I work in a special care nursery where we seem to be seeing an increase in infants withdrawing from either Subutex or Methadone that was taken by mom during pregnancy (mostly Subutex). Unfortunately after delivery moms are seeming to be surprised their baby's go through withdrawal and stay in the hospital for weeks. We score baby's after delivery every 4 hours and once they reach a score of an 8 or higher twice then they start Tincture of Opium every 4 hours. Every 12 hours that infants have scores less than 8 they get weaned by 10%. I always explain everything in detail to moms and dads and I encourage them to spend as much tome holding their infant as possible in a calm quiet dark room. The less visitors and stimulation the better for the infant. Unfortunately in my experience many of these moms do not spend much time with their infants when mom is discharged and baby stays in the hospital. Sometimes I think mom feels overwhelmingly guilty. It is so sad to see. I would like to develop an informational packet of some sort to be given to moms in their prenatal visits explaining infant withdrawal and what could be expected and what moms can do to help. Giving support to these moms is crucial. When I feel as the infants nurse that I have bonded with the baby more than the mom it breaks my heart. We offer a room for moms to visit their infant where I work. I have only seen one baby who was born to a mom on Subutex who did not get put on Tincture of Opium. This particular mom held her infant constantly, kept the room dark and quiet, and breastfed. It was wonderful to see this infant do so well. I wonder if this was how it could be more often if more moms were better educated on how to care for an infant going through withdrawal. Any advice on good websites to get more information about this? Anyone else have any information or teaching you give out or do at your hospital prenatally that you would be willing to share? I take care of these baby's every day and I want to help them the best I can. Please let me know your experiences or advice or opinions.