we discussed a one day old baby who was jittery irritable very hungry – Neonatal abstinence.

The learning points were:

  • Think out in clinical settings
  • carefully watch for signs – do not make them
  • have a reasonable differential diagnosis
  • present findings in a systematic order
  • do NOT jump to specific diagnosis and dig a hole for yourself
  • Keep your Consultant and Parents in the loop
  • i/v Drug user – remember AIDS & Hep B & C
  • Appropriate protection for the baby
  • Monitoring chart attached – score of > 8 significant.
  • Look up local guidelines.

Abstinence Observation Chart