Managing Abstinence

in Newborns

A Family-Centered Program for Infants at Risk for Neonatal Abstinence Syndrome (NAS)

Everything you need to know



Pickens County

An Ongoing National Trend

The Continuing Threat of the Opioid Epidemic



85% of pregnancies among women with opioid use disorder are unintended


Around 3,600 babies a year in SC are born to mothers who took opioid medications during pregnancy

at least

Every day, at least one baby is born in South Carolina (out of 156) who will be diagnosed with NAS (or opioid withdrawal)

more than

More than half of US opioid overdose deaths annually are among adults in their key parenting years (25-44)

Our Approach

Caring for Infants With NAS

The MAiN Program provides education, support and other resources to mothers using opioids during pregnancy to minimize the risk of health problems for their babies. Our aim is for every mother to have a rewarding birth experience and a healthy newborn, despite struggles with chronic pain, addiction, mental health and/or social issues.

The MAiN Hospital Model for Newborns at Risk for NAS

The MAiN Model

Rooming in with mother or care in the Level I nursery when mother is not available

Rooming In

How to soothe a baby and provide a calm environment

Supportive Care

Early initiated pharmacological treatment for high risk or symptomatic newborns

Early Treatment

Rapid inpatient weaning on the Mom Baby Unit

Medication Weaning

MAiN Babies have...


  • Mom
    The MAiN program provides so much love and support to those who need it the most. Anything that I needed, whether it as support of something for my baby, they are willing to help!
  • Pediatrician
    I think it's been a huge asset to our community, just breaking down the walls of the stigmatization that exists in our community; moms who have gone through program feel better.
  • Occupational Therapist
    When babies are in the NICU, the mom is only involved for a few hours at most, but after we implemented MAiN, moms are actually able to touch their babies. We can educate them about decreased stimulation, and developmentally appropriate ways to take care of their babies.
    Occupational Therapist
  • Pediatrician
    Well, you’re getting people who have typically been stigmatized, the opportunity to maintain relationships with them (and the baby) or even family/caregiver with baby, supports keeping moms involved in the social fabric, so they aren’t overlooked, outcast, separated from joys and privileges, viewed as humans with a specific disease rather than addicts
  • Doris Street, BS, BSN, RN, CNOR, NE-BC, Nurse Manager
    The MAiN model was successful because our patients really loved the fact that they would be able to stay here with their baby.
    Doris Street, BS, BSN, RN, CNOR, NE-BC, Nurse Manager
    Maternity Services
  • Carly Draddy, MD

    Main encourages moms to take care of the babies and start bonding with the baby.

    Carly Draddy, MD
    Pediatric Hospital
  • Ann Bolt, BSN, RNC-LRN, Charge Nurse,

    MAiN is giving parents more autonomy with their children.

    Ann Bolt, BSN, RNC-LRN, Charge Nurse,
    Level II Nursery