Bawhte Eidin Hrialnak Hmelchunhnak (NAS, Neonatal Abstinence Syndrome)

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Na Naute Cu Ngandamnak He Aa Tlakmi Thawknak Pek Hna

Biahalnak & Lehnak Pawl
Dr Mom

Biahalmi lehnak pawl zoh dingcaah a tanglei kuang pawl a cungah thawn hna.
Q:A:What is Neonatal Abstinence Syndrome?

When a mom-to-be takes drugs during pregnancy —especially pain killers called opioids or heroin —they can be passed on to the baby. NAS happens when the baby is no longer exposed to the drugs and has withdrawal symptoms after birth.

Q:A:What can I do to prevent NAS?

You can prevent NAS by not taking any drugs during your pregnancy unless recommended by your doctor. If you are taking drugs already, talk to your doctor first before quitting. With certain drugs, quitting too quickly can hurt you and your baby.

Q:A:When do the signs of NAS start?

Usually within three days of birth, but sometimes symptoms may not happen for a few weeks.

Q:A:What are the signs of NAS?
  • Shaking, twitching muscles, seizures.
  • Trouble breathing or breathing fast.
  • Fussiness, a lot of crying, or high-pitched crying.
  • Sweating, fever or blotchy skin.
  • Trouble sleeping, a lot of yawning.
  • Throwing up or diarrhea.
  • Stuffy nose or sneezing.
  • Feeding problems or slow weight gain.
Q:A:What should I do if I think my baby has NAS?

Call your provider or the hospital right away. Your baby might need medicine, fluids or other interventions to help him feel better.

Q:A:What else can I do to help my baby?
  • Keep your baby in a quiet, darkened room.
  • Help your baby feel secure by using a special wrap called a swaddler or a sleep sack to keep him comfortable.
  • Hold your baby skin-to-skin — only in his diaper on bare chest.
  • Feed your baby smaller amounts more often if he is having trouble feeding. If you are concerned about your baby’s feeding, contact his doctor right away.
  • Breastfeed your baby. If you are still using drugs including marijuana, talk with your provider first.
Q:

Bawhte Eidin Hrialnak Hmelchunhnak (Neonatal Abstinence Syndrome) cu zeidah asi?

A:
Hringtu nu asi dingmi nih nau a pawi lio ah sii a din tikah -abik in opioid asiloah bing rang tiin an auhmi a fah daihternak sii a din tikah -cucu naute sin ah a kal khawh. Naute cu sii he aa tong ti lo tikah le a chuak hnu in tumchuknak hmelchunhnak pawl a ngei tikah NAS cu a chuak.
Q:

NAS vennak dingcaah zeidah ka tuah khawh?

A:
Sibawi nih ruahnak an cheuh lo ahcun nau pawi lio ah zeibantuk sii hmanh din loin NAS cu na ven khawh. Sii na din cang asi ahcun, na ngol hlan ah na sibawi cu chimh hmasa hna. Cheukhat sii cu, khulrang tuk in ngolnak nih nangmah le na naute cu harnak a pek khawh.
Q:

NAS hmelchunhnak cu zeitik ah aa thawk?

A:
Chuah hnu ni thum ah asi tawn, asinain a caancaan ahcun hmelchunhnak cu zarh tlawmpal chung a chuak lo.
Q:

NAS hmelchunhnak cu zeipawl dah an si?

A:
  • Ther, titsa cawl, dawh.
  • Thawchuah har asiloah khulrang in thawchuah.
  • Ziatam, tap lengmang, asiloah thangpi in tap.
  • Thlan chuah, taklinh asiloah takvun bo.
  • Hngilh khawh lo, haham lengmang.
  • Luak asiloah chungtlik.
  • Thaw pit asiloah hachio.
  • Hnukdinh harnak pawl asiloah khinritnak kai kho lo.
Q:

Ka naute nih NAS a ngei rua tiah ka ruat ahcun zeidah ka tuah awk asi?

