Call 413.540.1234 to
schedule an appointment
CONCERN/EAP: 413.534.2625
Billing questions? Call: 413.540.1212
CRISIS: 413.733.6661

Drug Addiction
Resources
Basic InformationLatest News
Vets Who Get Opioids From VA, Medicare at Higher Overdose RiskAHA News: Opioid Crisis Brings Concerns About Heart DangersAnother Side Effect of the Opioid Crisis: Heart InfectionsU.S. Deaths From Suicide, Substance Abuse Reach Record HighOpioid Overdose Deaths Quadruple, Centered in 8 StatesKratom-Related Poisonings Are Soaring, Study FindsFDA Fell Short in Preventing Fentanyl Abuse Crisis, Report ClaimsMore Car Crashes Tied to Drivers High on OpioidsInsurers Making It Harder to Treat Opioid Addiction: StudyMeth Abuse Driving Big Spike in Syphilis CasesPoor Whites Bear the Brunt of U.S. Opioid Crisis, Studies FindOpioid OD Deaths Are Saving Lives Through TransplantationMaking OxyContin 'Tamper Proof' Helped Spread Hepatitis CAHA: Marijuana, Cocaine May Play Role in Young Americans' Rising Stroke RateAnother Opioid Scourge: Infection-Related StrokesOpioid Danger to Newborns Varies By RegionAs More Smoke Pot, Are Their Jobs at Risk?Big Pharma's Marketing to Docs Helped Trigger Opioid Crisis: StudyMore Americans Mixing Opioids With SedativesOpioids Now More Deadly for Americans Than Traffic AccidentsFatal Drug ODs Soaring Among Middle-Aged Women: CDCPostpartum Opioid Rx May Lead to Persistent Use: StudyOpioid Overdose Deaths Triple Among Teens, KidsMore Evidence That Abuse of Xanax, Valium Is on the RiseCould Pot Harm Men's Sperm?Opioids May Help Chronic Pain, But Not MuchFentanyl Now the No. 1 Opioid OD KillerNew Approach to Opioid Crisis: Supervised Heroin Injection Programs?Opioids Plus Other Drugs a Deadly Mix for Heavy UsersEven Wisdom Tooth Removal May Spur Opioid AddictionMeth, Opioid Use in Pregnancy on the RiseOpioids Increasingly Tied to Deaths of Pregnant WomenMany Drugstores Won't Dispense Opioid Antidote as RequiredAHA: Meth Use Producing Younger, Harder-to-Treat Heart Failure PatientsOver 2 Million Americans Have Hepatitis C; Opioids Help Drive SpreadMany Young Drug Abusers Not Tested for Hepatitis C, Study FindsCoffee Shop Workers on Front Lines of Opioid CrisisReports Warn of Growing Opioid Crisis Among Seniors'No Documented Reason' for 1 in 3 Outpatient Opioid Rxs: StudyStates Struggle With Onslaught of Opioid OD DeathsU.S. Deaths From Suicide, Drugs Surpass DiabetesDoctors Write Fewer Opioid Scripts After Learning of Overdose DeathNumber of Opioid-Addicted Women Giving Birth QuadruplesAs Opioid Epidemic Rages, Painkiller Prescriptions Don't DropFDA Warns of Deaths Tied to Tainted Synthetic PotEven Once-a-Week Pot Smokers Have More Cough, PhlegmDeath Certificate Data May Miss Many Opioid ODs: StudyKids Are Overdosing on Med Meant to Fight Opioid AddictionHave Insurers Played a Role in Opioid Crisis?If Opioid Addicts Survive OD, Other Hazards Lie Ahead: Study
Links

Number of Opioid-Addicted Women Giving Birth Quadruples

HealthDay News
by By Dennis ThompsonHealthDay Reporter
Updated: Aug 9th 2018

new article illustration

THURSDAY, Aug. 9, 2018 (HealthDay News) -- The number of pregnant women addicted to opioids as they give birth has more than quadrupled since 1999, a disturbing new report shows.

In 2014, for every 1,000 hospital deliveries, 6.5 were mothers who arrived at the hospital with opioid use disorder, up from 1.5 per 1,000 in 1999, the U.S. Centers for Disease Control and Prevention researchers found.

This increase is likely linked to America's ongoing opioid epidemic, said study co-author Jean Ko, an epidemiologist with the CDC's division of reproductive health.

"With the opioid overdose epidemic, it's natural to see increases in opioid use disorder among the general population," Ko said. "Our data tell us that women presenting for labor and delivery are no different."

Opioid use during pregnancy has been tied to maternal death during delivery, stillbirth and preterm birth, the CDC researchers noted.

Even babies born healthy might have to go through opioid withdrawal, a condition known as neonatal abstinence syndrome (NAS).

Babies with NAS can experience tremors, convulsions, seizures, difficulty feeding, breathing problems, fever, diarrhea and trouble sleeping, according to the March of Dimes.

The CDC study used data from the Agency for Healthcare Research and Quality, focusing on 28 states with at least three years of data available for analysis.

Between 1999 and 2014, all 28 states saw significant increases in opioid-addicted pregnant women entering labor.

Vermont and West Virginia had the most cases of opioid-affected pregnancies in 2014. Vermont had 48.6 cases for every 1,000 deliveries; West Virginia had 32.1 cases per 1,000. On the low end, Nebraska had 1.2 cases per 1,000 and the District of Columbia had 0.7 per 1,000.

The average annual rate increases were highest in Maine, New Mexico, Vermont and West Virginia. Those states all had growth of more than 2.5 cases per 1,000 each year -- six times higher than the national average of 0.4 cases per 1,000.

The states with the lowest increases were California and Hawaii, with fewer than 0.1 new cases per 1,000 each year.

The new information "is very alarming and is a call to arms regarding this national health crisis," said Dr. Mitchell Kramer, chairman of obstetrics and gynecology at Huntington Hospital in Huntington, N.Y.

"We are well aware of the association of opioid exposure and abuse with adverse pregnancy outcomes including preterm labor and delivery, stillbirth, neonatal withdrawal syndrome and maternal mortality," he said.

But Ko said concerns about babies with NAS should not dissuade pregnant women from taking medicines appropriately prescribed to treat chronic medical disorders, or from taking medications like methadone or buprenorphine that aid in addiction treatment.

The CDC recommends a number of strategies for countering this dangerous trend:

  • Making sure opioids are prescribed appropriately.
  • Strengthening state-level prescription drug monitoring programs.
  • Requiring substance abuse screening at the first prenatal visit, as recommended by the American College of Obstetricians and Gynecologists.
  • Ensuring that pregnant women with opioid use disorder have access to addiction therapy, and that new opioid-addicted mothers receive postpartum care that includes mental health and substance abuse treatment.

Kramer pointed out that "the implications of this startling CDC data are that coordinated national, state and provider efforts are necessary to prevent, monitor and treat opioid use disorder among reproductive-aged and pregnant women."

The report was published in the Aug. 10 issue of the CDC's Morbidity and Mortality Weekly Report.

More information

The March of Dimes has more about neonatal abstinence syndrome.