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This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.

Finnegan Neonatal Abstinence Score

Modified Finnegan sheet: 21 neonatal withdrawal signs; treatment thresholds are protocol-dependent

Crying
Sleep after the meal
Moro reflex
Tremor
Increased muscle tone
Excoriations (chin, knee, elbow, toes, nose)
Myoclonic jerks
Generalized seizure
Sweating
Temperature
Frequent yawning (more than 3–4 times per interval)
Mottled skin
Stuffy nose
Sneezing (more than 3–4 times per interval)
Nasal flaring
Respiratory rate
Excessive sucking
Poor feeding
Regurgitation / vomiting
Stools

Calculation aid for healthcare professionals: the calculator reproduces what the sources cited assign to the inputs. Clinical assessment and every treatment decision remain with the treating physician. Inputs and results are not stored.

Frequently asked questions

Finnegan Neonatal Abstinence Score: What does this calculator compute?

Modified Finnegan Neonatal Abstinence Score: 21 findings from the central nervous system, autonomic/respiratory and gastrointestinal systems according to the widely used chart (Finnegan 1990/1992), total with the treatment thresholds used in many clinical protocols but not standardized (three times ≥ 8 or twice ≥ 12; observe local standards) and the normal values of healthy newborns (Zimmermann-Baer 2010).

Finnegan Neonatal Abstinence Score: Which sources is this calculator based on?

Finnegan LP, Kron RE, Connaughton JF, Emich JP: Neonatal abstinence syndrome: assessment and management (Addict Dis 2:141–158) (1975); Western Australian Centre for Evidence Based Nursing & Midwifery: Neonatal Abstinence Scoring System – Modified Finnegan Neonatal Abstinence Score Sheet (after Finnegan 1990 and Finnegan & Kaltenbach 1992) (2007); Zimmermann-Baer U, Nötzli U, Rentsch K, Bucher HU: Finnegan neonatal abstinence scoring system: normal values for first 3 days and weeks 5–6 in non-addicted infants (Addiction 105:524–528) (2010); Children's Minnesota: Neonatal Abstinence Syndrome – Reference Guide (M1175) (2019)