Opioids: A Pediatric Epidemic

A 2.95 kg baby boy is born, after a 37-week gestation, to a 20-year-old mother with a history of intravenous heroin use during her pregnancy. She attempted drug rehabilitation and entered a methadone program, but began using street drugs within 72 hours prior to delivery. The baby develops symptoms of neonatal abstinence syndrome including tremors, tachypnea, temperature instability, uncoordinated suck, and poor feeding. The infant is treated with decreasing doses of morphine. The mother is taught infant care and referred to social services and drug rehabilitation.

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