Tag: drug use during pregnancy

  • Pennsylvania's Top Court Issues Ruling About Drug Use During Pregnancy

    Pennsylvania's Top Court Issues Ruling About Drug Use During Pregnancy

    The mother at the center of the case was using opioid painkillers and cannabis when she became pregnant in 2016.

    A Pennsylvania court last week ruled that using drugs during pregnancy doesn’t count as child abuse, siding with a mother whose baby was taken by the state in 2017. 

    At the heart of the case is the question of whether a fetus counts as a child under Child Protective Services Law – and the state’s Supreme Court answered with a clear no in Friday’s opinion.

    “The fact that the actor, at a later date, becomes a person who meets one of the statutorily-defined categories of ‘perpetrator’ does not bring her earlier actions — even if committed within two years of the child’s bodily injury — under the CPSL,” wrote Justice Christine Donohue.

    David S. Cohen, the attorney representing the mother in the case, celebrated the decision.

    “There are many states that have decided by statute to label this type of behavior child abuse, but the majority do not,” Cohen told The Associated Press. “We think that’s the right way to approach this, because this is a health issue and the worst thing you can do with a health issue is punish people. It drives people from treatment and it results in worse outcomes for everyone.”

    The mother at the center of it all, who is identified only by her initials in court filings, was using opioid painkillers and pot when she got pregnant in 2016. She turned to medication-assisted treatments but relapsed just before giving birth in 2017, according to The Philadelphia Inquirer.

    When the newborn started showing signs of opioid withdrawal, a local court granted emergency custody to the state. 

    Later, the juvenile court decided it wasn’t abuse – but the Superior Court reversed that decision. Two justices there asked the state’s Supreme Court to take a look at the case, worrying about the effects of punishing pregnant women who use medication-assisted treatment.

    In last week’s decision overturning the Superior Court ruling, two justices dissented, writing that what should matter is when the injury shows up – not when the behavior causing it occurs.

    “The facts in this matter more closely resemble neglect cases where the injury manifests at some point in time after the neglect as in cases of malnourishment from lack of food,” wrote Justice Sallie Mundy, “or suffering from a severe diaper rash from failure to routinely change diapers.”

    View the original article at thefix.com

  • Meth, Opioid Use Rises Among Pregnant Women

    Meth, Opioid Use Rises Among Pregnant Women

    Researchers report that geography and finances played a role in the rate of amphetamine, opioid use among pregnant women.

    New research points to the troubling rise of amphetamine and opioid use among pregnant mothers is on the rise, particularly in rural areas.

    The research, according to Forbes, was conducted by examining 47 million US deliveries over 12 years. The results state that from 2008 to 2015, US births associated with amphetamine use doubled from 1.2 per 1,000 to 2.4 per 1,000. Of those, the majority were from methamphetamine use. Likewise, the rate of opioid use among expectant mothers also grew rapidly in a similar timeframe, quadrupling from 1.5 per 1,000 births to 6.5 per 1,000 births.

    According to researchers, geography played a role. By 2014-2015, amphetamine use during pregnancy resulted in “adverse outcomes” in about 1% of deliveries (11.2 per 1,000) in the rural West. Additionally, research shed light on the fact that the greatest amount of opioid misuse during pregnancy was concentrated in the rural Northeast and led to delivery complications in 3% of women (28.7 per 1,000 deliveries).

    Research also indicated that higher numbers of expectant mothers using amphetamines and opioids were from poor areas, had public insurance and were non-Hispanic white.

    Lead study author Lindsay Admon of the University of Michigan’s Von Voigtlander Women’s Hospital stated that in such cases, there are often barriers to the right type of care. 

    “Early and adequate access to prenatal care for women with substance use has been shown to improve birth outcomes,” Admon said, according to Forbes. “However, geographic disparities have a major impact on the health and well-being of pregnant women and infants. There are significant barriers to obstetric care access in many rural communities, particularly for women with substance use.”

    Researchers also discovered that in mothers using amphetamines, the risk of death and birth complications was 1.6 times that of mothers using opioids. 

    Admon noted in a press release that these results were surprising.

    “We know from our previous research on maternal health disparities that there are disproportionately higher rates of substance affected births in rural communities. . . . When we looked at the specific types of substances driving this disparity, we were surprised to find that amphetamine use accounted for such a significant portion,” she added. “Our findings suggest both amphetamine and opioid use are growing public health crises that affect delivery and birth outcomes.”

    Admon added that it is vital that medical professionals evaluate pregnant women for substance use disorder. 

    “It is critical that health providers employ universal screening for substance use early in pregnancy,” Admon stated. “Optimizing access to prenatal care is a crucial mechanism to connect women with the services they need for their health and their baby’s health.”

    View the original article at thefix.com

  • Are Pregnant Women Using Marijuana More?

    Are Pregnant Women Using Marijuana More?

    A new report examined the most recent trends for smoking and alcohol use during pregnancy. 

    New federal data shows that while fewer women are taking in cigarettes and alcohol during pregnancy, more are using marijuana. A research letter published in JAMA Pediatrics examines the data, gathered between 2002 and 2016.

    According to the data, the percentage of pregnant women who reported smoking cigarettes during pregnancy changed from 17.5% to around 10%. Alcohol use also fell from nearly 10% to close to 8.5%. While cannabis use among pregnant women is rare, the data shows it has increased from near 3% of pregnant women in the data collection, to almost 5%.

    The National Survey of Drug Use and Health provided the data, which came from 12,000 pregnant women ages 18 to 44. Close to 3,500 of these women were in their first trimester of pregnancy, a critical time for fetal development in general but specifically and crucially, of brain and neurological function.

    The CDC asks expectant mothers not to use the drug while pregnant, due to potential developmental harms for infants. While pot and cigarette smoke differ, they both are known to cause harm to the lungs, as reported in the National Institute on Drug Abuse (NIDA).

    According to NIDA, “Marijuana smoking is associated with large airway inflammation, increased airway resistance, and lung hyperinflation, and those who smoke marijuana regularly report more symptoms of chronic bronchitis than those who do not smoke.”

    The increase of pregnant women using cannabis may be due to new laws allowing medical marijuana use, which is now legal in nine states and on the agenda for approval in many more.

    However, this viewpoint is not as of yet supported by data, and it is probable to think that the increasing amount of stress for the average American­­­—expensive health insurance, costs of organic food, and pricey rent/mortgage—has played a role in pregnant women turning to smoking pot for stress relief.

    Overall, the percentage of smokers in the U.S. is at a new low, having dropped from 45.1 million cigarette smokers in 2005 to 36.5 million, close to 15% of the population, in 2015. The researchers did find that decreases in smoking were less pronounced among certain subgroups of pregnant women, including Black women, women ages 26 to 44, and those who did not finish high school.

    This data supports the idea that increased stress and lack of access to proper care and living also increases the chances that a pregnant woman would smoke marijuana.

    Alcohol use for the overall American population, including pregnant women, remains generally consistent. In other countries, especially European ones, drinking during pregnancy is acceptable in small doses, and even considered beneficial to the pregnancy.

    The National Survey researchers were reported in Time as concluding, “Greater public awareness regarding the consequences of prenatal cannabis exposure in offspring health is necessary.”

    View the original article at thefix.com