March 20, 2026 · Journal of addiction medicine · DOI: 10.1097/ADM.0000000000001679

Prenatal Fentanyl Exposure Association With Characteristic Neonatal Anomalies

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The authors aimed to investigate the association between prenatal fentanyl exposure and specific neonatal anomalies, proposing the existence of a novel syndrome termed Fetal Fentanyl Syndrome (FFS). In a cohort of 639 obstetric patients with substance use disorder, they identified that 7.8% of those with self-reported fentanyl use had neonates exhibiting signs consistent with FFS, including small head circumference and other characteristic anomalies. The findings suggest a potential link between fentanyl exposure during pregnancy and these neonatal outcomes, although further research is needed to confirm this association and assess long-term developmental effects.

Elizabeth Mirsky, Cynthia Cockerham, John O'Brien, Wendy Whitley, Gregory Hawk, Barbara Parilla

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