Neonatal Abstinence Syndrome: Understanding the Variations in Expression and Mitigating Them

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Direct providership by the American Society of Addiction Medicine (ASAM)

Loretta P. Finnegan, MD
President, Finnegan Consulting, LLC
Professor of Pediatrics, Psychiatry and Human Behavior, Thomas Jefferson University (Retired)

Module Description
This module covers several key clinical issues related to neonatal abstinence syndrome (NAS) in infants born to women with opioid addiction. It covers the symptoms of NAS, issues that can lead to death in the baby with unrecognized/untreated NAS, other conditions that could affect NAS symptoms, evidence and practices related to opioid agonist therapy, and variability in NAS expression.

Educational Objectives
At the conclusion of this activity participants should be able to:

  1. Identify the symptoms of neonatal abstinence syndrome (NAS)
    • Be aware of which vital functions are disrupted by neonatal
      abstinence
  2. Describe the issues that can lead to death in the baby with
    unrecognized/untreated NAS
  3. Review conditions that could affect the onset and persistence of
    symptoms of NAS
  4. Discuss issues related to methadone
    • The effect of methadone dose on expression of NAS
    • The challenges of methadone dosing in pregnant women
  5. Recognize the causes of variability in NAS expression

Accreditation and Designation
The American Society of Addiction Medicine (ASAM) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Society of Addiction Medicine (ASAM) designates this enduring material for a maximum of one (1) AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

How to Receive CME Credits
Upon completion of the Post Test:

  • If you pass the Post Test with a grade of 80% or higher, you will be instructed to click a link which will bring you to the Online Module Evaluation Survey. Upon completion of the Online Module Evaluation Survey, you will receive a CME Credit Certificate or Certificate of Completion via email.
  • If you received a grade of 79% or lower on the Post Test, you will be instructed to review the Online Module once more and retake the Post Test.
  • After successfully passing the Post Test, you will receive an email detailing correct answers, explanations and references for each question.

System Requirements
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