Background: The aim of the study was to analyze the neonatal impact of a methadone maintenance program in pregnancy, and the social resources of the families involved. Methods: Descriptive analysis of neonatal data in live births after 24 weeks of gestation in pregnant women enrolled in a methadone maintenance program. The data of 86 babies were analyzed. Results: Median gestational age was 38 0 / 7 (31-41) weeks; 21 babies (24%) were premature. Median birthweight was 2662 (1340-4050) g; 27% of babies were growth retarded (<3rd centile), and 13% had microcephaly (<3rd centile). Sixty-two percent developed abstinence syndrome requiring pharmacological treatment for a median 47 days. Child Protective Services (CPS) were involved in 56% of cases, and 42% of newborns required placement outside the mother's home. Conclusions: Babies born to women on methadone had a fourfold higher incidence of prematurity, a ninefold higher incidence of intrauterine growth retardation (IUGR), and a fourfold higher incidence of microcephaly compared with the normal population. Sixtytwo percent required pharmacological treatment for abstinence syndrome and 42% required placement.
Babies born to women on methadone had a fourfold higher incidence of prematurity, a ninefold higher incidence of intrauterine growth retardation (IUGR), and a fourfold higher incidence of microcephaly compared with the normal population. Sixty-two percent required pharmacological treatment for abstinence syndrome and 42% required placement.
BNSM has a high incidence in infants with NAS. The diagnosis can be made clinically. In the absence of other neurological symptoms further investigations such as EEG are not necessary and anticonvulsive treatment is not indicated.
Ziel dieser Leitlinie ist es, Empfehlungen für die Prophylaxe und Therapie der Hypoglykämie bei Neugeborenen ab 35+0 Schwangerschaftswochen (SSW) im Gebärsaal und auf der Wochenbettstation zu geben. Dies entspricht Stationen der neonatologischen Basisversorgung Level I gemäss der Kommission zur Akkreditierung neonatologischer Stationen (CANU) der Schweizerischen Gesellschaft für Neonatologie (SGN)1). Diese Leitlinie beinhaltet nicht die Behandlung von Frühgeborenen < 35 SSW und kranken Termingeborenen, die in eine Neonatologie der Stufe IIa, IIb oder III gemäss CANU gehören1).
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