Babies with neonatal abstinence syndrome (NAS) 36 words
Are they vulnerable?
Introduction
There are many ways to define a vulnerable person. The concept of vulnerability means different things to different people; this could be largely due to the fact that it is subjective and can be interpreted slightly differently depending on the individual. (Larkin 2009). Feeling scared, or being at risk either physically, mentally or financially are just a handful of these. An individual’s vulnerability can be measured by the risk factors and protective factors present in their lives. This essay will analyse the vulnerability of babies with NAS (neonatal abstinence syndrome), discussing their vulnerability in detail, the multidisciplinary and multiagency approaches and interventions to help protect and safeguard them, the laws and policies which are in place to protect them and the role of the nurse in caring for them.
Discuss vulnerability in your chosen group
Neonatal abstinence syndrome is the term given to newborn babies experiencing a number of signs and symptoms as a direct result of exposure to addictive drugs whilst in the womb. (Medline Plus 2016). The main risk factor for these babies is parental drug/alcohol misuse during pregnancy. This is an internal risk factor as the babies are born addicted to a substance. It can be argued that there is a link between individuals who have drug and alcohol issues, and external risk factors such as unemployment, domestic
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.
Abstinence is the only form of birth control that is 100% effective – in both preventing pregnancies and most sexually transmitted infections. If you choose to be abstinent, then you have decided not to have any type of sexual relations. Learn some of the reasons why people choose to abstain as well as the benefits from this behavior. Discover the difference between continuous and complete abstinence. Read advice on how to stay abstinent and when to make the decision about using abstinence as your contraceptive method. Possible pitfalls people face when choosing this method are also examined.
In 2014, after seeing a significant increase in babies born with neonatal abstinence syndrome (NAS), Tennessee began criminally charging pregnant women who use drugs (Sakuma, 2014). Supporters of the new legislation refer to it as a “velvet hammer” used to convince the pregnant drug users into going into treatment, or doing jail time. However, critics are concerned that this legislation will be just another barrier for a group of women who are already at risk, (Sakuma, 2014).
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 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).
During pregnancy - The low alcohol exposure group represented the larger part of the sample, and the moderate/heavy group accounted for a very small part of it. This would suggest that a significant number of moderate/heavy users of alcohol periconceptional reduced their consumption during pregnancy. There was only a difference in about half a drink a day between different groups. These results suggest that children who are exposed prenatally to any alcohol at all have significantly higher odds of having delinquent behavior. Pregnant women should be advised at the onset of their prenatal care that there is NO safe amount of alcohol which can be consumed during pregnancy and that should they choose otherwise, that their child will be 3.2 times more likely to develop Delinquent Behavior versus those who have had no exposure at
“Every 25 minutes, 1 baby is born suffering from opiate withdrawal. Newborns with neonatal abstinence syndrome (NAS) are more likely than other babies to also have low birth weight and respiratory complications” (Dramatic Increases in Maternal Opioid Use and Neonatal Abstinence Syndrome, 2015, Paragraph 2). To insure a better life for these babies, people are trying to create an Act called the Plan of Safe Care Improvement or otherwise known as the Infant Plan of Safe Care Improvement. This Act is meant to protect future babies from not only being born drug dependent because of their mothers, but also ensuring them a drug-free environment after birth. It will also “get help for the mothers and any other guardians involved in drug addiction”
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).
Effective healthcare is dependent on understanding vulnerable individuals and populations with respect to biases and prejudices of healthcare providers. According to de Chesnay (2008), “Vulnerability is a general concept meaning susceptibility, and its specific connotation in terms of healthcare is at risk for health problems” (p. 3). Anyone can be vulnerable at different times in his or her life under specific circumstances. According to de Chesnay (2008), “Vulnerable populations are those at risk for poor physical, psychological, or social health.
At times, the community is unsafe and damaging to the child’s development with current research, they are finding that environmental factors with a high crime rate, poverty, acts of violence and high drug distribution are top contributors that can lead to abuse. This can result in depression, substance abuse and social isolation from the parent and are seen more likely to experience abuse or maltreatment. Although abuse in itself is contributing factor, the likely hood increases with age. During the interview Kaleb discussed how substance abuse in itself can be a leading factor on its own. From his statistics, from the Child Welfare League of America about 40 to 80 percent of families affected by substance abuse. Which as a result of issues of substance abuse the child is more at risk of sexual abuse from the caregivers. Substance abuse often creates a domino effect for the child later in life, such as young pregnancy, problems in school, incarcerated in as a juvenile and the inability to cope with the trauma they experienced. He also stated that substance abusers are the most difficult to treat since many adults do not want to seek proper treatment and more likely to have their child permanently removed to long care foster
The use of opioids during pregnancy has increased drastically over recent years, causing newborns to fall victim to the opioid crisis. It has now become an epidemic, affecting people in the United States and globally making it a major health concern. A vast percentage leading to the opioid crisis is due to women in their childbearing stages of life. Newborns born to women addicted to opioids suffer through a form of newborn drug withdrawal known as Neonatal abstinence syndrome (NAS), resulting in increased admission rates, prolonged length of stay in the hospital and infants often require medication to recover. NAS is a result of opioid exposure in utero characterized by “central nervous system hyperirritability and autonomic nervous system dysfunction” (Kraft et
There are some factors that may influence the health and development. Smoking can affect the babies’ oxygen in the womb which could affect the growth and development, low birth weight, high risk of prematurely (birth before week’s gestation), asthma and may lead to cot death. Genetic factors – when the baby has condition, which means that it has been passed down to them by one of their parents. Infections and medical conditions – some babies have medical condition which may affect them during their childhood. This could lead the babies having low self-esteem, feeling distress, not making friends and effect their development. Alcohol – having alcohol during pregnancy can cause Foetal Alcohol Syndrome (FAS). This could lead
Where in the first world would one expect the teen pregnancy rate to be the highest? Surprisingly, it is the United States that has the highest teen pregnancy rate of any first world country, more than double the rate of twenty other first world countries and almost ten times greater than that of Switzerland. While some of the disparity can be attributed to factors such as income inequality, the presence of abstinence only education has a major impact on birth and STD rates in the United States in comparison to other countries with more comprehensive programs. It is clear that this difference in approaches has a significant effect, and the United States needs to act to ensure the health of its citizens. Urgent actions are necessary
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.