<\/span><\/p>\n<\/div>\n<\/div>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_3,1_3,1_3″ _builder_version=”4.16″ custom_margin=”11px|auto||auto||” global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”4.16″ global_colors_info=”{}”][et_pb_blurb title=”Classification Types” image_icon_width=”106px” content_max_width=”100%” image_icon_width_tablet=”48px” image_icon_width_phone=”32px” image_icon_width_last_edited=”on|tablet” _builder_version=”4.24.0″ header_font=”Poppins|600|||||||” header_text_align=”center” header_text_color=”#ff990a” header_font_size=”21px” header_line_height=”1.8em” body_font=”Poppins||||||||” body_text_align=”center” body_text_color=”#2a3282″ body_font_size=”17px” body_line_height=”1.8em” animation=”off” image_max_width=”106px” image_max_width_tablet=”48px” image_max_width_phone=”32px” image_max_width_last_edited=”on|tablet” global_colors_info=”{}”]<\/p>\n
The sub-classifications of \u201cTypes\u201d of probable and suspect cases were removed for simplicity.<\/p>\n
[\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ global_colors_info=”{}”][et_pb_blurb title=”Tier 2 Surveillance” image_icon_width=”106px” content_max_width=”100%” image_icon_width_tablet=”48px” image_icon_width_phone=”32px” image_icon_width_last_edited=”on|tablet” _builder_version=”4.24.0″ header_font=”Poppins|600|||||||” header_text_align=”center” header_text_color=”#ff990a” header_font_size=”21px” header_line_height=”1.8em” body_font=”Poppins||||||||” body_text_align=”center” body_text_color=”#2a3282″ body_font_size=”17px” body_line_height=”1.8em” animation=”off” image_max_width=”106px” image_max_width_tablet=”48px” image_max_width_phone=”32px” image_max_width_last_edited=”on|tablet” global_colors_info=”{}”]<\/p>\n
For Tier 2 surveillance, the suspect category of case classification was removed.<\/p>\n
[\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ global_colors_info=”{}”][et_pb_blurb title=” Laboratory Results” image_icon_width=”106px” content_max_width=”100%” image_icon_width_tablet=”48px” image_icon_width_phone=”32px” image_icon_width_last_edited=”on|tablet” _builder_version=”4.24.0″ header_font=”Poppins|600|||||||” header_text_align=”center” header_text_color=”#ff990a” header_font_size=”21px” header_line_height=”1.8em” body_font=”Poppins||||||||” body_text_align=”center” body_text_color=”#2a3282″ body_font_size=”17px” body_line_height=”1.8em” animation=”off” image_max_width=”106px” image_max_width_tablet=”48px” image_max_width_phone=”32px” image_max_width_last_edited=”on|tablet” global_colors_info=”{}”]<\/p>\n
Positive neonatal laboratory results for non-opioid, benzodiazepine, or barbiturate (non-OBB) substances are now included as supportive laboratory evidence.<\/p>\n
[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ custom_margin=”-32px|auto||auto||” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ global_colors_info=”{}”][et_pb_blurb title=”Clinical Signs” image_icon_width=”106px” content_max_width=”100%” image_icon_width_tablet=”48px” image_icon_width_phone=”32px” image_icon_width_last_edited=”on|tablet” _builder_version=”4.24.0″ header_font=”Poppins|600|||||||” header_text_align=”center” header_text_color=”#ff990a” header_font_size=”21px” header_line_height=”1.8em” body_font=”Poppins||||||||” body_text_align=”center” body_text_color=”#2a3282″ body_font_size=”17px” body_line_height=”1.8em” animation=”off” image_max_width=”106px” image_max_width_tablet=”48px” image_max_width_phone=”32px” image_max_width_last_edited=”on|tablet” locked=”off” global_colors_info=”{}”]<\/p>\n
The number of clinical signs of NAS needed to meet the criteria for clinical compatibility was lowered from three or more signs to two or more signs.<\/p>\n
