AND THE NIH ENVIRONMENTAL INFLUENCES ON CHILD HEALTH OUTCOMES (ECHO) PROGRAM INSTITUTIONAL DEVELOPMENT AWARDS STATES PEDIATRIC CLINICAL TRIALS NETWORK. Phenobarbital and Clonidine as Secondary Medications for Neonatal Opioid Withdrawal Syndrome. Pediatrics. 2021 Mar;147(3):e2020017830. doi: 10.1542/peds.2020-017830. PMID: 33632932; PMCID: PMC7919109. Protecting Our Infants Act of 2015, H.R, 1462, 114th Cong. (2015-2016).  Sarka Lisonkova, Lindsay L. Richter, Joseph Ting, Giulia M. Muraca, Qi Wen, Azar Mehrabadi, Sheona Mitchell-Foster, Eugenia Oviedo-Joekes and Janet Lyons. Pediatrics August 2019, 144 (2) e20183664; DOI: https://doi.org/10.1542/peds.2018-3664 Siegler R., Saffran J., Eisenberg N., Deloache, J., & Gershoff, E. (2017). How Children Develop (5th ed.). NY, NY, USA: Macmillan Learning.  Stephen W. Patrick, Wanda D. Barfield, Brenda B. Poindexter and COMMITTEE ON FETUS AND NEWBORN, COMMITTEE ON SUBSTANCE USE AND PREVENTION. Neonatal Abstinence Withdrawal Syndrome. Pediatrics November 2020, 146 (5) e2020029074; DOI: https://doi.org/10.1542/peds.2020-029074 Patrick SW, Barfield WD, Poindexter BB; COMMITTEE ON FETUS AND NEWBORN, COMMITTEE ON SUBSTANCE USE AND PREVENTION. Neonatal Opioid Withdrawal Syndrome. Pediatrics. 2020 Nov;146(5):e2020029074. doi: 10.1542/peds.2020-029074. PMID: 33106341. Zimmermann, U., Rudin, C., Duò, A. et al. Treatment of opioid withdrawal in neonates with morphine, phenobarbital, or chlorpromazine: a randomized double-blind trial. Eur J Pediatr 179, 141–149 (2020). https://doi.org/10.1007/s00431-019-03486-6

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What do adoptive and foster parents need to know about the impacts of prenatal exposure to opioids, Suboxone, and Methadone. What are the risks to a baby born with Neonatal Abstinence Syndrome or Neonatal Opioid Withdrawal Syndrome (NOWS)? We talk with Dr. Julian Davies, a pediatrician at the University of Washington’s Center for Adoption Medicine and their FASD and Prenatal Exposure Clinic.In this episode, we cover:What are opiates or opioids? What are the most common opiates that are being used during pregnancy? What are the most common non-opiate drugs that are being used by pregnant women? What are the common treatment medication/drugs given to those struggling with addiction who are trying to get off opioids? Methadone, Suboxone, and Subutex Are Methadone, Suboxone, and Subutex safe to use during pregnancy? What are the short- and long-term impacts on infants exposed to opiates? What are the short- and long-term impacts of infants exposed to Methadone in pregnancy? What are the short- and long-term impacts of infants exposed to Suboxone in pregnancy? Does the dosage of methadone or suboxone have an effect on the baby? What are the short- and long-term impacts of infants exposed to methamphetamines (meth) in pregnancy? What are the short- and long-term impacts of infants exposed to cocaine in pregnancy? What are the short- and long-term impacts of infants exposed to marijuana in pregnancy? Edible vs. smoking vs. vaping Does the timing of exposure in pregnancy affect the prognosis for the child? Is there a safer time for a fetus to be exposed to drugs in utero? Many parents believe that if the child is not born dependent or with drugs in their system that the prognosis is better. Or conversely, if the child is born dependent and has to go through withdrawals that they will suffer more impact from the in-utero drug exposure. Is this true? How serious is drug dependency and withdrawal for the infant? How is withdrawal treated in the infant? How is Neonatal Abstinence Syndrome (NAS) and Neonatal Opioid Withdrawal Syndrome (NOWS) treated in babies born dependent? Families that adopt out of state are often concerned about how soon they can travel home with their baby if she has been born dependent and is going through withdrawal. How long does withdrawal in an infant born dependent last? If a baby tests positive for opiates is it possible to determine what drug the baby has been exposed to? Does the long-term prognosis matter depending on which drug? How do you foster attachment while baby is suffering through withdrawal? How common is it for women who use drugs during their pregnancy to also drink excessively during their pregnancy? One thing you hear a lot is that “early intervention is key” and that a baby’s brain can be rewired during the first couple of years with the right therapy. What exactly does that therapy entail? Where can you find it? What strategies should you be using at home with your child with a diagnosis of prenatal drug exposure? There are many similarities between drug exposure and trauma in how it affects children’s learning, behavior, etc. When a child has both of those challenges, is it possible to tell the difference on what is causing specific problems, and is the treatment different depending on the cause? Are children who are exposed prenatally at a greater risk for drug abuse as teens and adults if they were adopted and not raised in an environment that exposed them to drug use? What are the most common blood bornSupport the show (https://creatingafamily.org/donation/)

Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2020.09.30.321372v1?rss=1 Authors: Minakova, E., Sarafinovska, S., Mikati, M. O., Barclay, K. M., McCullough, K. B., Dougherty, J. D., Al-Hasani, R., Maloney, S. E. Abstract: Nation-wide, opioid misuse among pregnant women has risen 4-fold from 1999 to 2014, with commensurate increase in neonates hospitalized for Neonatal Abstinence Syndrome (NAS). NAS occurs when a fetus exposed to opioids in utero goes into rapid withdrawal after birth. NAS treatment via continued postnatal opioid exposure has been suggested to worsen neurodevelopmental outcomes. We developed a novel model to characterize the impact of in utero and postnatal oxycodone (Oxy) exposure on early behavior and development. Via subcutaneous pump implanted before breeding, C57BL/6J dams were infused with oxycodone at 10 mg/kg/day from conception through pup-weaning. At birth, in utero oxy-exposed pups were either cross-fostered (paired with non-oxy exposed dams) to model opioid abstinence (short-oxy) or reared by their biological dams still receiving Oxy to model continued postnatal opioid exposure (long-oxy). Offspring from vehicle-exposed dams served as cross-fostered (short-veh) or biologically-reared (long-veh) controls. Short-oxy exposure resulted in sex-dependent weight reductions and altered spectrotemporal features of isolation-induced ultrasonic vocalization (USV). Meanwhile, long-oxy pups exhibited reduced weight and sex-differential delays in righting reflex. Specifically, long-oxy female offspring exhibited increased latency to righting reflex. Long-oxy pups also showed decreases in number of USV calls, and changes to spectrotemporal USV features. Overall, ontogenetic Oxy exposure was associated with impaired attainment of gross and sensorimotor milestones, as well as alterations in communication and affective behaviors, indicating a need for therapeutic interventions. The model developed here will enable studies of withdrawal physiology and opioid-mediated mechanisms underlying these neurodevelopmental deficits. Copy rights belong to original authors. Visit the link for more info

Neonatal Abstinence Syndrome (NAS) is a growing challenge as America continues to address the epidemic of opioid-related substance abuse. Nascend is a Kentucky-based startup working to leverage contemporary therapies, assessment, and technology to reduce the hospital time for newborn babies going through withdrawal.

Tiffani Dixon, Early Intervention Specialist, discusses the difference between Neonatal Abstinence Syndrome (NAS) and intrauterine substance exposure. She shares common challenges for families dealing with NAS and discusses strategies that can be used to help sooth infants and toddlers with NAS.

In the United States, one infant is born every 15 minutes with withdrawal symptoms after being exposed to opioids before birth -- Neonatal Abstinence Syndrome (NAS) -- according to a new study published in the journal Pediatrics. Typically, affected neonates must remain hospitalized, usually in neonatal intensive care units, for monitoring and management of opioid withdrawal symptoms. Hospital length of stay (LOS) for these neonates averages 17-23 days. In this podcast featuring Dr. Stephen Patrick, an attending neonatologist at Monroe Carell Jr. Children’s Hospital at Vanderbilt and Director of the Vanderbilt Center for Child Health Policy, discusses how he’s improving outcomes for opioid-exposed infants and women with substance-use disorders and reduced NAS infant’s LOS.

