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The ESC Protocol That Cut Costs and Shortened Stays. A Critical Correspondence Now Asks Whether Opioid-Exposed Newborns Are Paying the Price. 04/21/2026

We don't withhold pain relief from adults until suffering impairs their ability to eat and sleep. So why are we doing it to newborns? A correspondence just published in Pediatric Research raises that exact question about the Eat, Sleep, Console protocol. My latest article breaks down the argument and what it means for opioid-exposed newborns in hospitals today.

The ESC Protocol That Cut Costs and Shortened Stays. A Critical Correspondence Now Asks Whether Opioid-Exposed Newborns Are Paying the Price. "We do not withhold opioid medication from adults until suffering renders daily function impossible, to say nothing of waiting until physiological distress impairs basic function. It is unclear why we would be more comfortable with suffering in neonates than we are with suffering in adults.

California Newborns 2X as Likely to Face Opioid Withdrawal as Prenatal Drug Use Surges in a Decade 01/16/2026

Prapela is honored to offer the only FDA-authorized therapy for opioid-exposed newborns. Funded almost entirely from NIH grants, our pad for newborns suffering from neonatal opioid withdrawal syndrome (NOWS) is available nationwide. Thanks for caring for these babies, especially members of - California Perinatal Quality Care Collaborative - CPQCC, Southern California Association of Neonatal Nurses, AWHONN - The Association of Women's Health, Obstetric and Neonatal Nurses - California chapters

California Newborns 2X as Likely to Face Opioid Withdrawal as Prenatal Drug Use Surges in a Decade Opioid diagnoses during pregnancy doubled in California; experts call for expanded perinatal addiction care.

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