Substance Abuse And Women During Pregnancy

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.

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.

The data showed that between 2009 and 2010, 16.2 percent of women between the ages of 15-17 years old, 7.4 percent of women between the ages of 18-25 years old, and 1.9 percent of women between the ages of 26-44 years old had used illicit drugs while pregnant. The data also showed substance abuse during pregnancy among different ethnic and racial groups. African Americans had the highest percentage in 2010 at 10.7 percent. The next highest was the White population at 9.1 percent. Hispanics or Latino’s percentage was 8.1 percent and the Asian population had the lowest percentage at 3.5 percent (“Results from”, 2011).

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

In today’s society people are talking about babies being born to drugs, and how could a mother do that to their unborn child. Drug addiction is a very serious issue that needs more research. We are still learning the effects of substance abuse. One problem that needs to be looked at is are there enough Rehabilitation Centers, to help the women who are addicted to these different street drugs. Also doctor and nurses should not judge these women but instead give them the best prenatal care that can be provided. We need to see what harm and side affects it has on the mother and baby, so that we can be able to understand better how to treat these women and get them off drugs before they do harm their babies.

Even though there are many studies that highlight the damaging effects of maternal alcohol use on a fetus in utero, there are a multitude of other substances that are used by pregnant mothers that have similar and even, in some cases, more extreme repercussions such as marijuana, heroin, and cocaine. When speaking about pregnancy and drug use, the most common drug that comes to mind is alcohol. During 12 years of schooling, most people are exposed, at one point or another, to the idea of Fetal Alcohol Syndrome and the detrimental effects of alcohol on a fetus in utero. The effects of maternal use of the aforementioned illicit drugs is less studied, partially because they are used less frequently. It is important, however, that as a population, we become more educated about these drugs and the potentially life threatening outcomes for babies in utero.

Substance abuse has been a worldwide problem at all levels of society since the beginning of time. Attention has been made toward the use of legal and illegal substance by pregnant women over the past several decades. Almost all drugs are known to cross the placenta and have some effect on the fetus. According to the American Academy of Pediatrics (2013) the first studies of the effect of substances consumed by a pregnant women to the developing fetus were identified in the 1960’s of prenatal tobacco use. These studies opened the door to further research and studies. The effects of Alcohol and opiate use have been studied since the 1970’s (Jones, Smith, 1973) and the effects of a variety of other drugs have been studied since 1979 and early 1980’s (Flinnegan, 1979).

In 2009, the Journal of American Medical Association wrote that at least 13,000 infants will be born dependent on some sort of substance, and DrugRehab.org says that eight million children have a parent that is addicted to substances as well. Now, most laws do protect the baby from a drug addicted mother, mainly in the event of a stillborn. While having a baby with brain damages and problems caused by the mother’s substance abuse, the mother will also suffer complications during childbirth (Sarah Blustain). Barry Lester found that 320,000 pregnant women suffer from alcoholism or the use of drugs. He views that their punishment is based on what society deems is criminally wrong and believes it is a disease that should be treated at a mental health facility not prison or jail(Drug-addicted mothers need treatment, not punishment). Drug addicted mothers, pregnant or not, pose a threat to a child’s safety, and therefore, should be punished.

“Since 1985 about 250 Women in 30 states have been criminally prosecuted in relation to drug abuse while pregnant.” (Coles, par 16) Since there isn’t a law in place for a woman being convicted for drinking or smoking while pregnant, they dig a little deeper and get more technical. Charges for unlawful child neglect, delivering drugs to a minor, homicide by child abuse and even manslaughter have been given to mothers who abuse drugs or alcohol while pregnant. Some even believe in terminating the woman’s parental rights. Whether or not the child shows signs before birth, they have started to test newborns for drugs and prosecute from there. (NAPW, par 33-35)

In this paper, the problem I will be addressing is substance use during pregnancy. This social issue has been ongoing for over 30 years. Policymakers have debated tirelessly on how to deal with the issue of prenatal exposure to controlled substances, while pregnant women have been prosecuted for using drugs during their pregnancy in a number of states since the late 1980’s (Dailard, Nash 2000). These women are usually prosecuted under child abuse statutes, even when the child has no apparent sign of physical harm. Presently, there is still no national consensus on this issue, leaving many women vulnerable to prosecution (Jessup, 2003). It is easy for us to want to criminalize

“Crack-babies” a media induced phenomena brought about by the climax of public outcry from the results of the 1980’s war on drugs. This term laid the foundation for biased prosecutions which sparked a political crusade during climate of the time. Thus exploiting the public’s fear of children born to substance addicted mother and creating a firestorm of litigation to prosecute pregnant drug addicts. According to Flavin, Paltrow (2010), current evidence points to public stigmas and prejudice as posing a greater danger to both maternal and fetal health than use of the drug itself. Leaving the question as to why addicted women are still publicly reviled for the outcomes of their circumstances. From this abhorrence stems the likelihood that

The women enrolled were exposed to methadone, buprenorphine, cigarette smoking, and drug use such as heroin and cocaine. The prenatal exposure to methadone and buprenorphine resulted in Neonatal abstinence syndrome or NAS. NAS, are problems that occur in newborns who were exposed to opiate drugs which can have problems such as withdrawals which can cause severe stress to the newly born infant. This stress may lead to the loss of neurons and hypothalamic-pituitary-adrenal axis. Women in the opioid maintenance therapy (OMT) during pregnancy may have also directly affected the neurotransmission in the brain. Women who smoked during pregnancy exposed the fetus to nicotine, which could affect the cells in the hippocampus and somatosensory cortex. Women who used drugs such as heroin, cocaine or benzodiazepines during their pregnancy could have also affected the infant’s brain development, which could lead to behavior and developmental problems with

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.

Children can be subjected to the negative effects of parental substance use in a variety of different ways. For example, substance use during pregancy can cause detrimental outcomes for newborn infants by placing them at a higher risk of Sudden Infant Death Syndrome (SIDS), being born with birth defects, developing behavioral and developmental delays, being born premature, etc. Children with addicted parents, are placed at a higher risk of: lacking appropriate supervision; lacking basic needs such as: food, clothing, housing, and medical care; exposure to violence; developing substance abuse issues themselves.