Pubdate: Tue, 27 Jun 2006 Source: Reno Gazette-Journal (NV) Copyright: 2006 Reno Gazette-Journal Contact: http://www.rgj.com/helpdesk/news/letter-to-editor.php Website: http://www.rgj.com/ Details: http://www.mapinc.org/media/363 Author: Jaclyn O'Malley Bookmark: http://www.mapinc.org/find?159 (Drug Courts) Bookmark: http://www.mapinc.org/meth.htm (Methamphetamine) Bookmark: http://www.mapinc.org/women.htm (Women) Bookmark: http://www.mapinc.org/rehab.htm (Treatment) Bookmark: http://www.mapinc.org/youth.htm (Youth) Series: Meth: Shattering Lives In Northern Nevada A three-month Reno Gazette-Journal investigation found that methamphetamine's grip on the Truckee Meadows has become a stranglehold. METH BABIES AT RISK FOR PHYSICAL DISABILITIES Experts say that babies of methamphetamine-addicted mothers are at risk of being born prematurely and having developmental disabilities, ultimately forcing society to pay for their social service and education programs, medical care and future legal troubles. And in Nevada, meth addiction among pregnant females is growing. Nearly 66 percent of pregnant females seeking treatment in state-funded, drug-treatment programs last year listed meth as their drug of choice. Since 2001, the percentage of pregnant female drug users who are abusing meth has grown more than 40 percent, which has caused federal authorities to earmark more than $1 million this funding cycle for state drug-treatment providers. While some numbers of pregnant meth users are known, no one in Washoe County tracks babies born with methamphetamine in their blood, medical authorities say. But a new grant called Healthy Moms, Healthy Babies has since earlier this year forced county medical staff to record when a baby is born positive for meth, said Julie Pomi, a public health nurse with the Washoe County Health District. Pomi works with social workers called to homes where children are abused or neglected. She examines children who are not doing well physically due to neglect or injury €" often because their parents use meth. "Meth is becoming an epidemic," she said. "At the very least, babies born with meth in their systems will have speech or feeding problems, but can be profoundly mentally retarded." Dr. Carol Chervenak, a nationally recognized expert who lectures about children and meth abuse, told a group of Reno professionals this spring that meth can cause a placental tear from the uterus that can devastate a child. Some babies appear normal, she said, but can suffer withdrawal symptoms and about 4 percent will need medical treatment. Meth depletes dopamine in the brain and causes babies to become lethargic and have difficulties sucking and swallowing. Some forget to breathe when they sleep. "We take for granted that babies know how to suck and swallow, but meth damages that part in the brain that controls coordination," Chervenak said. Becky Contos, spokeswoman for the Reno Step 2 program that provides treatment and housing for pregnant women and mothers and their children, said women have to be free of drugs at the time they are admitted. Between 7 percent and 10 percent of Step 2 clients are pregnant, and many of the total clients cite meth as their drug of choice. "When you're dealing with a pregnant woman on drugs, two people are involved," Contos said. "The less time babies are exposed to drugs in the womb, the greater its chance of becoming a successful human being." Chervenak said that studies have shown pregnant mice exposed to meth spend less time nurturing and feeding their babies than rodents that aren't exposed. "The intensity of this addiction blinds the user to all other responsibilities and other people, including children," she said. Pomi and Chervenak said most pregnant meth addicts do not seek prenatal care, increasing the baby's risk of health issues. Pomi said pregnant meth addicts can become a burden on many public systems, such as the 16-year-old girl on Medicaid who has been in and out of juvenile detention. In addition, her baby will likely be premature, so its hospital stay will be longer, creating a higher medical bill. The baby will be placed in foster care, causing the state to pay for its care and ultimately use resources and time to find a way to reunite the child with the family or find adoptive parents. The county's family drug court is also involved with the process. Because the child will have learning disabilities, schools will have to spend more time and resources on the child. The child will also likely have rage and depression that will have to be addressed by therapists and expensive medications. When the baby does get to be with its drug-addicted mother, the meth will have made the baby irritated, hyper or "floppy," Pomi said. "The babies are not consoled easily," she said. "It takes a lot to comfort them, which can lead to child abuse by parents who already have poor coping skills." Some of the children she's examined have been burned from drug pipes and had injuries due to sexual abuse. "Parents give their child a bottle to feed them, they do their best, but meth is all they care about," she said. "Kids are deprived of any stimulation and wandering around when the adults are using. There's not a lot of love." - --- MAP posted-by: Beth Wehrman