Neonatal Abstinence Syndrome Essay

The use of heroin, cocaine, and other illicit drugs has become a public health concern especially during pregnancy. Maternal substance abuse has become an issue during the crack epidemic in the 1980’s; however, there is an alarm rate of infants born addicted to heroin. More than 3.7% women have indicated the uses some form of illicit drugs during their pregnancy, as well as 1.9 % reports binge drinking (Bhuvaneswar el at., 2008; Grant el at., 2009). With this in mind, more than 375,000 infants are born to maternal substance abusers each year costing over $100,000 in medical expenses covered by the state (Reitman, 2002).

Substance abuse during pregnancy can have a negative force on the health and wellness of not only the fetus, but that of the mother. The harmful effects of medications, alcohol and illegal drugs on an unborn child can be devastating and can have significant consequences to its use. Sometimes the effects can be faced and treated, and other times the outcome is a lifelong challenge. During the prenatal period, it is important that new mothers are informed of the different types of abuse, how they may affect the fetus, and the adverse conditions their child may be faced with before and after birth.

Abstinence is the only form of birth control that is 100% effective – in both preventing pregnancies and most sexually transmitted infections. If you choose to be abstinent, then you have decided not to have any type of sexual relations. Learn some of the reasons why people choose to abstain as well as the benefits from this behavior. Discover the difference between continuous and complete abstinence. Read advice on how to stay abstinent and when to make the decision about using abstinence as your contraceptive method. Possible pitfalls people face when choosing this method are also examined.

In 2014, after seeing a significant increase in babies born with neonatal abstinence syndrome (NAS), Tennessee began criminally charging pregnant women who use drugs (Sakuma, 2014). Supporters of the new legislation refer to it as a “velvet hammer” used to convince the pregnant drug users into going into treatment, or doing jail time. However, critics are concerned that this legislation will be just another barrier for a group of women who are already at risk, (Sakuma, 2014).

Through the years, substance misuse in the United States has turned into an industrious issue influencing numerous people. In 2008, it was assessed that 17.8 million Americans beyond 18 years old where substance subordinate. Women who use medications during pregnancy can have an enduring impact on fetal. Medications can have an impact of maternal and child wellbeing, yet there are a lot of different variables, which influence it, poor social environment, nourishment, cleanliness, and sexual abuse. Regenerative interruption connected with heroin utilization has been shown in both and women and even low dosages of opiates can impede ordinary ovarian capacity and ovulation. The harm that goes hand in hand with substance utilization comes either straightforwardly from the impact of the medication itself or from issues identified with development and/or unexpected labor. The entanglements of jumbling components clamorous way of life, poor nourishment, liquor utilization and cigarette smoking influence the appraisal of the impacts of cocaine in pregnancy. In obstetric practice, 100% of pregnant women utilizing cocaine or heroin are cigarette smokers. Cigarette smoking is presumably the most well known manifestation of substance utilizes and is noteworthy corresponding considering ladies who use unlawful medications. Babies whose moms smoked in pregnancy have a tendency to have lower conception weights and diminished length, cranial and thoracic

The use of controlled substances throughout pregnancy is a very prevalent issue among society today. Controlled substances have devastating effects on not only the mothers using the substances, but also infants while they are in utero and after they are born. Many infants born to mothers, who are abusing drugs, suffer from life threatening illnesses and are forever affected through adulthood. Specifically, heroin is a common drug form that is often used during pregnancy and results in the life threatening effects mentioned above.

After reading about various topics regarding drug addiction, it wasn’t easy to narrow down this topic. Drug addiction and pregnancy was the topic found to be most interesting. Estimates based on court documents, news accounts, and data collected by attorneys representing pregnant women indicate that at least 200 women in more than thirty states have been arrested and criminally charged for their alleged drug use or other actions during pregnancy (Moore, 2010). Should pregnant women struggling with drug addiction be criminally prosecuted? This is a

The title slide and variables could have been explained in a way to let the reader know that neonatal outcome was being measured after exposure to treatment medication methadone and buprenorphine and not just "opioids."Mariah's presentation followed the grading rubric she did not over-crowd her slides, which made it an easy read. Overall, Mariah's presentation was informative.

