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7 - Neonatal abstinence syndrome
Emrah Can, Ali Bülbül, Sinan Uslu, Ömer Güran, Asiye Nuhoğlu
Neonatal abstinence syndrome is characterized by a clinical situation with withdrawal symptoms and physical dependence in the uterus exposed to addictive substances in infants. The well-known method in diagnosis of neonatal abstinence syndrome is to identify addictive substances in the first meconium. The prevalence of neonatal abstinence syndrome is between 16-90% in infants of mothers who used heroin. Clinical findings often occur within the first 48-72 hours. Most obvious symptoms are tremor and hiperirritability. Neonatal central nervous system is most common affected. Gastrointestinal system creates a second often affected. Mortality associated with premature birth problems, infections and perinatal asphyxia. This syndrome should be treated when it were convulsions, diarrhea, sleep and diet in the presence of the distorting extreme deprivation syndrome. Treatment of the syndrome were important by opium, benzodiazepines, phenobarbital with calm and quiet environment and to minimize the stimulus into newborn. In this article presented with neonatal abstinence syndrome detected by a dependent mothers baby heroin use during pregnancy period.
Keywords: Neonatal abstinence syndrome, heroin, phenobarbital
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