You walk into a NICU. As you walk down the halls it is quiet and warm. You continue passing rooms of isolettes and tiny babies. As you near the end of the hall you start to hear the shrill scream of an infant. You look in to see a newborn infant alone in a big room. The cry is one of pain and the baby is inconsolable. The infant’s skin is mottled, its reflexes are hyperactive, and it is breathing rapidly. You are looking at a baby that was born addicted to heroin. I experienced this over the summer while I was doing my externship. Reading about this baby’s story broke my heart, but it also made me say: “what can we do to try to fix this problem.” I haven’t been sure when to start, so I was thrilled when I found out about this …show more content…
In March 2015, the Arkansas House of Representatives passed a bill that identifies it as child abuse if a mother uses drugs and in turn harms her fetus. (Guttmacher, 2015). Should the bill pass in the Arkansas Senate, it calls to allow a judge to sentence a pregnant woman to substance abuse treatment in lieu of being convicted and sentenced.” (Guttmacher, 2015). Arkansas is 1 of 18 states that considers it child abuse to ingest drugs during pregnancy. (Guttmacher, 2015). We are also 1 of 12 states that “has a targeted program created” which allows for a pregnant woman to be sentenced to rehab instead of jail time. Arkansas does not require mandatory reporting when substance abuse is suspected during pregnancy, nor do we require testing. (Guttmacher, 2015). I was very surprised to see that only Iowa, Kentucky, Minnesota and North Dakota require testing. (Guttmacher, 2015). Arkansas also does not give pregnant women priority access in general treatment programs or protect them from discrimination in publicly funded programs. The majority of states, along with Arkansas, only address this subject with punitive consequences. I then sought out the American College of Obstetricians and Gynecologists (ACOG) opinion on this matter. They posted an opinion on this matter in January 2011 and reaffirmed the opinion in 2014. The opinion of ACOG is as follows: “Drug enforcement policies that deter women from seeking prenatal
In the 80s Boston, as well as other cities, experienced a drug epidemic. The drug was called crack and it affect the city of Boston badly. A nurse named Fulani Haynes at Boston Medical Center was working during the crack epidemic. She explains how to care for babies who were born addicted to drugs that passed from a mother’s bloodstream through the placenta and into a tiny body. “The babies couldn’t tolerate being held or rocked, she recalled. They wailed at the sound of soft lullabies. Only complete darkness, silence, tight swaddling, and medication could soothe them.” This drug has nothing to do with heroin but it shows the people of Boston that if the heroin addiction continues to spread, more and more children will be born addicts and
Drug and alcohol addictions are illnesses that require some type of effective treatment to overcome them. I believe that women don’t intentionally expose their fetuses to drug or alcohol abuse, but if it happens, I believe the problem needs to be identified and addressed immediately because obviously there is a problem. In my opinion, I believe that women should be punished for exposing their fetuses to drug and alcohol abuse. The fetuses are innocent and shouldn’t have to suffer on the ignorance of their mother. I think that treatment should be offered and monitored frequently. If the program is not followed by the pregnant woman, then she should not be allowed the opportunity to raise the child until she has proven that she will provide a
Drug-addicted women are the stakeholders in this dilemma. Drug-addicted or former drug-addicted women are being pressured into thinking that controlling their fertility is the only way in which to not be considered a horrible person or bad mothers. No one should be allowed to try to persuade women to give up their reproductive rights. Just because some women choose to use drugs or alcohol does not mean that they are not responsible enough to make proper health or parenting decisions on their own, they especially do not need monetary incentives to make sound decisions. “Evidence suggests that women who use drugs do not need to be paid to limit or end their fertility” (Olsen, 2014). Preferably, programs should try to minimize the barriers that these women have to face in order to obtain information. Organizations should be non-discriminating and non judgmental towards women’s reproductive health.
