ESC — Eat, Sleep, Console Approach for Neonatal Opioid Withdrawal Syndrome

A clinical care model for assessing and managing Neonatal Opioid Withdrawal Syndrome (NOWS) that prioritizes infant feeding ability, sleeping behavior, and consolability over traditional numeric scoring scales (Finnegan NAS scale). The ESC approach has been shown to significantly reduce pharmacotherapy rates, NICU length of stay, and hospital costs while maintaining safety.