Evaluating the Effect of the Opioid Epidemic on Pregnant Women and Newborns in America
DOI:
https://doi.org/10.47611/jsrhs.v12i4.5387Keywords:
Opioid epidemic, Pregnant women, Newborns, Opioid use during pregnancy, Effects of Opioid Crisis, Mental Health, Prenatal Conditions, Neonatal Conditions, North AmericaAbstract
The opioid epidemic in America has emerged as a critical public health challenge, affecting various parts of the population. Among the vulnerable groups impacted, pregnant women and newborns bear a significant burden of the crisis. This literature review aims to evaluate the effects of the opioid epidemic on pregnant women and newborns in America, by investigating the prevalence of opioid use during pregnancy, existing healthcare interventions, and socioeconomic and psychological factors that play a role in this crisis. Adverse maternal outcomes, such as mortality and morbidity, and neonatal challenges, including Neonatal Abstinence Syndrome, are also examined. Based on the findings, the best strategies to combat these issues are improving access to treatment and support services, integrating mental health care with prenatal services, and enhancing medical education and training for healthcare providers involved in the care of pregnant opioid users. This study seeks to highlight the urgent need for collaborative efforts from policymakers, healthcare providers, community organizations, and the public to address the impact of the opioid epidemic on pregnant women and newborns effectively.
Downloads
References or Bibliography
Afifi, T. O., Henriksen, C. A., Asmundson, G. J., & Sareen, J. (2012). Childhood maltreatment and substance use disorders among men and women in a nationally representative sample. The Canadian Journal of Psychiatry, 57(11), 677–686. https://doi.org/10.1177/070674371205701105
American Psychiatric Association. (2022). Opioid use disorder. Psychiatry.org - Opioid Use Disorder. https://www.psychiatry.org/patients-families/opioid-use-disorder
Anderson, E., & McNair, L. (2018). Ethical Issues in Research Involving Participants With Opioid Use Disorder. Therapeutic innovation & regulatory science, 52(3), 280–284. https://doi.org/10.1177/2168479018771682
Bakos-Block, C., Langabeer, J. R., Yatsco, A., Cardenas-Turanzas, M., & Champagne-Langabeer, T. (2020). Prevalence of mental health disorders among individuals enrolled in an emergency response program for treatment of opioid use disorder. Substance Abuse: Research and Treatment, 14, 117822182098199. https://doi.org/10.1177/1178221820981998
Botticelli, M. (2015, November 25). Protecting Our Infants [Press release]. https://obamawhitehouse.archives.gov/blog/2015/11/25/protecting-our-infants
Bryan, M.A., Smid, M.C., Cheng, M. et al. Addressing opioid use disorder among rural pregnant and postpartum women: a study protocol. Addict Sci Clin Pract 15, 33 (2020). https://doi.org/10.1186/s13722-020-00206-6
Caruana, E. J., Roman, M., Hernández-Sánchez, J., & Solli, P. (2015). Longitudinal studies. Journal of thoracic disease, 7(11), E537–E540. https://doi.org/10.3978/j.issn.2072-1439.2015.10.63
Centers for Disease Control and Prevention. (2022, June 2). Death Rate Maps & Graphs. Centers for Disease Control and Prevention. https://www.cdc.gov/drugoverdose/deaths/index.html
Ciccarone D. (2019). The triple wave epidemic: Supply and demand drivers of the US opioid overdose crisis. The International journal on drug policy, 71, 183–188. https://doi.org/10.1016/j.drugpo.2019.01.010
Cleveland, L. M., Bonugli, R. J., & McGlothen, K. S. (2016). The Mothering Experiences of Women With Substance Use Disorders. ANS. Advances in nursing science, 39(2), 119–129. https://doi.org/10.1097/ANS.0000000000000118
Committee Opinion No. 524. (2012). Obstetrics & Gynecology, 119(5), 1070–1076. https://doi.org/10.1097/aog.0b013e318256496e
Crawford, A. D., McGlothen-Bell, K., Recto, P., McGrath, J. M., Scott, L., Brownell, E. A., & Cleveland, L. M. (2022). Stigmatization of Pregnant Individuals with Opioid Use Disorder. Women's health reports (New Rochelle, N.Y.), 3(1), 172–179. https://doi.org/10.1089/whr.2021.0112
Crist, R. C., Reiner, B. C., & Berrettini, W. H. (2019). A review of opioid addiction genetics. Current opinion in psychology, 27, 31–35. https://doi.org/10.1016/j.copsyc.2018.07.014
Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016. MMWR Recomm Rep 2016;65(No. RR-1):1–49. DOI: http://dx.doi.org/10.15585/mmwr.rr6501e1
Dydyk, A. M., Jain, N. K., & Gupta, M. (n.d.). Opioid Use Disorder. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK553166/
Ghosh, I. (2021, January 25). The spiraling opioid epidemic in America. Visual Capitalist. https://www.visualcapitalist.com/the-spiraling-opioid-epidemic-in-america/
HCUP Fast Stats Data Tools – Healthcare Cost and Utilization Project (HCUP) FaST Stats. (n.d.). https://datatools.ahrq.gov/hcup-fast-stats/
Hirai, A. H., Ko, J. Y., Owens, P. L., Stocks, C., & Patrick, S. W. (2021). Neonatal Abstinence Syndrome and Maternal Opioid-Related Diagnoses in the US, 2010-2017. JAMA, 325(2), 146–155. https://doi.org/10.1001/jama.2020.24991
Holbrook, A., & Kaltenbach, K. (2012). Co-occurring psychiatric symptoms in opioid-dependent women: the prevalence of antenatal and postnatal depression. The American journal of drug and alcohol abuse, 38(6), 575–579. https://doi.org/10.3109/00952990.2012.696168
Ko JY, D'Angelo DV, Haight SC, et al. Vital Signs: Prescription Opioid Pain Reliever Use During Pregnancy — 34 U.S. Jurisdictions, 2019. MMWR Morb Mortal Wkly Rep 2020;69:897–903. DOI: http://dx.doi.org/10.15585/mmwr.mm6928a1
Kosten, T. R., & George, T. P. (2002). The neurobiology of opioid dependence: implications for treatment. Science & practice perspectives, 1(1), 13–20. https://doi.org/10.1151/spp021113
Maternal Opioid Misuse (MOM) model | CMS Innovation Center. (2019, May 6). https://innovation.cms.gov/innovation-models/maternal-opioid-misuse-model
Murphy, Andrew S. (2014) "A Survey of State Fetal Homicide Laws and Their Potential Applicability to Pregnant Women Who Harm Their Own Fetuses," Indiana Law Journal: Vol. 89: Iss. 2, Article 8. Available at: https://www.repository.law.indiana.edu/ilj/vol89/iss2/8
Opioid use and opioid use disorder in pregnancy. ACOG. (2021). https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2017/08/opioid-use-and-opioid-use-disorder-in-pregnancy
Racial and ethnic disparities in women's health coverage and access to care. (2004, February 29). KFF. https://www.kff.org/racial-equity-and-health-policy/issue-brief/racial-and-ethnic-disparities-in-womens-health/
Schalkoff, C. A., Lancaster, K. E., Gaynes, B. N., Wang, V., Pence, B. W., Miller, W. C., & Go, V. F. (2020). The Opioid and Related Drug Epidemics in Rural Appalachia: A Systematic review of populations affected, risk factors, and infectious diseases. Substance Abuse, 41(1), 35–69. https://doi.org/10.1080/08897077.2019.1635555
Sengmany, D. (2023, May 4). Drug Education Survey | American Addiction Centers. American Addiction Centers. https://americanaddictioncenters.org/blog/drug-education-survey
Serdarevic, M., Striley, C. W., & Cottler, L. B. (2017). Sex differences in prescription opioid use. Current opinion in psychiatry, 30(4), 238–246. https://doi.org/10.1097/YCO.0000000000000337
Smith, K. and Lipari, R.N. Women of childbearing age and opioids. The CBHSQ Report: January 17, 2017. Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Rockville, MD. https://www.samhsa.gov/data/sites/default/files/report_2724/ShortReport-2724.html
Taplin, C., Saddichha, S., Li, K., & Krausz, M. R. (2014). Family history of alcohol and drug abuse, childhood trauma, and age of first drug injection. Substance use & misuse, 49(10), 1311–1316. https://doi.org/10.3109/10826084.2014.901383
What happens during prenatal visits? (2017, January 31). https://www.nichd.nih.gov/. https://www.nichd.nih.gov/health/topics/preconceptioncare/conditioninfo/prenatal-visits
Winkelman, T. N., Chang, V. W., & Binswanger, I. A. (2018). Health, polysubstance use, and criminal justice involvement among adults with varying levels of opioid use. JAMA Network Open, 1(3), e180558. https://doi.org/10.1001/jamanetworkopen.2018.0558
World Population Review. (n.d.). Poverty rate by state [Updated January 2023]. https://worldpopulationreview.com/state-rankings/poverty-rate-by-state
Published
How to Cite
Issue
Section
Copyright (c) 2023 Samikshaa Prabhu; Dr. Hema Bharath
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright holder(s) granted JSR a perpetual, non-exclusive license to distriute & display this article.