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Outcome Differences in Neonates Exposed In-Utero to Opioids Managed in the NICU Versus Pediatric Floor

by Dr. Raymond Oenbrink | Addiction

https://journals.lww.com/journaladdictionmedicine/Fulltext/2019/02000/Outcome_Differences_in_Neonates_Exposed_In_Utero.13.aspx Comment; Unsurprising that pediatric NAS stays would be shorter than NICU stays; NICU patients usually have more comorbidities Lembeck, Amy...

Opioid use in pregnancy – Treatment as encompassing more than the drug-user and the interval of pregnancy | 2.19.2019

by Dr. Raymond Oenbrink | Addiction

https://www.asam.org/asamw-editorial-comment/asam-weekly-editorial-comment/2019/02/19/opioid-use-in-pregnancy-treatment-as-encompassing-more-than-the-drug-user-and-the-interval-of-pregnancy-2.19.2019 Comment; I don’t think maternal pure opioid blocker therapy is...

Meth, Opioid Use in Pregnancy on the Rise

by Dr. Raymond Oenbrink | Addiction

https://consumer.healthday.com/pregnancy-information-29/pregnancy-risks-news-546/meth-opioid-use-in-pregnancy-on-the-rise-740133.html Comment; Doubling of stimulant addiction, opioid use increasing 5-fold, increased risk of death to Mom’s using stimulants and...

Comparison of Safety and Efficacy of Methadone vs Morphine for Treatment of Neonatal Abstinence Syndrome A Randomized Clinical Trial

by Dr. Raymond Oenbrink | Addiction

https://jamanetwork.com/journals/jamapediatrics/article-abstract/2685283 Jonathan M. Davis, MD1,2,3; Jeffrey Shenberger, MD4; Norma Terrin, PhD2,3; et al Key Points Question  Does methadone or morphine have better safety and efficacy for the treatment of neonatal...

I was pregnant while addicted to heroin. Methadone saved my baby’s life. The stigma and shame of addiction dominated my pregnancy.

by Dr. Raymond Oenbrink | Addiction

https://www.vox.com/first-person/2017/8/9/16119194/methadone-pregnancy-heroin-opiates Updated by Elizabeth Brico She wouldn’t stop crying. Lying in her crib in the NICU, her tiny body clenched into a ball, she let out a shrill, eerie wail that no infant should ever...

Buprenorphine for the Treatment of the Neonatal Abstinence Syndrome

by Dr. Raymond Oenbrink | Addiction

http://www.nejm.org/doi/full/10.1056/NEJMoa1614835#t=article Walter K. Kraft, M.D., Susan C. Adeniyi-Jones, M.D., Inna Chervoneva, Ph.D., Jay S. Greenspan, M.D., Diane Abatemarco, Ph.D., Karol Kaltenbach, Ph.D., and Michelle E. Ehrlich, M.D. N Engl J Med 2017;...

West Virginia Mom on Her Struggle with Opioid Addiction While Pregnant: ‘It Was Frightening’

by Dr. Raymond Oenbrink | Addiction

http://people.com/human-interest/west-virginia-mom-struggle-opioid-addiction-pregnant/ At nearly a year old, Emma Hernandez has a mouthful of teeth and she doesn’t walk — she runs — sometimes while yelling “Mommy!” or “Uh-oh!” or another word in her toddler...

Buprenorphine for the Treatment of the Neonatal Abstinence Syndrome

by Dr. Raymond Oenbrink | Addiction

http://www.nejm.org/doi/full/10.1056/NEJMoa1614835#t=article Buprenorphine was significantly more effective than morphine in reducing the duration of treatment, with a median between-group difference of 13 days in the intention-to-treat analysis. This difference...
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