Neonatalt abstinenssyndrom blant nyf ødte barn av mødre i legemiddelassistert rehabilitering.

This study aimed to investigate whether follow-up of these neonates was in line with national recommendations. MATERIAL AND METHOD: All maternity units in Norway were asked whether they treated neonates born to mothers in opioid maintenance treatment (OMT). 14 out of 42 maternity units treated these patients in collaboration with neonatal units, while 28 units referred the patients onward. Altogether 13 of the 14 treatment units answered a questionnaire on the nature of the care received by neonates. RESULTS: None of the hospitals treated more than ten neonates at risk of neonatal abstinence syndrome each year. All neonatal units used a standardised scoring form to assess the development of abstinence. When there was a need for pharmacological treatment, morphine was the first-line choice for all the units. All of them used non-pharmacological interventions. Observation time, procedures for dose reduction of pharmacological treatment and use of supplementary medication varied considerably between the units. INTERPRETATION: Key aspects of the management of neonates born to mothers in opioid maintenance treatment (OMT) were practised in the same manner and in line with national recommendations. However, our study revealed differences between the hospitals, which overall represent a potential for improvement in the treatment of a vulnerable patient group. PMID: 33433103 [PubMed - as supplied by publisher]
Source: Tidsskrift for den Norske Laegeforening - Category: General Medicine Authors: Tags: Tidsskr Nor Laegeforen Source Type: research