Transitioning Care Approach for Neonatal Opioid Withdrawal Syndrome and Neonatal Abstinence Syndrome

Crit Care Nurs Clin North Am. 2024 Jun;36(2):223-233. doi: 10.1016/j.cnc.2023.11.005. Epub 2023 Dec 21.

Abstract

The increase in substance use during pregnancy results in a higher incidence of neonatal abstinence syndrome/neonatal opioid withdrawal syndrome (NAS/NOWS), straining health care and social systems and creating an economic burden. There is a paradigm shift in transitioning the care approach for NAS/NOWS from a medical model of care to a family-centered individualized non-pharmacological care approach with non-pharmacological interventions as the first line of treatment. Supporting families after birth with a nurturing environment and providing them with a toolbox of non-pharmacological interventions prepares them for the transition from hospital to home.

Keywords: Eat sleep console; Family-centered individualized care; Neonatal abstinence syndrome; Neonatal opioid withdrawal syndrome; Nonpharmacological; Quality initiatives; Standardization; State Perinatal Quality Collaboratives.

Publication types

  • Review

MeSH terms

  • Analgesics, Opioid / adverse effects
  • Analgesics, Opioid / therapeutic use
  • Female
  • Humans
  • Infant, Newborn
  • Neonatal Abstinence Syndrome* / therapy
  • Opioid-Related Disorders* / therapy
  • Pregnancy
  • Pregnancy Complications / therapy
  • Substance Withdrawal Syndrome / therapy
  • Transitional Care

Substances

  • Analgesics, Opioid