Infertility, Neonatal Abstinence Syndrome (NAS), Genetics

Host: Alicia A. Sutton Guest: Camille M. Fung, MD Host Alicia Sutton is joined by Dr. Camille Fung to discuss two areas of public health in Utah that were not addressed by the Utah legislature: opioid addiction and overdose in pregnant women and newborn infants with Neonatal Abstinence Syndrome (NAS). Dr. Fung is an assistant professor at the University of Utah, Division of Neonatology. Tune in to see how Dr. Fung with her colleagues created enduring material to educate healthcare professionals on the unaddressed public health problem of opioid management without any financial resources.

Is neonatal abstinence syndrome (NAS) -- babies whose mothers used opioids in pregnancy and who go into withdrawal after birth -- is another form of intergenerational violence? And how can a community stop the cycle? Guests: Lieutenant Debbie Richmond, specialist in child abuse investigations at the Bristol Tennessee Police Department; Lisa Carter, CEO of Niswonger Children's Hospital in Johnson City, Tennessee; Ashlie Harrod, nurse educator with the Sullivan County Health Department in Tennessee; Chris Miller, Chief Patient Experience Officer of Mountain States Health Alliance's Washington County Market, and the adoptive father of a baby boy with neonatal abstinence syndrome. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth | #Opioid #Opiate #OpioidCrisis #OpioidEpidemic #MentalHealth #MentalIllness #Suicide #Depression #Trauma #ACEs #Abuse #Addiction #DrugAddiction #SubstanceAbuse #OpioidAbuse #Overdose #NAS #Heroin #Fentanyl #Oxycontin #Oxycodone #Percocet #Vicodin #HarmReduction #Methadone #Buprenorphine #Suboxone #Subutex #MAT #OST #HIV #HCV #HepC #NeedleExchange #SyringeExchange #SIFs #SupervisedConsumption #SupervisedInjection #Enable #Diversion #LEAD #Reentry #Faith #Religion #12step #AA #NA #Abstinence #BlackLivesMatter #BLM #Equity #Disparities #HealthDisparities #MedHum #MedHumChat #NarrativeMedicine #HealthHumanities #SocialMedicine #SocialJustice #SDoH

This podcast was made in conjunction with PedsCases and the Canadian Paediatrics Society (CPS) to summarize the recently published 2017 CPS Practice Point: Management of Infants born to Mothers who have used Opioids during pregnancy.  In this episode, listeners will learn about the presentation of Neonatal Abstinence Syndrome (NAS) and its differential, the assessment of an infant with NAS, and the treatment and discharge planning of an infant and their family. The podcast was developed by Dr. Maya Dhahan, a second-year Paediatrics Resident, in collaboration with Dr. Thierry Lacaze, staff Neonatologist and Section Chief for the Department of Neonatology at the University of Calgary, and the lead author of the CPS statement.  

Greg interviews Rebecca Crowder, the Executive Director of Lily’s Place. Lily’s Place is a Neonatal Abstinence Syndrome (NAS) facility that provides observational, therapeutic, and pharmalogical care to infants affected by prenatal drug usage. Listen to the podcast to discover how Rebecca’s local community has started mandatory drug screening for every mother entering the hospital to give birth. And how this paired with an NAS facility like Lily’s Place is helping both infants and parents alike.

In this episode, a team of health care professionals share their insights about NAS and discuss signs and symptoms, treatment in the hospital. Neonatal Abstinence Syndrome occurs when an infant is born having been exposed to opiates through his or her mother, and experiences withdrawal after birth. (October 2017) http://www.moveforwardpt.com/Radio/Detail/neonatal-abstinence-syndrome-3

Both in our region and nationally, the occurrence of Neonatal Abstinence Syndrome (NAS) has grown steadily over the past few years. Combining the expertise of neonatologists, pediatric clinical pharmacologists and a multidisciplinary team of caregivers into a single NAS program has put Children’s Mercy Kansas City in a unique position to explore new methods for treating this growing problem.Children's Mercy has developed a family-integrated process for infants at risk for Neonatal Abstinence Syndrome.The goal moving forward is to work with area community hospitals to prenatally identify infants at risk for NAS and provide education to the family before birth.Dr. Tamorah R. Lewis, a Neonatologist at Children’s Mercy Kansas City, is here to help families better understand NAS.

When a pregnant woman uses addictive drugs (illicit or certain prescription drugs), she puts her baby at risk for a number of problems. Neonatal Abstinence Syndrome (NAS) is a term for a group of problems a baby experiences after birth …Read More »