A:
Na ngandamnak zohkhenhtu asiloah sizung cu phone chawnh colh hna. Na naute a tuarnak nem ter deuh dingcaah sii, a hang asiloah adang tlangtlaknak a herh kho mi asi.
Q:

Ka naute bawmhnak dingcaah adang zeidah ka tuah khawh?

A:
  • Na naute cu a daimi, a muimi khaan ah chiah hna.
  • Siarem tein chiah dingcaah naupuan tuamnak (swaddler) asiloah ihnak songkhoi (sleep sack) an timi special tuamnak hmang in na naute cu him in aa ruatnak hnga bawmh hna.
  • Na naute cu vun le vun i tongh in tlaih – tang a lawngmi ah diaper lawng in.
  • Hnukdinh harnak a ngei ahcun tlawm deuh in voitam deuh dinh lengmang hna. Na naute hnukdinhnak kong ah phannak na ngei ahcun, a sibawi cu pehtlai colh hna.
  • Na naute cu nu hnuk dinh hna. Sihnah carmi telh in sii pawl na din peng rih ko ahcun, na ngandamnak zohkhenhtu cu biaruah hna.
Q:

Bawhte Eidin Hrialnak Hmelchunhnak (Neonatal Abstinence Syndrome) cu zeidah asi?

A:
Hringtu nu asi dingmi nih nau a pawi lio ah sii a din tikah -abik in opioid asiloah bing rang tiin an auhmi a fah daihternak sii a din tikah -cucu naute sin ah a kal khawh. Naute cu sii he aa tong ti lo tikah le a chuak hnu in tumchuknak hmelchunhnak pawl a ngei tikah NAS cu a chuak.
Q:

NAS vennak dingcaah zeidah ka tuah khawh?

A:
Sibawi nih ruahnak an cheuh lo ahcun nau pawi lio ah zeibantuk sii hmanh din loin NAS cu na ven khawh. Sii na din cang asi ahcun, na ngol hlan ah na sibawi cu chimh hmasa hna. Cheukhat sii cu, khulrang tuk in ngolnak nih nangmah le na naute cu harnak a pek khawh.
Q:

NAS hmelchunhnak cu zeitik ah aa thawk?

A:
Chuah hnu ni thum ah asi tawn, asinain a caancaan ahcun hmelchunhnak cu zarh tlawmpal chung a chuak lo.
Q:

NAS hmelchunhnak cu zeipawl dah an si?

A:
  • Ther, titsa cawl, dawh.
  • Thawchuah har asiloah khulrang in thawchuah.
  • Ziatam, tap lengmang, asiloah thangpi in tap.
  • Thlan chuah, taklinh asiloah takvun bo.
  • Hngilh khawh lo, haham lengmang.
  • Luak asiloah chungtlik.
  • Thaw pit asiloah hachio.
  • Hnukdinh harnak pawl asiloah khinritnak kai kho lo.
Q:

Ka naute nih NAS a ngei rua tiah ka ruat ahcun zeidah ka tuah awk asi?

A:
Na ngandamnak zohkhenhtu asiloah sizung cu phone chawnh colh hna. Na naute a tuarnak nem ter deuh dingcaah sii, a hang asiloah adang tlangtlaknak a herh kho mi asi.
Q:

Ka naute bawmhnak dingcaah adang zeidah ka tuah khawh?

A:
  • Na naute cu a daimi, a muimi khaan ah chiah hna.
  • Siarem tein chiah dingcaah naupuan tuamnak (swaddler) asiloah ihnak songkhoi (sleep sack) an timi special tuamnak hmang in na naute cu him in aa ruatnak hnga bawmh hna.
  • Na naute cu vun le vun i tongh in tlaih – tang a lawngmi ah diaper lawng in.
  • Hnukdinh harnak a ngei ahcun tlawm deuh in voitam deuh dinh lengmang hna. Na naute hnukdinhnak kong ah phannak na ngei ahcun, a sibawi cu pehtlai colh hna.
  • • Na naute cu nu hnuk dinh hna. Sihnah carmi telh in sii pawl na din peng rih ko ahcun, na ngandamnak zohkhenhtu cu biaruah hna.

