What does the American Academy of Pediatrics (AAP) recommend regarding observation for NOWS?

The American Academy of Pediatrics (AAP) recommends observing newborns withdrawing from opioids, known as Neonatal Opioid Withdrawal Syndrome (NOWS), for 4-7 days following delivery. This timeframe is crucial because the signs of withdrawal may not appear immediately after birth. Opioid withdrawal can take several days to manifest, typically starting within 24 to 72 hours after exposure, but it can also be delayed depending on several factors, such as the specific opioid used and maternal factors.

Monitoring during this period allows healthcare providers to identify and manage any withdrawal symptoms adequately. If a newborn is not closely monitored for this duration, there is a risk of missing critical signs that would require intervention, thereby ensuring the well-being of the infant. The AAP's guidelines emphasize the importance of an appropriate observation period to ensure safety and effective management for infants experiencing NOWS.