Impact of Prenatal Exposure to Opiates, Opioids, Methadone, Suboxone, and Other Common Drugs
Creating a Family: Talk about Adoption, Foster & Kinship Care
03/12/21
•63m
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What do adoptive and foster parents need to know about the impacts of prenatal exposure to opioids, Suboxone, and Methadone. What are the risks to a baby born with Neonatal Abstinence Syndrome or Neonatal Opioid Withdrawal Syndrome (NOWS)? We talk with Dr. Julian Davies, a pediatrician at the University of Washington’s Center for Adoption Medicine and their FASD and Prenatal Exposure Clinic.
In this episode, we cover:
- What are opiates or opioids?
- What are the most common opiates that are being used during pregnancy?
- What are the most common non-opiate drugs that are being used by pregnant women?
- What are the common treatment medication/drugs given to those struggling with addiction who are trying to get off opioids? Methadone, Suboxone, and Subutex
- Are Methadone, Suboxone, and Subutex safe to use during pregnancy?
- What are the short- and long-term impacts on infants exposed to opiates?
- What are the short- and long-term impacts of infants exposed to Methadone in pregnancy?
- What are the short- and long-term impacts of infants exposed to Suboxone in pregnancy?
- Does the dosage of methadone or suboxone have an effect on the baby?
- What are the short- and long-term impacts of infants exposed to methamphetamines (meth) in pregnancy?
- What are the short- and long-term impacts of infants exposed to cocaine in pregnancy?
- What are the short- and long-term impacts of infants exposed to marijuana in pregnancy? Edible vs. smoking vs. vaping
- Does the timing of exposure in pregnancy affect the prognosis for the child? Is there a safer time for a fetus to be exposed to drugs in utero?
- Many parents believe that if the child is not born dependent or with drugs in their system that the prognosis is better. Or conversely, if the child is born dependent and has to go through withdrawals that they will suffer more impact from the in-utero drug exposure. Is this true?
- How serious is drug dependency and withdrawal for the infant?
- How is withdrawal treated in the infant? How is Neonatal Abstinence Syndrome (NAS) and Neonatal Opioid Withdrawal Syndrome (NOWS) treated in babies born dependent?
- Families that adopt out of state are often concerned about how soon they can travel home with their baby if she has been born dependent and is going through withdrawal.
- How long does withdrawal in an infant born dependent last?
- If a baby tests positive for opiates is it possible to determine what drug the baby has been exposed to? Does the long-term prognosis matter depending on which drug?
- How do you foster attachment while baby is suffering through withdrawal?
- How common is it for women who use drugs during their pregnancy to also drink excessively during their pregnancy?
- One thing you hear a lot is that “early intervention is key” and that a baby’s brain can be rewired during the first couple of years with the right therapy. What exactly does that therapy entail? Where can you find it? What strategies should you be using at home with your child with a diagnosis of prenatal drug exposure?
- There are many similarities between drug exposure and trauma in how it affects children’s learning, behavior, etc. When a child has both of those challenges, is it possible to tell the difference on what is causing specific problems, and is the treatment different depending on the cause?
- Are children who are exposed prenatally at a greater risk for drug abuse as teens and adults if they were adopted and not raised in an environment that exposed them to drug use?
- What are the most common blood borne diseases that women who use drugs are exposed to are more likely to have.
- What is the risk to a baby whose mother
Please leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.
Creating a Family brings you the following trauma-informed, expert-based content:
- Weekly podcasts
- Weekly articles/blog posts
- Resource pages on all aspects of family building
Previous Episode
Coping with Pregnancy Loss and Miscarriage
March 5, 2021
•49m
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Have you or someone you care about experienced a miscarriage or stillbirth? We talk about coping with pregnancy loss with Dr. Poonum Sharma, a Licensed Psychologist specializing in reproductive issues. She is a long term member of the Mental Health Provider Professional Group at the American Society of Reproductive Medicine.