The rest of the United States have no specific laws. These laws were made by taking in account the risk of fetuses dying minutes after birth, being born with neonatal abstinence syndrome (NAS), heart defects, weak immune system etc. Additionally, there can also be long-term effects as stated in “March of Dimes”such as learning and behavior problems, sudden infant death syndrome (SIDS), and slower-than-normal growth problems (Street). The first weeks of a drug dependent baby are like an old wooden roller coaster full of trembles and thrills but in this case the thrills are not the pleasant ones. In article published by “Daily Mail,” it shows a disturbing video of a baby’s feet shaking vigorously. This is the kind of heart moving evidence that needs to be shown to society to grasp the depth of this

The Adoption Encyclopedia “ Estimates of the percentage of pregnant women using cocaine have ranged from 10% to as high as 28% in some areas.” Cocaine is one of the oldest drugs known to man. This is a powerfully addictive stimulant, and is derived from coca leaves, and this drug has been abused for thousands of years. Crack Cocaine's worst damage to the fetus is its effect on the brain. It causes the brain's of both the mother and the fetus to experience the typical surge of dopamine. Since the fetal brain is still in the process of development, it can result in serious psychological addiction, attention deficit disorders, lack of cognitive abilities and developmental problems. Also crack's effects on the fetus result in seizures. Babies that are exposed to crack are at increased risk of birth defects, which include heart deformities. Crack causes an unborn baby to have a stroke or a heart attack. Cocaine abuse by mothers during pregnancy is linked with abnormalities in the development of the heart both before and after birth. Crack Cocaine

(n.d.) also conducted a study focused on infants that were exposed to buprenorphine or methadone while in utero. Unlike MacMullen et al. (2014) their focus was on predicting how the symptoms of NAS might manifest in the exposed newborns. Since the 1970s (MacMullen et al., 2014) methadone has been the treatment of choice for mothers with opioid dependence during pregnancy, the use of this drug allows for a decrease in withdrawal symptoms for the child after birth. The main categories of symptoms include central nervous system hyperirritability, gastrointestinal dysfunction, respiratory distress and vague autonomic symptoms (MacMullen et al., 2014). Although methadone has been being used for many years buprenorphine has only been used since 2002 in the United States (MacMullen et al., 2014). Their research was consistent with Kaltenbach et al. (n.d.) in that infants born to buprenorphine-exposed mothers had lower scores for NAS than those born to methadone-exposed mothers, but still had varying severities of symptoms and scores across all infants. For at least 10 days after birth, an expert scored the newborns on a modified Finnegan scale every 4 hours. The results showed that high birth weight was often a predictor for high NAS scores, along with lower NAS scores for infants delivered by cesarean section. MacMullen et al. (2014) were unable to find any connection between the use of methadone and buprenorphine to indicators of symptoms of NAS. The main

After reading about the abstinence experience assignment, giving up the daytime show “The Young and the Restless” came to mind. However, my immediate answer to myself was “no way.” I attempted to think of something else that would be more difficult. I find it odd that dieting did not come to mind during my pre-contemplation stage. I kept trying to come up with something other than giving up my favorite show. I attempted to minimize the impact that missing the show would have on me by telling myself that the Young and the Restless show really is not be a big deal ; I needed to find something else that would give me a true feel for what a person who is attempting to abstain from drug use would experience. However, I decided

Many women, including teens, abuse drugs while they are pregnant. This rate is especially high to those who are homeless, underprivileged, or live in a broken home. In order for drug abusers to even have a chance at beating their addiction they have to have support whether it’s family, friends, or boyfriend/spouse. They must also let the abuser now all the consequences to themselves and the unborn child. There are many consequences when using drugs during pregnancy such as miscarriage, health risks to baby, and health risks to the mother. And learning disabilities and brain damage to the fetus.

Where in the first world would one expect the teen pregnancy rate to be the highest? Surprisingly, it is the United States that has the highest teen pregnancy rate of any first world country, more than double the rate of twenty other first world countries and almost ten times greater than that of Switzerland. While some of the disparity can be attributed to factors such as income inequality, the presence of abstinence only education has a major impact on birth and STD rates in the United States in comparison to other countries with more comprehensive programs. It is clear that this difference in approaches has a significant effect, and the United States needs to act to ensure the health of its citizens. Urgent actions are necessary

Work Cited Ko JY, Patrick SW, Tong VT, Patel R, Lind JN, Barfield WD. “Incidence of Neonatal Abstinence Syndrome — 28 States, 1999–2013”. Centers for Disease Control and Prevention. Centers for Disease Control and Prevention 2016, dx.doi.org/10.15585/mmwr.mm6531a2. Accessed 13 Feb. 2017.