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Neonatal Abstinence Syndrome (NAS) – What Is It?

When a baby is exposed to certain substances in the womb (especially opioids) they may be born with Neonatal Abstinence Syndrome (NAS), a condition that causes withdrawal symptoms after birth.


Why It Happens:


During pregnancy, substances like opioids, antidepressants, benzodiazepines, or barbiturates can cross the placenta. After birth, when the drug supply suddenly stops, the baby’s body struggles to adjust.


Symptoms May Include:


  • Tremors or seizures

  • Excessive crying and irritability

  • Sleep problems

  • Feeding difficulties

  • Vomiting or diarrhea

  • Fever or sweating


Symptoms usually begin 24–72 hours after birth, but some may appear later depending on the substance.


NAS isn’t just physical, but it can impact early neurodevelopment, attachment, and even long-term emotional regulation—especially if left untreated.


Mothers with substance use disorders often carry deep layers of trauma. Stigma does not help recovery, for the parent or the baby.


Treatment, education, and non-judgmental support do.


With early intervention, care, and love, babies with NAS can thrive. So can their parents.

Let’s advocate for trauma-informed care, not blame. Healing begins with understanding.



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