Babies Born Addicted to Opioids Cost U.S. Over $500 Million per Year

In the year preceding the onset of the coronavirus pandemic of 2020, the opioid epidemic led the headlines. Studies were conducted, opioid lawsuits were filed, and new regulations aimed at holding drug manufacturers and prescribers responsible for the havoc the highly addictive drugs wreaked on millions were passed. Yet the stranglehold of addiction persists, albeit in the shadow of COVID-19.

As millions of Americans come out from under the coronavirus pandemic blanket with mass vaccinations and opening economies, the opioid epidemic is fast coming back to the fore with a focus on its most innocent victims.

The resumed interest has opioid attorneys working overtime filing opioid lawsuits for clients whose exposure to the drugs around and during pregnancy have led to their children being born with neonatal abstinence syndrome (NAS).

What is Neonatal Abstinence Syndrome?

The Journal of the American Medical Association (JAMA) defines NAS as “a withdrawal syndrome primarily occurring in infants with in-utero exposure to opioids.” It is a diagnosis that occurs “6.7 times per 1,000 live hospital births and costs the U.S. $572.7 million each year,” according to the Healthcare Cost and Utilization Project (HCUP) Kids’ Inpatient Database (KID), which studied a nationally representative sample of all pediatric discharges, as reported in JAMA. Medicaid-covered births account for 83.3 percent of the total cost ($477 million). Babies’ stay in the hospital can be 20.4 days or more with an average cost to families of $22,552.

The Project defined in-hospital births as “those with a primary/secondary diagnosis of live birth and no indication of birth outside the hospital or transfer from another hospital.”

While NAS can happen to any baby exposed to opioids in-utero, the highest incidence rates were among “American Indian/Alaska Native individuals (15.0 per 1,000) and non-Hispanic white people (10.5 per 1,000), the lowest income quartile (9.3 per 1,000), rural areas (10.6 per thousand), and the Northeast (9.5 per 1,000).” Medicaid-covered births had the highest NAS rates (12.3 per 1,000) with those without any kind of insurance just behind at 7.0 per 1,000.

What the Research Shows

The U.S. Department of Health and Human Services reports that 10.1 million people misused prescription opioids in the past year. More than 70 thousand died from overdose, and 1.6 million people misused prescription pain relievers for the first time.

Women who experience severe pain before or during their pregnancies are still commonly being treated with opioids, most often with codeine and oxycodone, according to the Centers for Disease Control (CDC). This is a problem, because “opioid use during pregnancy can affect women and their babies.”

The National Birth Defects Prevention Study conducted from 1997 through 2005, which studied just over 19,000 maternal cases, supports that finding as it showed there is an “association between early pregnancy maternal opioid analgesic treatment and certain birth defects.”

These findings lend support to parents with NAS-affected babies who wish to seek claims against opioid manufacturers and prescribers.

Most Common Opioid-Related Birth Defects

The latest Centers for Disease Control (CDC) study, “Maternal Treatment with Opioid Analgesics and Risk for Birth Defects,” published in the American Journal of Obstetrics and Gynecology, reveals “codeine and hydrocodone were the most frequently prescribed medications, representing 69 percent of all reported opioid analgesics used.” The reasons for a prescribed opioid regimen during pregnancy include chronic diseases, infections, injuries, and surgical procedures.

Treatment with opioid analgesic, according to the study, was linked with congenital heart defects such as:

  • Atrial septal defect
  • Atrioventricular septal defect
  • Conoventricular septal defect
  • Hypoplastic left heart syndrome
  • Pulmonary valve stenosis
  • Tetralogy of Fallot

The study says the “findings related to congenital heart defects were consistent with findings of previous studies showing links between the use of codeine during the first trimester and the occurrence of some heart defects.”

