Painkiller Addiction Up Risk of Birth Defects

As painkiller (opioid) abuse permeates our country, many are unaware that medications such as codeine, oxycodone, hydrocodone, or morphine may increase the risk for serious birth defects.

Prescription opioid-based medications are used to treat severe pain and are easily abused. Their use may cause serious birth defects of the baby’s brain, spine, and heart, as well as preterm birth when taken during pregnancy.

Use of these medications also can cause babies to suffer withdrawal symptoms when born, a condition known as neonatal abstinence syndrome or NAS, a growing problem in U.S. birthing hospitals.

More than one-fourth of privately-insured and one-third of Medicaid-enrolled women of childbearing age filled prescriptions for opioid-based (narcotic) painkillers between 2008 and 2012, according to a new analysis published by the U.S. Centers for Disease Control and Prevention (CDC).

Since half of all pregnancies are unplanned, women may be prescribed opioid-based pain medications before they or their health care providers know they are pregnant.

“This highlights the importance of promoting safer alternative treatments, when available for women of reproductive age. We must do what we can to protect babies from exposure to opioids.” stated Coleen A. Boyle, Ph.D., MSHyg, Director of CDC’s National Center on Birth Defects and Developmental Disabilities (NCBDDD).”

“If you are using an opioid pain killer, you should also be practicing effective birth control, “says José F. Cordero, M.D., MPH, a pediatrician and a birth defects expert.

“If you decide to get pregnant or do become pregnant, tell your health care provider about all the medications you are taking right away. You may be able to switch to a safer alternative.”

Dr. Cordero also urged physicians and other prescribers not to write prescriptions for opioid-based painkillers for their female patients who may become pregnant without a discussion of the risks and safer alternatives.

“The CDC’s Treating for Two: Safer Medication Use in Pregnancy initiative offers information to women and their healthcare providers about medication use during pregnancy.

“This initiative aims to prevent birth defects and improve the health of mothers by working to identify the best alternatives for treatment of common conditions during pregnancy and during the childbearing years,” explains Dr. Boyle.

Source: March of Dimes/EurekAlert

Pain pills photo by shutterstock.