[\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ global_colors_info=”{}”][et_pb_blurb title=”Maternal Laboratory Timeline” image_icon_width=”106px” content_max_width=”100%” image_icon_width_tablet=”48px” image_icon_width_phone=”32px” image_icon_width_last_edited=”on|tablet” _builder_version=”4.24.0″ header_font=”Poppins|600|||||||” header_text_align=”center” header_text_color=”#ff990a” header_font_size=”21px” header_line_height=”1.8em” body_font=”Poppins||||||||” body_text_align=”center” body_text_color=”#2a3282″ body_font_size=”17px” body_line_height=”1.8em” animation=”off” image_max_width=”106px” image_max_width_tablet=”48px” image_max_width_phone=”32px” image_max_width_last_edited=”on|tablet” locked=”off” global_colors_info=”{}”]<\/p>\n
The timeline for positive maternal laboratory results or maternal history of use was updated from \u201cwithin four weeks prior to delivery\u201d to \u201cwithin the current pregnancy\u201d for history of use and \u201cwithin four weeks prior to delivery through one day post-delivery\u201d for laboratory testing.<\/p>\n
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The below tables provide crosswalks on mapping 19-MCH-01 case classifications to the new definition, as well as explain within the new definition how the cases were previously classified.<\/span><\/p>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.24.0″ _module_preset=”default” custom_margin=”-50px|auto||auto||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/nas.cste.org\/wp-content\/uploads\/2025\/03\/1741279876056-f70b56cc-6847-4d1f-9a2d-587a84303309_1.jpg” title_text=”1741279876056-f70b56cc-6847-4d1f-9a2d-587a84303309_1″ align=”center” _builder_version=”4.24.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][\/et_pb_image][et_pb_image src=”https:\/\/nas.cste.org\/wp-content\/uploads\/2025\/03\/1741279876056-f70b56cc-6847-4d1f-9a2d-587a84303309_2.jpg” title_text=”1741279876056-f70b56cc-6847-4d1f-9a2d-587a84303309_2″ align=”center” _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][et_pb_button button_url=”https:\/\/nas.cste.org\/wp-content\/uploads\/2025\/03\/CD_Crosswalk_FINAL-1.pdf” button_text=”DOWNLOAD PDF” button_alignment=”center” _builder_version=”4.24.0″ _module_preset=”default” custom_button=”on” button_text_color=”#FFFFFF” button_bg_color=”#2A3282″ button_border_width=”0px” button_border_radius=”5px” button_font=”Poppins|600|||||||” global_colors_info=”{}”][\/et_pb_button][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”3_5,2_5″ use_custom_gutter=”on” gutter_width=”1″ custom_padding_last_edited=”on|tablet” _builder_version=”4.16″ width=”100%” max_width=”100%” module_alignment=”right” custom_margin=”60px||” custom_padding=”0px||0px||true” custom_padding_tablet=”|||10vw” custom_padding_phone=”” use_custom_width=”on” width_unit=”off” custom_width_percent=”100%” locked=”off” global_colors_info=”{}”][et_pb_column type=”3_5″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.24.0″ text_font=”Poppins|700||on|||||” text_text_color=”#151f33″ text_font_size=”15px” text_letter_spacing=”2px” header_2_font=”||||||||” background_color=”#ffb856″ text_orientation=”center” background_layout=”dark” custom_padding=”30px|20px|30px|20px|true|true” link_option_url=”https:\/\/nas.cste.org\/?page_id=39″ border_radii=”off|10px|||10px” box_shadow_style=”preset3″ box_shadow_blur=”100px” box_shadow_color=”rgba(85,103,127,0.6)” locked=”off” global_colors_info=”{}”]<\/p>\n
Next, Annotated Case Classification<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”About” _builder_version=”4.16″ _module_preset=”77f10ea6-8b12-4d6a-9cca-272a7cb46e4f” custom_margin=”||128px|||” custom_padding=”107px||54px|||” custom_width_px__hover=”1080px” custom_width_px__hover_enabled=”1080px” custom_width_percent__hover=”80%” custom_width_percent__hover_enabled=”80%” global_colors_info=”{}” make_fullwidth__hover=”off” make_fullwidth__hover_enabled=”off” use_custom_width__hover=”off” use_custom_width__hover_enabled=”off” width_unit__hover=”on” width_unit__hover_enabled=”on”][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ _module_preset=”default” max_width=”80%” use_custom_width=”on” width_unit=”off” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.24.0″ _module_preset=”default” header_font=”||||||||” header_2_font=”Noto Serif||||||||” header_2_font_size=”40px” header_2_line_height=”1.4em” custom_margin=”||-2px|||” header_2_font_size_tablet=”30px” header_2_font_size_phone=”24px” header_2_font_size_last_edited=”on|phone” locked=”off” global_colors_info=”{}”]<\/p>\n