In this episode, we cover:
Miscarriage and Stillbirth Statistics
- Distinction between a miscarriage and stillbirth. A stillbirth is the death of a baby before or during delivery. Both miscarriage and stillbirth describe pregnancy loss, but they differ according to when the loss occurs. In the United States, a miscarriage is usually defined as loss of a baby before the 20th week of pregnancy, and a stillbirth is loss of a baby at 20 weeks of pregnancy and later.
- About 1 pregnancy in 100 (1%) end in stillbirth, and each year about 24,000 babies are stillborn in the United States.
- For women who know they’re pregnant, about 10 to 15 in 100 pregnancies (10 to 15 percent) end in miscarriage. As many as half of all pregnancies may end in miscarriage. We don’t know the exact number because a miscarriage may happen before a woman knows she’s pregnant.
- Most miscarriages happen in the first trimester before the 12th week of pregnancy. Miscarriage in the second trimester (between 13 and 19 weeks) happens in 1 to 5 in 100 (1 to 5 percent) pregnancies.
- The primary cause of first trimester miscarriage is chromosomal abnormalities.
The Grief Process
- Factors that may impact grief:
- How long a woman or couple has been trying to get pregnant.
- Timing in the pregnancy of the loss.
- The number of miscarriages or pregnancy losses she has experienced.
- The cause of the miscarriage or lack of an explanation?
- Patient’s age.
- If she has existing children. Secondary infertility.
- The ability to talk about the loss to family and friends.
- Temperament of the patient and her partner.
- Pregnancy loss before others know about the pregnancy.
Helping Patients Cope
- How can those around the woman or couple support them during this time?
- How to share the news.
- How can nurses help patients cope?
- What are the symptoms of compassion fatigue that infertility nurses should be aware of.
- How can nurses prevent or cope with compassion fatigue.
This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them. Creating a Family brings you the following trauma-informed, expert-based content:
· Weekly podcasts
· Weekly articles/blog posts
· Resource pages on all aspects of family building
Support the show (https://creatingafamily.org/donation/)
Please leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.
Creating a Family brings you the following trauma-informed, expert-based content:
- Weekly podcasts
- Weekly articles/blog posts
- Resource pages on all aspects of family building
Next Episode
Attachment 101
March 19, 2021
•55m
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What do we mean by attachment and what can parents do to help their child attach. What can parents do if they are struggling with attaching to their child. We talk with Dr. Casey Call, the Assistant Director of Education at the Institute of Child Development at TCU. She is a researcher and trainer for Trust-Based Relational Intervention.
In this episode, we cover:
- What is attachment and why is it so important to a child’s development?
- How does attachment develop in children who are raised from infancy in a healthy functioning family? What does healthy attachment look like?
- What events can interrupt the normal development of healthy attachment? (e.g. multiple caregivers, abuse, neglect) What about a primary care giver with mental illness? What about long term hospitalization?
- When we have a child placed in our homes for either adoption or fostering, what are some signs that this child may have attachment issues?
- Attachment issues fall along a spectrum from mild to severe. Describe typical behaviors that might appear along this spectrum.
- Reactive Attachment Disorder
- We have people contacting us with worries after only a few weeks in their home when the child and family are still adjusting to a total change in their lives. What is a reasonable time to give a child before parents begin to worry about major attachment issues?
- What are some things parents of newly adopted or fostered kids can do to help their child attach?
- What type of therapy is effective for children with attachment issues?
- How can you find a therapist who will be knowledgeable on how to help a child and family that is struggling to attach?
- How to discipline while still focusing on attachment.
- The importance of parental attachment.
- What interferes with a parents ability to attach to their child?
- What are some things that a parent can do if they are struggling to attach to their child?
- Post adoption depression.
This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them. Creating a Family brings you the following trauma-informed, expert-based content:
· Weekly podcasts
· Weekly articles/blog posts
· Resource pages on all aspects of family building
Support the show (https://creatingafamily.org/donation/)
Please leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.
Creating a Family brings you the following trauma-informed, expert-based content:
- Weekly podcasts
- Weekly articles/blog posts
- Resource pages on all aspects of family building
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