Document Detail


Is neonatal abstinence syndrome related to the amount of opiate used?
MedLine Citation:
PMID:  20919996     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine if a relationship exists between the dose of heroin and/or substitute medication used in pregnancy and neonatal abstinence syndrome (NAS).
DATA SOURCES: Ovid online was used to search the following: EMBASE, Ovid MEDLINE, CINHAL, PscyINFO, Cochrane Database of Systematic Reviews.
STUDY SELECTION: English language journal articles reporting original research undertaken and published between 1995 and 2009 that examined relationships between NAS and opiate use in pregnancy and with patterns of substance abuse that reflect those of the United Kingdom and other high-resource settings.
DATA EXTRACTION: The studies were reviewed independently by two authors using predefined quality criteria.
DATA SYNTHESIS: This was a narrative review; key messages from included studies were discussed in the context of the diversity and commonality of findings in relation to NAS.
CONCLUSIONS: No correlation between the amount of fetal opioid exposure and expression of NAS was reported in eight of the 10 studies. This observation was consistent across international boundaries, and studies that included both methadone and buprenorphine.
Authors:
Deirdre Thajam; Diane E Atkinson; Colin P Sibley; Tina Lavender
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  39     ISSN:  1552-6909     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-10-05     Completed Date:  2011-02-02     Revised Date:  2011-09-06    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  503-9     Citation Subset:  IM; N    
Copyright Information:
© 2010 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
Affiliation:
Maternal and Fetal Health Research Centre, University of Manchester, Manchester, UK. deirdre.thajam@nhs.net
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MeSH Terms
Descriptor/Qualifier:
Analgesics, Opioid / adverse effects*
Buprenorphine / adverse effects
Dose-Response Relationship, Drug
Female
Heroin / adverse effects*
Humans
Infant, Newborn
Methadone / adverse effects
Neonatal Abstinence Syndrome*
Opiate Substitution Treatment / adverse effects*
Pregnancy
Chemical
Reg. No./Substance:
0/Analgesics, Opioid; 52485-79-7/Buprenorphine; 561-27-3/Heroin; 76-99-3/Methadone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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