The Neonatal Abstinence Syndrome (NAS) Follow-Up Clinic at Johns Hopkins All Children’s Hospital treats babies born at 35 or more weeks of gestation who have been exposed to certain types of medicines or drugs in utero.

NAS is a condition that occurs when a mother becomes pregnant while using opioids or other addictive drugs. The infant may begin to experience symptoms of withdrawal once they are born and are no longer receiving the opioids or drugs, causing a variety of symptoms such as tremors, irritability, weight loss and in rare cases, seizures. Newborns may require pharmacological treatment, which may include small doses of a drug in the same family as what the mother took throughout pregnancy.

New Solutions To National Issue

On average, Johns Hopkins All Children’s treats 100 newborns with NAS every year. Newborns with NAS need to be held and comforted constantly to ease their symptoms. The optimal environment is a quiet, dark place, away from bright lights and loud noises. Johns Hopkins All Children’s adapted these principles by creating a quiet physical space in the NICU for these babies and training a team of nurses to provide non-pharmacological comforting measures around the clock.

Neonatal Abstinence Syndrome Symptoms

Withdrawal can occur in different ways, and every baby may show symptoms of withdrawal in a different way. It is not possible to predict which baby will have withdrawal, how long symptoms will last or the severity of his or her symptoms.

When does withdrawal start?

Withdrawal usually starts within two to three days after birth, but may not be obvious until five to seven days after birth. Babies stay in the hospital for a minimum of five to seven days so that they can be observed for signs of withdrawal.

Common symptoms of withdrawal:

• A high-pitched cry that does not stop with soothing
• Trouble sleeping
• Tremors or jitteriness, awake or asleep
• Tight muscles
• Sweating
• High temperature
• Frequent yawning or sneezing
• Fast breathing
• Excessive sucking or poor feeding
• Throwing up a lot
• Diarrhea that can cause diaper rash