Essentials Of Health Policy And Law

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).

Prenatal exposure of a child to harm due to the mother’s use of an illegal drug or other substance.

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.

Many researches are educating pregnant women about the danger of cigarettes, alcohol and the potential negative effects of cigarettes, alcohol on fetus development. However, scarce research directly addresses specific effects of marijuana on pregnant women because women who use marijuana also tend to smoke cigarettes, drink alcohol and more likely to use other drugs such as cocaine and heroin. Thus, it is difficult to identify the precise effects of marijuana on pregnant women and on a fetus (Leemaqz, 2016.). Marijuana is the most commonly used illicit drug in the United State (Murray & McKinney, 2014). According to the American College of Obstetricians and Gynecologists, 40-60% of marijuana users continue to use during pregnancy. Studies have also shown that marijuana crosses the placenta negatively affecting brain development, and increasing the risk of pre-term birth. Proposition 64, the California Marijuana Legalization Initiative for adult use just passed after the election, California is added into the list of 26 states legalizing marijuana for medical or recreational purpose which could increase the number of women using marijuana during pregnancy. Due to above evidences, doctors warn pregnant women, women planning to pregnancy and breastfeeding women that they should discontinue their use of marijuana and should consider alternative therapy.

It is my opinion that punishing these women for addictive behavior is not the answer, especially when considering the severe overcrowding of the prison system nationwide and the strain on the economy already caused by this. My own view is that addiction not a crime, but is a disease and needs to be treated as such. These women don’t become pregnant and then become addicts, but they are addicts who become pregnant. The American Public Health Association, the American Academy of Pediatrics, the March of Dimes and the American Medical Association, -- are all against punishing addicted pregnant women. Treating addicted, pregnant women and their babies can create many complicated issues, both legally and ethically. In states where reporting the drug use of the pregnant woman is mandated, many are concerned about the significant negative outcome that might be

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.

The National Health Institute (NIH) explains that addictive drugs such as amphetamines, cocaine, barbiturates, diazepam, and opiates consumed during pregnancy pass from mother to the fetus by crossing the placenta. This causes the baby to become addicted to these drugs along with the mother. Once born, the newborn no longer receives these drugs which then results in NAS (“Neonatal abstinence syndrome”, 2012a).

Within seventy-two hours after birth, many infants who were exposed prenatally to drugs experience withdrawal symptoms, including tremors and irritability. Their skin may be red and dry; they may have a fever, sweating, diarrhea, excessive vomiting, and even seizures. Such

Morris, M., Seibold, C., & Webber, R. (2012, April). Drugs and having babies: An exploration of how a specialist clinic meets the needs of chemically dependent pregnant women. Midwifery, 28(2), 163-72. Retrieved from http://ebscohost.com.ezproxy.hsc.usf.edu/ehos

Problematic substance use in pregnancy is prevalent among the Canadian population. The statistics are well documented in the literature. According to a Health Quality Ontario report from 2012, about one in 100 pregnant women giving birth in Ontario hospitals shows substance use. The rate of substance abuse among pregnant women has increased since 2009 by about ten percent. Dow et al. (2012) identify that the management of substance use is particularly problematic in Northern Ontario. Many First Nations communities are in a state of emergency regarding abuse of prescription narcotics (Dow et al., 2012, p. 489).

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

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.

The American Medical Association and other leading medical groups have concluded that drugs and alcohol addictions are diseases that should be treated not punished. Federal and states experts have concluded that there is no evidence that the threat of jail succeeds in reducing drug use and improve birth outcomes. Instead, there is evidence that it frightens women away from prenatal care and drug treatment that can be helpful for these women and their future babies.

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.