Half again as many Kentucky newborns were hospitalized for drug dependency last year as the year before

Mother Samantha Adams and her newborn Leopoldo Bautista,
10 days old, spend quality time inside the Louisville Norton
Healthcare child care center for children experiencing drug
withdrawal. (Photo by Alton Strupp, The Courier-Journal)

Increasing drug abuse drove up hospitalizations of drug-dependent newborns in Kentucky by 48 percent last year, to 1,409 from 955 in 2013. "The latest numbers represent a 50-fold increase from only 28 hospitalizations in 2000," reports Laura Ungar of The Courier-Journal.

"The seemingly never-ending increase every year is so frustrating to see," Van Ingram, executive director of the state Office of Drug Control Policy, told Ungar. "It's a horrible thing to spend the first days of your life in agony."

"These infants are born into suffering," Ungar writes. "They cry piercingly and often. They suffer vomiting, diarrhea, feeding difficulties, low-grade fevers, seizures — and even respiratory distress if they're born prematurely."

Drug-dependent newborns are becoming more common nationwide, Ungar notes, but "Vanderbilt University researchers publishing in the Journal of Perinatology [a subspecialty of obstetrics concerned with the care of the fetus and complicated, high-risk pregnancies] say rates are highest in a region encompassing Tennessee, Mississippi, Alabama and Kentucky."

While the increase is blamed mostly on illegal drug use, the Vanderbilt study found that 28 percent of pregnant Medicaid recipients in Tennessee filled at least one painkiller prescription, Ungar writes: "Legitimate use not only raises the risk of having a drug-dependent baby, it can sometimes lead to abuse and addiction."

While Medicaid now pays for behavioral-health and substance-abuse treatment, "Drug treatment for pregnant women is sorely lacking," Ungar reports. In Kentucky, only 71 of the 286 treatment facilities listed by the U.S. Substance Abuse and Mental Health Services Administration treat pregnant women. 

Time on the tummy is important for infants' muscle development

Today's infants are spending too much time on their backs or in sitting devices, which is causing an increase in head and neck deformities and slowing down their motor development, Susan Effgen, a physical therapy professor at the University of Kentucky, writes for the Lexington Herald-Leader.

This is easily remedied by making sure infants spend most of their waking hours on their tummies, even during the first few weeks of life, Effgen suggests.

The American Academy of Pediatrics recommends that infants should sleep on their backs because it significantly reduces the chance of sudden infant death syndrome (SIDS).
While most parents may know that, any are not aware of how important it is for infants to spend time on their bellies, Effgen writes.

Time on their bellies allows them to learn to move and explore their environment, Effgen writes. You can encourage your infant when they are on their tummies by having them to lift up their heads and look around, giving them objects to reach for and encouraging them to prop up on their elbows or hands, These activities help to build strong back and neck muscles needed later for sitting, crawling, walking and talking.

If your infant doesn't like tummy time, Effgen suggest parents lie on their back and place the infant on their belly to let them practice for several days until they are used to this position. Eventually, practice tummy time together on a baby-proofed floor with fun, appropriate objects placed at their eye level.