Continue The<\/span> Guide<\/span><\/h2>\n[\/et_pb_text][et_pb_divider color=”#FFBA5A” divider_weight=”3px” _builder_version=”4.16″ _module_preset=”default” max_width=”80px” height=”3px” locked=”off” global_colors_info=”{}”]
\n[\/et_pb_divider][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_4,1_4,1_4,1_4″ _builder_version=”4.16″ _module_preset=”default” max_width=”80%” custom_margin=”|auto|-203px|auto||” custom_padding=”0px||73px|||” use_custom_width=”on” width_unit=”off” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=” CASE DEFINITION ” url=”https:\/\/nas.cste.org\/?page_id=38″ image=”https:\/\/nas.cste.org\/wp-content\/uploads\/2024\/05\/CaseDefinition_Icon_600px.png” icon_placement=”left” image_icon_width=”140px” _builder_version=”4.24.0″ _module_preset=”default” header_font=”|700|||||||” header_text_color=”#E09900″ global_colors_info=”{}”][\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”DATA COLLECTION” url=”https:\/\/nas.cste.org\/?page_id=40″ image=”https:\/\/nas.cste.org\/wp-content\/uploads\/2024\/05\/DataCollection_Icon_600px.png” icon_placement=”left” image_icon_width=”140px” _builder_version=”4.24.0″ _module_preset=”default” header_font=”|700|||||||” header_text_color=”#d6391d” global_colors_info=”{}”][\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”PROVIDER COMMUNICATIONS” url=”https:\/\/nas.cste.org\/?page_id=34″ image=”https:\/\/nas.cste.org\/wp-content\/uploads\/2024\/05\/ProviderCommunication_Icon_600px.png” icon_placement=”left” image_icon_width=”140px” _builder_version=”4.24.0″ _module_preset=”default” header_font=”|700|||||||” header_text_color=”#b900e2″ global_colors_info=”{}”][\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”SURVEILLANCE BY JURISDICTION” url=”https:\/\/nas.cste.org\/?page_id=36″ image=”https:\/\/nas.cste.org\/wp-content\/uploads\/2024\/05\/SurveillanceByJurisdiction_Icon_600px.png” icon_placement=”left” image_icon_width=”140px” _builder_version=”4.24.0″ _module_preset=”default” header_font=”|700|||||||” header_text_color=”#96db3d” global_colors_info=”{}”][\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
Position Statement & Case Definition Crosswalk In 2019 the first CSTE position statement providing a Neonatal Abstinence Syndrome Standardized Case Definition was adopted as 19-MCH-01. After selected jurisdictions applied this case definition, it was determined that updates were needed to allow for clarity in interpretation, consistency in reporting across jurisdictions, and to address concerns identified […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-38","page","type-page","status-publish","hentry"],"aioseo_notices":[],"featured_image_src":null,"featured_image_src_square":null,"_links":{"self":[{"href":"https:\/\/nas.cste.org\/index.php?rest_route=\/wp\/v2\/pages\/38","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nas.cste.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nas.cste.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nas.cste.org\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/nas.cste.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=38"}],"version-history":[{"count":0,"href":"https:\/\/nas.cste.org\/index.php?rest_route=\/wp\/v2\/pages\/38\/revisions"}],"wp:attachment":[{"href":"https:\/\/nas.cste.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=38"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}