Morrison C L, Siney C
Maryland Centre, Liverpool, UK.
Eur J Pediatr. 1996 Apr;155(4):323-6. doi: 10.1007/BF02002721.
This report details the results of a survey of 213 maternity units in England and Wales concerning the use of neonatal opiate withdrawal (NOW) charts and the drug therapy management of babies born to drug using mothers. There was a response rate of 89.6%. NOW charts were used in 36.6% of units. There were eight different charts in use in which over 35 different signs of NOW were recorded, ranging from 10 to 22 on individual charts. Nine different drugs were used to manage NOW, with chlorpromazine most commonly used.
Drug misuse increasing in women of childbearing age and the management of the drug affected neonate varies widely, with inconsistent policies on determining the presence of NOW and how to treat it.
本报告详细介绍了对英格兰和威尔士213个产科病房进行的一项调查结果,该调查涉及新生儿阿片类药物戒断(NOW)图表的使用以及吸毒母亲所生孩子的药物治疗管理。回复率为89.6%。36.6%的病房使用NOW图表。使用的图表有八种不同类型,记录了超过35种不同的NOW体征,每个图表上的体征数量从10到22个不等。用于管理NOW的药物有九种不同类型,其中氯丙嗪使用最为普遍。
育龄妇女药物滥用情况不断增加,对受药物影响新生儿的管理差异很大,在确定NOW的存在以及如何治疗方面政策不一致。