Spike in Newborn Drug-Withdrawal Associated with Prenatal Painkiller Use

 

Drug withdraw syndrome affecting newborn babies

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INCREASE IN PREGNANT WOMEN USING OPIATES AND NEWBORNS WITH DRUG WITHDRAWAL SYNDROME IN THE US

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TUESDAY, Jan. 12, 2016 (HealthDay News) More babies are being born with drug withdrawal syndrome, possibly due to increased use of powerful prescription painkillers by pregnant women, according. TUESDAY, Jan. 12, 2016 (HealthDay News) More babies are being born with drug withdrawal syndrome, possibly due to increased use of powerful prescription painkillers by pregnant women, according to the director of the U.S.

National Institute on Drug Abuse. It’s estimated that 14 percent to 22 percent of pregnant women in the United States are prescribed narcotic (“opioid”) painkillers. Spike in Newborn Drug-Withdrawal Tied to Prenatal Painkiller Use. Rise in ‘neonatal abstinence syndrome’ may be due to prescription narcotic use in pregnancy, expert says. Please note: This article was published more than one year ago.

The facts and conclusions presented may have since changed and may no longer be accurate. Spike in Newborn Drug-Withdrawal Tied to Prenatal Painkiller Use. TUESDAY, Jan. 12, 2016 (HealthDay News) More babies are being born with drug withdrawal syndrome, possibly due to increased use of powerful prescription painkillers by pregnant women, according to the director of the U.S. National Institute on Drug Abuse.

It usually happens after newborns have been exposed to opiates during the pregnancy. So over the last decade, from 2000 to 2009, we found that the rate of babies diagnosed with drug withdrawal. Between 2000 and 2009 in the United States, the annual rate of maternal opiate use increased nearly 5-fold, while diagnosis of the drug withdrawal syndrome among newborns, neonatal abstinence.

Infants exposed to maternal drugs in fetal life develop signs of drug withdrawal during early neonatal life. This group of withdrawal signs is known as neonatal abstinence syndrome (NAS). Although NAS is not a fatal condition, it results in significant illness and prolonged hospitalization. Drug abuse and addiction have significantly increased over the last few decades; specifically, opioid abuse.

INCIDENCE. Intrauterine exposure to drugs may lead to neonatal intoxication or withdrawal. Multiple substances may be abused by women of childbearing age (Table 1).The incidence of drug-exposed newborns has been reported to be from 3% to 50%, depending on the specific patient population, with urban centers tending to report higher rates.

1 Although the number of drug-affected newborns. Prenatal substance abuse continues to be a significant problem in this country and poses important health risks for the developing fetus. The primary care pediatrician’s role in addressing prenatal substance exposure includes prevention, identification of exposure, recognition of medical issues for the exposed newborn infant, protection of the infant, and follow-up of the exposed infant. The only effect a father can have on prenatal development is at the time of fertilization. ; MDNovember 2005′). Drugs can cause abnormalities in the sperm that makes it impossible for the sperm to fertilize the egg or for the embryo to develop more than a few weeks before miscarrying.

Newborn Symptoms.

List of related literature:

Neonatal withdrawal was observed in both drug-exposed infant groups.

“Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk” by Gerald G. Briggs, Roger K. Freeman, Sumner J. Yaffe
from Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk
by Gerald G. Briggs, Roger K. Freeman, Sumner J. Yaffe
Lippincott Williams & Wilkins, 2008

Opioid withdrawal (neonatal abstinence syndrome) was first described in relation to infants exposed to prenatal opiates, but the clinical signs seen in infants following discontinuation of therapeutic opioids are similar.

“Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice” by Peter C. Rimensberger
from Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice
by Peter C. Rimensberger
Springer Berlin Heidelberg, 2014

Regular use of opioids during pregnancy may produce withdrawal symptoms in the newborn (irritability, excessive crying, tremors, hyperactive reflexes, fever, vomiting, diarrhea, yawning, a.

“Saunders Comprehensive Review for the NCLEX-PN® Examination E-Book” by Linda Anne Silvestri
from Saunders Comprehensive Review for the NCLEX-PN® Examination E-Book
by Linda Anne Silvestri
Elsevier Health Sciences, 2012

Infants such as this are manifesting withdrawal symptoms caused by their in utero exposure to the drugs (usually prescription narcotics) the mother consumed in large quantities during pregnancy.

