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Archives of Disease in Childhood - Fetal and Neonatal Edition 2006;91:F463; doi:10.1136/adc.2006.095166
Copyright © 2006 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

LETTER

What is the best evidence based management of neonatal abstinence syndrome?

N Nandakumar, V S Sankar

Fairfield General Hospital, Rochdale Old Road, Bury, Lancashire BL9 7TD, UK; nandupadma@hotmail.com

Keywords: morphine; neonatal abstinence syndrome; opiate withdrawal

The first 150 words of the full text of this article appear below.

Neonatal abstinence syndrome is a relatively common condition affecting neonates. This can make considerable impact on the limited cot space available in most neonatal units where there is no transitional care facility. Published reports and reviews in the last three decades have described the role of a number of pharmacological agents in the affected infant.1–3 Morphine has become the mainstay of treatment. Although there are different scoring systems available, the most commonly used is that by Finnegan et al4 for assessment and treatment of abstinence.

In our unit we recently had considerable difficulty in managing neonatal abstinence syndrome in three infants, which made us review our guidelines. In this process, we decided to survey the current practice in our region (North West region). We surveyed 17 medical neonatal units in the North West region. We requested guidelines from all the units by telephone, and 15 (88%) responses were received. The . . . [Full text of this article]


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Better managment of neonatal abstinence.
Graham J Reynolds
Fetal Neonatal Ed. Online, 26 Oct 2006 [Full text]

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