Tag: opioid exposure

  • Can Pre-Birth Opioid Exposure Lead To Learning Disorders?

    Can Pre-Birth Opioid Exposure Lead To Learning Disorders?

    A new study examined the potential link between pre-birth opioid exposure and developmental issues. 

    Children born to mothers using opioids may grow up to demonstrate difficulty learning, a new study has found.

    The study examined the potential long-term issues for infants born to mothers who used opioids while pregnant, according to NBC News.

    The study, published in the journal Pediatrics, found that one in seven children affected by a mother using opioids needed to be placed in special education classrooms for various issues, including developmental issues and speech delay. In comparison, one in 10 children who were not exposed to opioids before birth required the same. 

    About 7,200 children from Tennessee’s Medicaid program were involved in the study, ranging in age from 3 to 8 years old. Of those children, nearly 2,000 were born with neonatal abstinence syndrome (NAS)—or, in simpler terms, withdrawal from opioids due to a mother’s use.

    Tennessee has been greatly affected by the opioid epidemic, which is reflected in the number of infants exposed to opioids before birth. In 1999, it was one per 1,000 infants. But in 2015, it was 13 per 1,000.

    Researchers said they took specific factors into account like birth weight and mother’s education and tobacco use, but that those did not change the results. 

    According to study co-author Dr. William Schaffner of Vanderbilt University, the results make sense, as other studies have determined that there are brain differences in children affected by opioids while in utero. 

    Dr. Mary-Margaret Fill, lead author and a researcher with Tennessee’s health department, tells NBC News that affected children “are definitely not doomed. There are great programs and services that exist to help these children and their families. We just have to make sure they get plugged in.”

    Because the study was focused in Tennessee, it’s not clear if the results are similar in other U.S. states, and no other studies with the same focus have been conducted in the country. 

    However, a similar study was conducted in Australia last year, and found that children exposed to opioids before birth had worse academic scores in seventh grade in comparison to others their age. The U.S. study did not examine academic performance.

    Dr. Matthew Davis, co-chair of the Opioid Task Force at Lurie Children’s Hospital of Chicago, tells the Chicago Tribune that the study results should serve as a sign that opioid use affects a wide range.

    “There’s a sense that the opioid epidemic is somebody else’s problem, but it affects more than those who take the drugs,” Davis said. “I hope the study is a wake-up call, so people understand that this epidemic is a community-level, multigenerational problem that will only grow if we don’t take the proper steps to address it.”

    View the original article at thefix.com

  • Opioid Use Quadrupled Among Pregnant Women

    Opioid Use Quadrupled Among Pregnant Women

    The prevalence of opioid use disorder present at a hospital delivery rose from 1.5 per 1,000 deliveries in 1999 to 6.5 per 1,000 in 2014.

    Opioid use among pregnant women quadrupled between 1999 and 2014, rising alongside the rate at which opioid use disorder has increased in the general population, according to a new report. 

    “When something is so broad and affects all populations, we also see it reflected in the pregnant population,” Dr. Elizabeth E. Krans, an assistant professor in the Department of Obstetrics, Gynecology & Reproductive Sciences at the University of Pittsburgh, told CNN Health.

    The Centers for Disease Control and Prevention (CDC) published its report on Friday (August 10). The CDC analysis found that nationally, the prevalence of opioid use disorder present at a hospital delivery rose from 1.5 per 1,000 deliveries in 1999 to 6.5 per 1,000 in 2014.

    However, in some states the problem was much more prevalent. In Vermont, for example, opioids are a factor in 48.6 out of every 1,000 deliveries. 

    Data was only available in 28 states, but indicated that opioid use in pregnant populations varies widely. Washington, D.C. had the lowest prevalence in 2014 at just 0.7 deliveries per 1,000, while Vermont had the highest.

    The increase in the prevalence of opioids was also uneven: California and Hawaii saw relatively small increases, while Maine, New Mexico, Vermont and West Virginia saw large spikes in the reported use of opioids among pregnant women. 

    State policies on drug use during pregnancy can affect reporting, since in 23 states and Washington, D.C., using drugs while pregnant is considered child abuse. This might prevent some women from being honest about their drug use. 

    “Data on the impact of these policies are scarce,” the authors wrote. 

    “Pregnancy is a really important time. Women are often worried that invested in their own health and the health of their baby, but they’re also fearful of judgment,” Krans said. 

    Women who are using opioids when they become pregnant are often told to go on medication-assisted treatment throughout their pregnancies, as that is the safest option for mother and baby. “We have effective treatments that are available during pregnancy, and we want to encourage women to seek early care and engage in treatment as soon as possible,” Krans said. 

    Left untreated, opioid use can lead to a variety of pregnancy complications and negative health effects for the child. 

    “Opioid use by pregnant women represents a significant public health concern given the association of opioid exposure and adverse maternal and neonatal outcomes, including preterm labor, stillbirth, neonatal abstinence syndrome, and maternal mortality,” the authors wrote. 

    View the original article at thefix.com