“Drugs and Society” by Hanson, Peter J. Venturelli, Annette E. Fleckenstein
from Drugs and Society
by Hanson, Peter J. Venturelli, Annette E. Fleckenstein
Jones & Bartlett Learning, 2017

Regular use of opioids during pregnancy may produce withdrawal symptoms in the newborn (irritability, excessive crying, tremors, hyperactive reflexes, fever, vomiting, diarrhea, yawning, sneezing, and seizures).

“Saunders Canadian Comprehensive Review for the NCLEX-RN” by Linda Anne Silvestri
from Saunders Canadian Comprehensive Review for the NCLEX-RN
by Linda Anne Silvestri
Elsevier Health Sciences Division, 2016

Infants of mothers who have a chronic opiate exposure can potentially have a sudden withdrawal syndrome, including seizures if they receive a narcotic antagonist.

“Avery's Diseases of the Newborn E-Book” by Christine A. Gleason, Sherin Devaskar
from Avery’s Diseases of the Newborn E-Book
by Christine A. Gleason, Sherin Devaskar
Elsevier Health Sciences, 2011

Women using heroin or other opiates during pregnancy will cause their newborn to experience drug withdrawal symptoms,8 including feeding difficulties, irritability, sleep problems, and prolonged high-pitched crying.

“Child Abuse and Neglect E-Book: Diagnosis, Treatment and Evidence” by Carole Jenny
from Child Abuse and Neglect E-Book: Diagnosis, Treatment and Evidence
by Carole Jenny
Elsevier Health Sciences, 2010

Infants may become passively and physiologically addicted to medications or to drugs of abuse (heroin, methadone, barbiturates, tranquilizers, amphetamines) taken chronically by the mother during pregnancy; these infants subsequently may have signs and symptoms of drug withdrawal.

“Nelson Essentials of Pediatrics” by Karen Marcdante, Robert M. Kliegman, Richard E. Behrman, Hal B. Jenson
from Nelson Essentials of Pediatrics
by Karen Marcdante, Robert M. Kliegman, et. al.
Elsevier Health Sciences, 2010

Psychotropic drugs taken during late pregnancy may cause neonatal symptoms, including withdrawal symptoms and a floppy infant [33].

“Neuromuscular Disorders in Clinical Practice” by Bashar Katirji, Henry J. Kaminski, Robert L. Ruff
from Neuromuscular Disorders in Clinical Practice
by Bashar Katirji, Henry J. Kaminski, Robert L. Ruff
Springer New York, 2013

The most common harmful effect of heroin and other narcotics on newborns is withdrawal, or neonatal abstinence syndrome (see Chapter 24).

“Maternity and Pediatric Nursing” by Susan Scott Ricci, Terri Kyle
from Maternity and Pediatric Nursing
by Susan Scott Ricci, Terri Kyle
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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6 comments

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  • People are jerks. The mother is 19, grew up in an unstable household,and was addicted. I dont blame the mother. She is trying her hardest.

  • Why do pregnant I dont want to call them mothers, get away with it. It’s a crime. They need to die in prison. I wish I could make this happen. Its child abuse they are killers.

  • I was born with several drugs in my system and had to be in the hospital for two months before going to my foster family then adopted at age 1and a half

  • Everyone has a choice! I was a mess with alcohol & drugs & Grew up with it around me but i chose to break the cycle and get sober before i got pregnant so I can have a healthy baby & happy life! Best choice of my life

  • They lost me when they interviewed the drug addicted mother… WHY TF ARE YOU NOT ON BIRTH CONTROL IF YOUR STRUNG OUT ON DRUGS??!!! This makes my blood boil, this is extremely sad ��

  • people with pain addiction meds generaly do not care that there pregnant. you can ask them or say it would be good for you to come off the pain meds while your pregnant, & usualy the mother will go right back to popping pills as soon as she gets home! trueth. even the pregnant female will agree while your talking to them but ither not care enouph wen they get home, or be too addicted to not use the pills. opiates arent the cause of most babies death. & wen i was pregnant i REFUSED ANY pain or opiates or tobaco. i think i had one drink in my almost 10 months of pregnancy and then was forced to give up my Daughter and bashed verbably for refusing MY meds during and after my pregnancy. it was clear at that time that her saftey wasnt there concern. was she off to a terrible life like the one i had wen not living with my family? a modern slave? its different for us because we werent allowed to keep our schooling, & were yelled at and bashed for refusing pills prescribed by doctors. i dont know why you want my newborn on psyciatrics!? & if there designed for a 120 grown female, you want them in my newborn? not give her a chance to live a normal free happy life!
    i hate the world, i prey everyone of them burns in hell. you put one pill in my Daughter and see the world of shame & suffering like you never knew it! SEE HOW GROSS HUMANS ARE?!