Local doctor says more pregnant women are abusing opioids

9 months 6 days 21 hours 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
MOBERLY - A pedestrian was struck and killed Thursday night on Highway 63 just south of Moberly, according to crash... More >>
3 hours ago Friday, November 16 2018 Nov 16, 2018 Friday, November 16, 2018 4:49:00 AM CST November 16, 2018 in News
COLUMBIA- Out-of-state vehicles around the University of Missouri are having their license plates stolen. It’s been happening in garages... More >>
12 hours ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 7:17:00 PM CST November 15, 2018 in News
CENTRALIA - Where would a man celebrating a half century of giving blood go to celebrate? Another blood drive... More >>
14 hours ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 5:55:00 PM CST November 15, 2018 in News
COLUMBIA- In a meeting this afternoon, Columbia City Manager Mike Matthes, apologized for the confusion surrounding the Columbia Police Department’s... More >>
14 hours ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 5:17:00 PM CST November 15, 2018 in News
COLUMBIA - A Columbia man is sentenced to 10 years in Federal prison for a 2017 armed bank robbery turned... More >>
14 hours ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 5:14:00 PM CST November 15, 2018 in Top Stories
JEFFERSON CITY - Jefferson City is looking for a municipal judge to fill a temporary position, starting January 1, 2019.... More >>
14 hours ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 5:13:00 PM CST November 15, 2018 in News
NEW YORK (AP) — Facebook said it's making progress on detecting hate speech, graphic violence and other violations of its... More >>
16 hours ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 3:53:00 PM CST November 15, 2018 in News
COLUMBIA - Employment providers, state agencies and employers serving people with disabilities across the state came together to learn how... More >>
16 hours ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 3:12:00 PM CST November 15, 2018 in News
JEFFERSON CITY - Ceres, the statue that stood on top of the State Capitol for 94 years, touched ground Thursday.... More >>
17 hours ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 2:48:00 PM CST November 15, 2018 in News
JEFFERSON CITY - A bronze statue called Ceres will spend the next year being cleaned and touched up for conservation... More >>
17 hours ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 2:30:00 PM CST November 15, 2018 in News
JEFFERSON CITY, Mo. (AP) — Missouri's unemployment rate has hit a tied record low. Data released Thursday from the... More >>
19 hours ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 12:56:00 PM CST November 15, 2018 in News
MAGALIA, Calif. (AP) — Cool weather helped fire crews gain ground Thursday against the nation's deadliest wildfire in a century,... More >>
20 hours ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 11:52:00 AM CST November 15, 2018 in News
BOONE COUNTY - Two buses carrying students and staff from Our Lady of Lourdes Interparish School was involved in a... More >>
21 hours ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 10:01:00 AM CST November 15, 2018 in Top Stories
COLUMBIA - A judge ordered bond to be revoked Wednesday for a man charged in connection with an alleged conspiracy... More >>
1 day ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 7:47:25 AM CST November 15, 2018 in News
HUNTSVILLE - A judge sentenced a Moberly man to 18 years in prison after he pleaded guilty to child sex... More >>
1 day ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 7:35:37 AM CST November 15, 2018 in News
JEFFERSON CITY - The number of kids in need is growing, according to the only foster care and adoption association... More >>
1 day ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 6:20:00 AM CST November 15, 2018 in News
JEFFERSON CITY - Ceres, the bronze statue that sits on top of the Capitol Building, will come to ground level... More >>
1 day ago Thursday, November 15 2018 Nov 15, 2018 Thursday, November 15, 2018 6:02:00 AM CST November 15, 2018 in News
MOBERLY - Veterans at Moberly Correctional Center say a program designed to reconnect former servicemen to their military values has... More >>
1 day ago Wednesday, November 14 2018 Nov 14, 2018 Wednesday, November 14, 2018 9:33:00 PM CST November 14, 2018 in News
Columbia, MO
Broken Clouds 35°
8am 33°
9am 35°
10am 38°
11am 40°