Infants Born to Drug Dependent Mothers

 

Reviewed by Clinical Guidelines Committee
May 2012
Clinical Guidelines Back Newborn Services Home Page
Medical and Nursing Care on the Ward Universal Precautions Treatment of Withdrawal The Unsettled Irritable Baby Points of Interest

Guidelines

  1. The team is as follows:
  2. The baby is expected to be normal in all respects other than smaller than average for gestation.
  3. Maternal drug use alone is not an indication for delivery attendance - delivery will be attended by neonatal staff only if there are other fetal or maternal reasons for attendance. If NICU admission is necessary and there are no contraindications (e.g asphyxia, LBW) the baby may spend time with the parents before transfer. Naloxone should be avoided because of the likelihood of precipitating and intensifying withdrawal symptoms.
  4. The baby will be admitted to Tamaki Ward for observation. This could be for up to 7-10 days but may be for several weeks if medication is needed because of drug withdrawal.
  5. Breastfeeding is encouraged, regardless of the drugs that have been taken by the mother.
  6. Parents are expected and will be encouraged to spend as much time as possible with their baby.

Drug dependency care may include:

Medical and Nursing Care on the Ward

Universal Precautions

Treatment of Withdrawal

Management of an Unsettled, Irritable Baby

Discharge Planning

Points of Interest



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