Thil Konglam Tling Deuh In Theihnak DrMom

NextLevel Recovery Indiana (Indiana A Sang Deuhmi Level Damnak)
Indiana Department of Health Overdose Prevention (Sii Luantuk in Dinnak Vennak Indiana Ngandamnak Zung)
Substance Abuse and Mental Health Services Administration (Thilri nih Hremnak le Lungthin lei Ngandamnak Riantuanpiaknak pawl Tawlrelnak)
CHOICE: Pregnancy and Substance Use Treatment Program (THIMNAK: Naupawinak le Thilri Hmannak Thlopnak Program)
Hi riantuannak zung cu atlukmi caantha petu asi.

wic.in.gov

Side Lying Hold

Side-Lying Hold

  1. For the right breast, lie on your right side with your baby facing you.
  2. Pull your baby close. Your baby’s mouth should be level with your nipple.
  3. In this position, you can cradle your baby’s back with your left arm and support yourself with your right arm and/or pillows.
  4. Keep loose clothing and bedding away from your baby.
  5. Reverse for the left breast.

This hold is useful when:

  • You had a C-section
  • You want to rest while baby feeds
  • You are breastfeeding in the middle of the night
  • You and your baby are comfortable in this position
Cross Cradle Hold

Cross-Cradle Hold

  1. For the right breast, use your left arm to hold your baby’s head at your right breast and baby’s body toward your left side. A pillow across your lap can help support your left arm.
  2. Gently place your left hand behind your baby’s ears and neck, with your thumb and index finger behind each ear and your palm between baby’s shoulder blades. Turn your baby’s body toward yours so your tummies are touching.
  3. Hold your breast as if you are squeezing a sandwich. To protect your back, avoid leaning down to your baby. Instead, bring your baby to you.
  4. As your baby’s mouth opens, push gently with your left palm on baby’s head to help them latch on. Make sure you keep your fingers out of the way.
  5. Reverse for the left breast.

This hold is useful when:

  • Your baby is premature
  • Your baby has a weak suck
  • Your baby needs help to stay latched
  • Your baby needs extra head support
  • You and your baby are comfortable in this position
Football Hold

Clutch or “Football” Hold

  1. For the right breast, hold your baby level, facing up, at your right side.
  2. Put your baby’s head near your right nipple and support their back and legs under your right arm.
  3. Hold the base of your baby’s head with your right palm. A pillow underneath your right arm can help support your baby’s weight.
  4. To protect your back, avoid leaning down to your baby. Bring baby to you instead.
  5. Reverse for the left breast.

This hold is useful when:

  • You had a C-section
  • You have large breasts
  • You have flat or inverted nipples
  • You have a strong milk let-down
  • You are breastfeeding twins
  • Your baby likes to feed in an upright position
  • Your baby has reflux
  • You and your baby are comfortable in this position
Breastfeeding Holds

Cradle Hold

  1. For the right breast, cradle your baby with your right arm. Your baby will be on their left side across your lap, facing you at nipple level.
  2. Your baby’s head will rest on your right forearm with your baby’s back along your inner arm and palm.
  3. Turn your baby’s tummy toward your tummy. Your left hand is free to support your breast, if needed. Pillows can help support your arm and elbow.
  4. To protect your back, avoid leaning down to your baby. Instead, bring your baby to you.
  5. Reverse for the left breast.

This hold is useful when:

  • Your baby needs help latching on
  • You and your baby are comfortable in this position
Breastfeeding Holds

Laid-Back Hold

  1. Lean back on a pillow with your baby’s tummy touching yours and their head at breast level. Some moms find that sitting up nearly straight works well. Others prefer to lean back and lie almost flat.
  2. You can place your baby’s cheek near your breast, or you may want to use one hand to hold your breast near your baby. It’s up to you and what you think feels best.
  3. Your baby will naturally find your nipple, latch, and begin to suckle.

This hold is useful when:

  • Your baby is placed on your chest right after birth
  • You have a strong milk let-down
  • You have large breasts
  • You and your baby are comfortable in this position