IHS and AAP Release Clinical Recommendations to Improve Care of American Indian, Alaska Native Women and Infants Impacted By Prenatal Opioid Exposure

released clinical recommendations on neonatal opioid withdrawal syndrome, or NOWS, for IHS, tribal, and urban Indian organization health care facilities. These recommendations provide standards of care surrounding screening, diagnosing, and treatment of pregnant mothers and infants affected by prenatal opioid exposure.

"Infants born withdrawing from opioids represent one of the most heartbreaking aspects of our country's addiction crisis, which has hit American Indian and Alaska Native communities especially hard," said HHS Secretary Alex Azar.

"At IHS, we recognize that preserving the infant-mother relationship is of the utmost importance," said IHS Chief Medical Officer Rear Adm. Michael Toedt, M.D."These recommendations further establish the need for ongoing monitoring and clinical management of opioid-exposed infants to improve health outcomes as part of our comprehensive strategy to address the opioid epidemic."will serve as a resource to improve identification, care, and outcomes of infants at risk for NOWS.

"American Indian and Alaska Native women face significant barriers in obtaining appropriate care for substance use disorders while pregnant, which may delay early intervention efforts that are best for the newborn's health," said Shaquita Bell, M.D., FAAP, chair of the AAP Committee on Native American Child Health.

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