Finnegan scoring system

Medical diagnostics
Purpose| Diagnose neonatal withdrawal

The Finnegan scoring system is used to quantify and diagnose neonatal withdrawal or abstinence (NAS) syndrome. This is a withdrawal syndrome of infants, caused by the cessation of the administration of licit or illicit drugs. Neonatal abstinence syndrome is a group of problems that occur in a newborn who was exposed to addictive opiate or other drugs in utero. There are two types of NAS: prenatal and postnatal. Prenatal NAS is caused by discontinuation of drugs taken by the pregnant mother, while postnatal NAS is caused by discontinuation of drugs directly to the infant.[1] The twenty-one signs of withdrawal are scored. The scoring assessment is based upon the pathological significance and severity of the symptoms. Symptoms can be managed with medication. Though lengthy, it remains when used by trained clinicians. Bias and subjectivity can have some affect. The Finnegan scale is also used to assess the effectiveness of treatment and recovery of the infant. Assessment is performed and then scored. A daily score is calculated. The decision to treat the infant may be based upon a higher score. The Finnegan scale is used with assessment of comorbidities, prematurity, and clinician experience to guide treatment.[2]

## References

1. ↑ Neonatal Abstinence Syndrome on eMedicine
2. ↑ "Neonatal Abstinence Syndrome Clinical Presentations". Medscape. 27 November 2016. http://emedicine.medscape.com/article/978763-clinical#b2. Retrieved 28 July 2017.

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Certain conditions originating in the perinatal period / fetal disease (P, 760–779)

Maternal factors and
complications of pregnancy,
labour and delivery|

| placenta:|

* Placenta praevia
* Placental insufficiency
* Twin-to-twin transfusion syndrome

|

chorion/amnion:|

* Chorioamnionitis

umbilical cord:|

* Umbilical cord prolapse
* Nuchal cord
* Single umbilical artery

presentation:|

* Breech birth
* Asynclitism
* Shoulder presentation

Length of gestation
and fetal growth|

* Small for gestational age/Large for gestational age
* Preterm birth/Postmature birth
* Intrauterine growth restriction

Birth trauma|

* scalp
* Cephalhematoma
* Chignon
* Caput succedaneum
* Subgaleal hemorrhage
* Brachial plexus lesion
* Erb's palsy
* Klumpke paralysis

By system|

| Respiratory|

* Intrauterine hypoxia
* Infant respiratory distress syndrome
* Transient tachypnea of the newborn
* Meconium aspiration syndrome
* pleural disease
* Pneumothorax
* Pneumomediastinum
* Wilson–Mikity syndrome
* Bronchopulmonary dysplasia

|

Cardiovascular|

* Pneumopericardium
* Persistent fetal circulation

Haemorrhagic and
hematologic disease|

* Vitamin K deficiency bleeding

* HDN
* ABO
* Anti-Kell
* Rh c
* Rh D
* Rh E
* Hydrops fetalis
* Hyperbilirubinemia
* Kernicterus
* Neonatal jaundice

* Velamentous cord insertion
* Intraventricular hemorrhage
* Germinal matrix hemorrhage
* Anemia of prematurity

Digestive|

* Ileus
* Necrotizing enterocolitis
* Meconium peritonitis

Integument and
thermoregulation|

* Erythema toxicum
* Sclerema neonatorum

Nervous system|

* Perinatal asphyxia
* Periventricular leukomalacia

Musculoskeletal|

* Gray baby syndrome
* muscle tone
* Congenital hypertonia
* Congenital hypotonia

Infectious|

* Vertically transmitted infection
* Neonatal infection
* Congenital rubella syndrome
* Neonatal herpes simplex
* Mycoplasma hominis infection
* Ureaplasma urealyticum infection
* Omphalitis
* Neonatal sepsis
* Group B streptococcal infection
* Neonatal conjunctivitis

Other|

* Miscarriage
* Perinatal mortality
* Stillbirth
* Infant mortality
* Neonatal withdrawal

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