Other common birth defects include:

  • Gastroschisis (a defect of the abdominal wall)
  • Glaucoma (an eye defect)
  • Hydrocephaly (build-up of fluid in the brain)
  • Spina bifida (a type of neural tube defect)

How We Help Opioid Victims Who Suffered Birth Defects

Contact us to seek justice with the help of our experienced opioid attorneys. We’ve battled corporate giants on behalf of individuals like you for 20 years. Our Dallas, Texas, opioid law firm represents families dealing with opioid-related birth defects. If you have a child with birth defects caused by exposure to opioids during the first trimester of pregnancy, we can help.

Marketing Efforts Created the Crisis that led to Opioid Lawsuits

As courtrooms continue to fill with opioid lawsuits across the U.S., researchers provide more insight into the role that pharmaceutical companies played. A recent study revealed a connection between the amount of money spent on opioid-related marketing and the number of overdose deaths in various counties across the U.S. The study showed that pharmaceutical marketing of opioids towards physicians was associated with higher prescription rates and higher amounts of overdose deaths in certain counties.

Researchers Link Opioid Deaths to Pharmaceutical Marketing 

In a study published by the JAMA Network Open, researchers found that when pharmaceutical companies spent more money on opioid marketing in a particular county, there were higher prescription rates and higher amounts of overdose deaths in that same county. The most common type of opioid marketing to doctors was in the form of incentives such as dinners or meals with company representatives. Dr. Scott Hadland from Boston Medical Center explained that the amount of each marketing payment was not as important as the frequency of visits and company interactions with doctors. The study included suggestions for lawmakers, such as imposing limits on pharmaceutical marketing. But researchers also noted that this may not be an effective solution because meals can be relatively cheap. Opioids attorneys have cited such marketing as a way to increase prescription rates of the drugs.

Millions Spent on Physician-Targeting Likely to Be Citied by Opioid Attorneys

The U.S. exceeds the rest of the developed world regarding opioid prescriptions. From 2013 to 2015, drugmakers spent almost $40 million in opioid marketing, targeting about 67,500 physicians. Researchers discovered that for every three additional payments made to physicians per 100,000 people in a county, the number of opioid overdose deaths went up 18 percent.

Birth Defects Lead to Opioid Lawsuits

Opioid prescriptions are most commonly used for pain management. They are made either from an opium plant or synthesized in a lab. Commonly misspelled as “opiods,” these drugs relax the body, can disrupt the natural release of endorphins, and can be highly addictive even when used for a short amount of time. Opioid treatment was originally limited to traumatic injuries and terminal cancer. However, drug manufacturers decided to capitalize on patients with long-term, chronic pain without informing them of the drug’s highly addictive nature. Opioids have also commonly been prescribed to new mothers recovering from childbirth, putting them at risk of chronic opioid use. There are three major categories of opioid drugs: non-synthetic, synthetic, and semi-synthetic. Within the three broad categories, there are several different opioid prescriptions such as:

  • Fentanyl (Duragesic®)
  • Hydrocodone (Vicodin®)
  • Meperidine (Demerol®)
  • Oxycodone (Oxycontin®, Percocet®)
  • Oxymorphone (Opana®)

In pregnant women, opioids can cross the placenta and enter the fetal central nervous system, putting the fetus at risk for birth defects. Since these painkillers relax the body and alter the natural release of the body’s endorphins, they risk the health of the mother and baby. Opioid use either prior to pregnancy or while pregnant can cause various birth defects, including:

  • Spina bifida (a type of neural tube defect)
  • Hydrocephaly (buildup of fluid in the brain)
  • Glaucoma
  • Gastroschisis (defect in the abdominal wall)
  • Congenital heart defects

Although opioids can be very effective pain management medications, the impact of opioid exposure is not fully known and can have dangerous long-term effects. The opioid epidemic has impacted not only our health system, but also our legal system. State and local governments have brought thousands of opioid lawsuits as people fight to hold pharmaceutical companies and manufacturers accountable for the part they played in this crisis. This epidemic has put a strain on our courts and on our medical emergency workers and their ability to combat the effects of opioids and overdoses.