Table 5 Most common first- and second-line pharmacologic treatment of NAS, sample respondents in California Birth Hospitals in 2018.

From: Neonatal abstinence syndrome management in California birth hospitals: results of a statewide survey

Medication

Most common first-line medication (n = 59)

Most common second-line medication (n = 59)

%

95% CI

# of hospitals

%

95% CI

# of hospitals

Morphine (oral)

73%

60%

83%

43

12%

6%

23%

7

Methadone

27%

17%

40%

16

24%

15%

36%

14

Morphine (IV)

10%

4%

21%

6

14%

7%

25%

8

Phenobarbital

8%

3%

19%

5

51%

38%

63%

30

Clonidine

7%

2%

17%

4

32%

22%

45%

19

Diazepam

0%

0%

7%

0

7%

2%

17%

4

Tincture of opium (e.g., Laudanum, deodorized opium tincture)

0%

0%

7%

0

7%

2%

17%

4

Buprenorphine

0%

0%

7%

0

5%

1%

14%

3

Paregoric (e.g., camphorated tincture of opium)

0%

0%

7%

0

5%

1%

14%

3

  1. Source: “Hospital Care and Emerging Practices for Treatment of Maternal Opioid Addiction, the Mother-Infant Dyad and Neonatal Abstinence Care: A Survey of California Hospitals” fielded June 2018 to August 2018 by the Urban Institute in collaboration with the California Perinatal Quality-Improvement Collaborative and the California Maternal Quality Care Collaborative
  2. n = sample size. Denominator includes all respondents who selected a response in any part of the question (e.g., in a multi-item response table). A respondent who selected an answer in one line of the table but left another line blank are treated as “no” (instead of “missing”) for the line or lines for which they did not respond
  3. NAS neonatal abstinence syndrome, CI confidence interval