US states that deem addiction in pregnancy 'criminal' have sicker babies

Half of US states now have policies in place that consider opioid use in pregnancy a crime in an effort to stem the epidemic, but a RAND corporation study suggests that these polices may backfire.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news

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(JAMA. 2019;321(4):352–353) Understanding the context of drug use is important to fully understanding the opioid epidemic, and with it, neonatal abstinence syndrome (NAS). NAS is associated with opioid exposure and manifests with hyperirritability at birth, difficulty feeding, and respiratory problems. NAS occurs alongside prescription as well as nonprescription opioid use, including buprenorphine and methadone prescribed to pregnant women for the treatment of opioid addiction. New insights on the structural, social, and community factors that influence neonatal outcomes were described in a recent report by Patrick ...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Epidemiologic Reports Surveys Source Type: research
By STUART H. SMITH Imagine a massive public health crisis in the United States that affects tens of thousands of people. Now imagine that the government had a simple tool at its disposal that could prevent this kind of physical and psychological trauma. You might think that I’m writing about America’s deadly outbreak of gun violence, which has made headlines this summer from Dayton to El Paso. But actually I’m talking about a different crisis that affects even more people – all of them children — and which could be sharply reduced with one simple step that lacks the bitter political anim...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Health Policy Patients Big pharma NAS syndrome Opioid Justice Team Opioid-Dependent Babies Opioids public health Stuart Smith Source Type: blogs
West Virginia's opioid epidemic has been the cause of more than 42 000 deaths each year. Opioid abuse has become an issue among pregnant mothers and has increased the effects of neonatal abstinence syndrome (NAS) in infants. The purpose of this study was to evaluate the participation of prenatal opioid maintenance to determine whether it has decreased the amount of treatment needed for NAS in infants in West Virginia. The methodology utilized a literature review complemented with a semistructured interview. Thirty-six sources were referenced for this literature review. It was found that buprenorphine maintenance therapy ha...
Source: The Health Care Manager - Category: Health Management Tags: Article Source Type: research
Abstract The epidemic of opioid use disorder (OUD) directly affects millions of women of child-bearing age. Unfortunately, parenting behaviors - among the most important processes for human survival - are vulnerable to the effects of OUD. The standard of care for pregnant women with OUD is opioid maintenance therapy (OMT), of which the primary objective is to mitigate addiction-related stress. The aim of this review is to synthesize current information specific to pregnancy and parenting affected by OUD. We first summarize a model of the parental brain supported by animal research and human neuroimaging. We then r...
Source: Frontiers in Neuroendocrinology - Category: Endocrinology Authors: Tags: Front Neuroendocrinol Source Type: research
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Source: blog.bioethics.net - Category: Medical Ethics Authors: Tags: Health Care syndicated Source Type: blogs
Although perinatal substance use disorders, particularly those that involve opioids, have become a major public health issue in the United States, comprehensive, evidence-based guidance for the prevention and management of these disorders during pregnancy is lacking. Leaders in obstetric care, addiction medicine, mental health, and pediatrics gathered for a 2-day workshop, “Substance Use Disorders in Pregnancy,” that was held in conjunction with the Society for Maternal-Fetal Medicine’s 38th Annual Pregnancy Meeting.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: SMFM Consult Series Source Type: research
If one needs proof that addiction is a disease and not a moral failing, look into the eyes of a woman who knows her behavior is harming her baby but still can’t stop. With one in three individuals with opioid use disorder passing through the criminal justice system annually, court dockets across the country are overflowing with cases of illegal behavior fueled by addiction. Though such cases wrangle with the complexities of punishing individuals afflicted with what is increasingly seen as a disease that erodes free will, they are the bread and butter of the legal system. However, the recent Pennsylvania Supreme Court...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction Disorders Family Pregnancy Publishers Recovery Substance Abuse The Fix Treatment Women's Issues Child Abuse Drug Withdrawal opioid addiction Opioid Epidemic opioid use disorder pregnancy and addiction Pregnant p Source Type: blogs
LYNN (CBS) – Recent research shows the opioid epidemic can be especially deadly for new mothers. When it comes to finding help, long-term options are not usually available. A unique program in Lynn is giving moms the kind of help they need. Jessica Cardinal found the help she needed at the Johnson Street residential treatment program. The 24-year-old recovering heroin addict is now slowly rebuilding her life. A mother of two, Jessica says her darkest days are unrecognizable. “It ended with me in a car shooting heroin with my kid in the back. And that, to me, was my rock bottom,” she recalled. “There...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Boston News Health Lynn Opioid Addiction opioid crisis Source Type: news
Conclusions and Implications: In evaluating the current literature for best practice in the management of the newborn with opioid withdrawal, it is clear that evidence-based standardized protocols need to be in place for the best treatment of the mother–infant dyad, caring for both the infants with NAS as well as the mothers with opioid use disorder.
Source: Journal of Addictions Nursing - Category: Addiction Tags: Featured Columns: Clinical Reviews Source Type: research
Two trusts overseen by Fifth Third Bancorp as well as the Fifth Third Foundation have donated a total of $1.5 million to help St. Elizabeth Healthcare address the opioid epidemic. The Northern Kentucky-based hospital system plans to use the money to expand services to curb substance abuse, including those for pregnant and parenting women. Since 2015, more than 1,300 babies born at St. Elizabeth flagship Edgewood hospital have had umbilical cords that tested positive for op iates and other addictive…
Source: bizjournals.com Health Care:Physician Practices headlines - Category: American Health Authors: Source Type: news
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