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Pharmacologic Management of Neonatal Abstinence Syndrome in a Community Hospital

NAPOLITANO, ANTHONY MD*; THEOPHILOPOULOS, DEAN MD; SENG, SARA K. PharmD; CALHOUN, DARLENE A. MS, DO

Clinical Obstetrics and Gynecology: March 2013 - Volume 56 - Issue 1 - p 193–201
doi: 10.1097/GRF.0b013e31827adf91
Substance Abuse and Pregnancy

Neonatal abstinence syndrome has become a growing concern in infants born to substance-abusing mothers in the State of Florida. At Sarasota Memorial Hospital in Sarasota, FL, methadone and morphine treatment strategies have been formulated to manage symptomatic neonates after birth. We report our findings over a 5-year period utilizing each of these protocols in a community hospital setting.

*All Children’s Hospital, West Coast Neonatology, Sarasota Memorial Hospital, St Petersburg, Florida;

All Children’s Hospital, Sarasota Memorial Hospital, Sarasota, Florida;

Department of Pharmaceutical Care Services, All Children’s Hospital, Sarasota Memorial Hospital, Sarasota, Florida

The authors declare that they have nothing to disclose.

Correspondence: Anthony Napolitano, MD, All Children’s Hospital, West Coast Neonatology-All Children’s Specialty Physicians, Medical Director NICU, Sarasota Memorial Hospital, 501 6th Ave. South 5th Floor Dept 7565, St Petersburg, FL. E-mail: anthony.napolitano@allkids.org

© 2013 Lippincott Williams & Wilkins, Inc.