Local doctor says more pregnant women are abusing opioids

3 months 1 week 6 days ago Thursday, February 08 2018 Feb 8, 2018 Thursday, February 08, 2018 11:46:00 AM CST February 08, 2018 in News
By: Jasmine Ramirez, KOMU 8 News
loading

COLUMBIA - Physicians are seeing the opioid epidemic impact a specific demographic - pregnant woman and their newborn babies.

"We are seeing more and more pregnant patients," said Dr. Gaurav Kaulkarni, a psychiatrist practicing in mid-Missouri. 

He said pregnant women addicted to opioids bring in an entirely different set of challenges. Opioids cause birth defects, premature birth and in some cases miscarriage. 

"Many times we get patients who are two or three months into pregnancy but haven't received any care," he said. 

More than 20,000 pregnant women in 2016 across the country reported using heroin or abusing pain relievers in the past month. 

Guarav said the reason many pregnant women do not seek treatment is because they do not have insurance or any financial support.

Fortunately, there is a state-funded program available to help pay for treatment. Comprehensive Substance Treatment and Rehabilitation or CSTAR is funded by Missouri's Medicaid program and the Division of Behavioral Health's purchase-of-service system.

CSTAR offers clinical and supportive services. This includes temporary living arrangements, physician services, therapy and medication.

Dr. Naomi Lauriello at the MU Women and Children's Hospital specializes in Neonatology. She said she sees three different kinds of moms who abuse opioids.

"Those in already defined programs and receiving subutex, those using illicit drugs and those using prescribed drugs and medications," she said.

When the hospital is aware of opioid use ahead of time, the baby is observed in the well-baby nursery. Lauriello said they try to let the baby and mom stay together. 

A recent study showed babies may have better outcomes if they stay in the hospital room with their mother. Newborns were 63% less likely to receive drugs like morphine for their symptoms and left the hospital about 10 days sooner.

The findings also proved to lower re-admission rates and lower inpatient costs. 

The Journal of the American Medical Association said "rooming-in" should be recommended for inpatient care.

"If the baby starts showing significant signs of withdrawal, then we admit the baby to the NICU," Lauriello said. 

She said she encourages the mother to breastfeed as long as she is not using illicit drugs and to hold the baby as much as possible. If non-pharmacologic methods do not work, the baby is then given morphine.

Babies experiencing withdrawal symptoms have an increase in jitteriness, don't eat well, throw up, cry inconsolably and have problems sleeping said Lauriello.

More News

Grid
List
BUNNIK, Netherlands (AP) — An international team of investigators said Thursday that detailed analysis of video images and photos... More >>
1 hour ago Thursday, May 24 2018 May 24, 2018 Thursday, May 24, 2018 5:58:00 AM CDT May 24, 2018 in News
JEFFERSON CITY - Potentially more than one thousand Missourians could lose their hunting, fishing and trapping licenses after a Department... More >>
4 hours ago Thursday, May 24 2018 May 24, 2018 Thursday, May 24, 2018 2:27:00 AM CDT May 24, 2018 in News
NEW YORK (AP) — A federal judge ruled Wednesday that President Donald Trump is violating the First Amendment when he... More >>
12 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 7:10:00 PM CDT May 23, 2018 in Continuous News
ST. LOUIS (AP) — A federal district court in St. Louis has ruled that the Missouri prison system must... More >>
13 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 5:48:22 PM CDT May 23, 2018 in News
MID-MISSOURI - If you look at the forecast you can easily tell that summer is here early. Don't forget that... More >>
13 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 5:43:00 PM CDT May 23, 2018 in Weather
JEFFERSON CITY - A new report by the Missouri Chamber of Commerce identifies challenges in the Missouri workforce. The... More >>
13 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 5:41:00 PM CDT May 23, 2018 in News
(CNN) - NFL players must stand during the National Anthem this season, team owners decided Wednesday, a reaction to fierce... More >>
13 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 5:36:38 PM CDT May 23, 2018 in News
COLE COUNTY - Cole County deputies say a man accused of having pipe bombs was cooperative when they asked to... More >>
15 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 3:54:00 PM CDT May 23, 2018 in News
HALLSVILLE - The NRA Bianchi Cup happens every year in Missouri, however this year, embattled Gov. Eric Greitens made an... More >>
15 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 3:40:00 PM CDT May 23, 2018 in News
COLUMBIA - The Columbia Police Department wants feedback from residents on its community policing initiative. A meeting Wednesday gave people... More >>
15 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 3:25:00 PM CDT May 23, 2018 in News
JEFFERSON CITY - The House Special Investigative Committee continued reading the transcript of the testimony of the woman involved in... More >>
16 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 3:12:00 PM CDT May 23, 2018 in News
JEFFERSON CITY- A revision to Missouri's amateur sports tax credit program could bring more sporting events to Mid-Missouri. The... More >>
16 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 3:04:00 PM CDT May 23, 2018 in News
CALIFORNIA - The Moniteau County prosecutor filed criminal charges against the former California police chief Wednesday. Former police chief... More >>
16 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 2:15:00 PM CDT May 23, 2018 in News
JEFFERSON CITY (AP) - A top official at Missouri's Department of Public Safety had a potential conflict of interest when... More >>
17 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 2:11:00 PM CDT May 23, 2018 in News
LAKE OZARK- Businesses in mid-Missouri face a steep choice when it comes to having live entertainment -- lose the music... More >>
17 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 1:53:00 PM CDT May 23, 2018 in News
JEFFERSON CITY (AP) - A Missouri judge is weighing whether a secretive nonprofit group that supports Gov. Eric Greitens' agenda... More >>
18 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 1:08:00 PM CDT May 23, 2018 in News
COLE COUNTY - The Cole County Prosecutor's Office filed charges Wednesday against a man suspected of having pipe bombs and... More >>
20 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 10:30:00 AM CDT May 23, 2018 in News
JEFFERSON CITY (AP) - Missouri Lt. Gov. Mike Parson says he will be ready to step up if Gov. Eric... More >>
21 hours ago Wednesday, May 23 2018 May 23, 2018 Wednesday, May 23, 2018 9:48:00 AM CDT May 23, 2018 in News
Columbia, MO
Broken Clouds 68°
8am 72°
9am 76°
10am 79°
11am 82°