Tag: pregnant women

  • 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

  • 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