The data showed that between 2009 and 2010, 16.2 percent of women between the ages of 15-17 years old, 7.4 percent of women between the ages of 18-25 years old, and 1.9 percent of women between the ages of 26-44 years old had used illicit drugs while pregnant. The data also showed substance abuse during pregnancy among different ethnic and racial groups. African Americans had the highest percentage in 2010 at 10.7 percent. The next highest was the White population at 9.1 percent. Hispanics or Latino’s percentage was 8.1 percent and the Asian population had the lowest percentage at 3.5 percent (“Results from”, 2011).
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 question about whether pregnant women are liable for subjecting their unborn children to risk has yet to be properly addressed. One state South Carolina has been on the forefront of this issue. The Supreme Court in South Carolina in 1997 in the case Whitner vs. South Carolina decided that pregnant women who exposed their viable fetuses may be persecuted under the state child abuse laws. This action was specifically targeting women who use illegal drugs during pregnancy. Since this decision, other states like Arizona and Florida are following suit. In South Carolina, the Medical University of South Carolina Hospital routinely tested the urine of pregnant women for
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
Since the 1980’s, debate about how society should deal with the problem of criminalizing pregnant women who abuse drugs or alcohol has become a nationwide issue. Many states argue that the primary concern is making sure women have healthy pregnancies and healthy children. However, policies that threaten women with criminal prosecution and the potential loss of parental rights drive women away from pregnancy-related care. Constitutionally, enacting states to create these laws is unsound and places women in situations of risk. Less than a week ago a bill was sent to the governor of Tennessee after being approved by both the house and the senate, that would allow for women to be prosecuted if she takes an illegal drugs while pregnant. Although this bill is made to seem like it is promoting healthy pregnancies, many groups are urging the governor to veto it.
While legislators believe that this policy will effectively sort out the “worst of the worst” (Gonzales & DuBois, 2014), this reporter doubts the efficiency and utility of the policy. If the aim is to force mothers into treatment, then perhaps sending them to jail is not the most effective method. Those defending the law have sent mixed messages around how it should be carried out, some describing the law as a “velvet hammer” while others employ it as a strong-arm tactic used to bust women who use narcotics (Beyerstein, 2014; Goldensohn & Levy, 2014). This, in addition to the previous legislation protecting mothers, makes it uncertain how a woman will be received when she reveals her substance use. Likewise, the chances of getting arrested
The rationality of those who support the punishment of addicted mothers focus on the idea that maternal conduct could lead to potential detrimental effects upon the fetus and that prosecution of such behavior would serve as both retribution for the fetus and as a deterrent. Whereas those who advocate for the pregnant women view this rational as not only impermissible but also unconstitutional as in current legal standing the fetus has no rights that usurp those of the pregnant woman (Stone-Manista, 2009, pp.823-856). Advocates also suggests that the breadth of forces that lead to drug use in pregnant women have a prevalent cultural and social foundation that the proponents for deterrence and retribution ignore in favor of strict scrutiny. This conflict between women’s rights and fetal rights has caused a paradigm in the prosecution of pregnant drug users as the interpretation of criminal sanctions argues over the definition of ‘child’ as encompassing fetuses in the definition would then lay the foundation for punishment for a woman’s conduct during pregnancy (Stone-Magnets, 2009, pp.823-856). Though currently it is unconstitutional and legally impermissible to prosecute women with state child abuse statutes in regards to drug use during pregnancy; advocates of fetal rights continue to follow
Infants of regular heavy users usually have a low birth weight, because of intrauterine growth retardation and frequent premature births. (http://www.bookrags.com/research/addicted-babies-edaa-01/) Also if you are regularly abusing the drug, the infant may be born physically dependent on heroin. Children born to addicted mothers are at greater risks of SIDS (Sudden Infant Death Syndrome) as well. (http://www.uatests.com/drug-information/heroin.html) Tiffany looks over at Cassandra with tears running down her face and tells her, “I don’t know what to do? I want to stop but I can’t! I need to use heroin, I can’t go a few hours without it.” Cassandra hugs her and tells Tiffany, “Yes you can stop! You just need a little help and support, but you also have to know the risks you pose to yourself.”
Prenatal exposure of a child to harm due to the mother’s use of an illegal drug or other substance.
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).
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.
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.