Use of positioning to reduce the severity of neonatal narcotic withdrawal syndrome

Gaylene Thayer Maichuk, Walter Zahorodny, Richard Marshall

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

OBJECTIVE: This study tested the hypothesis that highly fretful, narcotic-withdrawing neonates experience less distress in a prone-lying position than comparable, supine-lying neonates. STUDY DESIGN: Equivalent numbers of randomly assigned, narcotic-withdrawing newboms were assigned to prone-lying (n = 25) or supine-lying (n = 23) conditions. Subjects in the two groups were similar with regard to gestational age, birth weight, and clinical presentation. Peak and mean withdrawal severity, as measured by Neonatal Abstinence Scoring System (NASS) scores and daily caloric intake, were compared between supine and prone groups by Wilcoxon's two-sample test. RESULTS: The prone-lying neonates had lower peak NASS scores ([p < 0.0001), lower mean NASS scores (p < 0.0001), and lower caloric intake (p < 0.001) than supine-lying, narcotic-withdrawing newborns. CONCLUSION: The fretfulness associated with neonatal withdrawal and other stressful conditions can be moderated by laying the affected infant prone. The pronate quieting response is a significant, endogenous source of neonatal pacification.

Original languageEnglish (US)
Pages (from-to)510-513
Number of pages4
JournalJournal of Perinatology
Volume19
Issue number7
DOIs
StatePublished - Jan 1 1999

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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