Neonatal drug withdrawal occurs when a baby who has been exposed to drugs in the womb develops withdrawal symptoms. This occurs because the baby is no longer exposed to the drug the mother was taking. This condition can be caused by medicines, alcohol, and illegal drugs. It can take weeks to months for a baby to fully withdraw from a drug. Without treatment, this can be a life-threatening condition. If you used drugs during your pregnancy, tell your doctor right away. Your baby can be tested and treated after delivery.
Blood Traveling Through Mother's Placenta to Baby
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This condition is caused when a woman uses drugs and/or alcohol while pregnant. Drugs that cause this condition include:
These factors increase your baby’s chances of developing this condition. Tell your doctor if you have any of these risk factors:
Depending on the type and amount of drug exposure, symptoms can develop within hours to days after birth.
The doctor will examine your baby based on her symptoms and your medical and drug history. To diagnose your baby correctly, the doctor needs to know what drug you took during pregnancy, how much was taken, and how often. Your baby will have a physical exam. Tests may include urine tests, hair or stool tests, blood tests, and x-rays .
Talk with your doctor about the best treatment plan for your baby. Treatment options include the following:
Your baby may need to stay in the hospital to be closely monitored. Your baby may be watched for:
Your baby may be given medicines to help during withdrawal. Medicines will differ based on the drug from which your baby is withdrawing.
Your baby may need IV fluids, oxygen, high-calorie formula, tube-feeding, or other support.
Follow your doctor's instructions .
To help reduce your baby‘s chances of getting this condition, take the following steps:
National Institute on Drug Abuse
Substance Abuse & Mental Health Services Administration
Centre for Addiction and Mental Health
Toronto Area of Narcotics Anonymous
Improving treatment for drug exposed infants, treatment improvement protocol, (TIP), series 5. US Department of Health and Human Services, Drug & Alcohol Clearinghouse website. Available at: http://www.ncbi.nlm.nih.gov/books/NBK64750/ . Accessed January 8, 2013.
Neonatal abstinence syndrome. Children’s Hospital Boston website. Available at: http://www.childrenshospital.org/az/Site1338/mainpageS1338P0.html . Accessed January 8, 2013.
Neonatal opiate withdrawal. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated June 5, 2012. Accessed January 8, 2013.
Schub E., Cabrera G. Neonatal abstinence syndrome: an overview. EBSCO Nursing Reference Center website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=16&topicID=860 . Updated August 24, 2012. Accessed January 8, 2013.
Last reviewed November 2012 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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